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hesim: Health Economic Simulation Modeling and Decision Analysis

A modular and computationally efficient R package for parameterizing, simulating, and analyzing health economic simulation models. The package supports cohort discrete time state transition models (Briggs et al. 1998) <doi:10.2165/00019053-199813040-00003>, N-state partitioned survival models (Glasziou et al. 1990) <doi:10.1002/sim.4780091106>, and individual-level continuous time state transition models (Siebert et al. 2012) <doi:10.1016/j.jval.2012.06.014>, encompassing both Markov (time-homogeneous and time-inhomogeneous) and semi-Markov processes. Decision uncertainty from a cost-effectiveness analysis is quantified with standard graphical and tabular summaries of a probabilistic sensitivity analysis (Claxton et al. 2005, Barton et al. 2008) <doi:10.1002/hec.985>, <doi:10.1111/j.1524-4733.2008.00358.x>. Use of C++ and data.table make individual-patient simulation, probabilistic sensitivity analysis, and incorporation of patient heterogeneity fast.

Version:0.5.7
Depends:R (≥ 3.5.0)
Imports:data.table,flexsurv,ggplot2,MASS,msm,Rcpp (≥ 0.12.16),R6, stats,survival
LinkingTo:Rcpp,RcppArmadillo
Suggests:covr,kableExtra,knitr,magrittr,mstate,nnet,numDeriv,pracma,rmarkdown,scales,testthat,truncnorm
Published:2025-10-11
DOI:10.32614/CRAN.package.hesim
Author:Devin Incerti [aut, cre], Jeroen P. Jansen [aut], Mark Clements [aut], R Core Team [ctb] (hesim uses some slightly modified C functions from base R)
Maintainer:Devin Incerti <devin.incerti at gmail.com>
BugReports:https://github.com/hesim-dev/hesim/issues
License:GPL-3
URL:https://hesim-dev.github.io/hesim/,https://github.com/hesim-dev/hesim
NeedsCompilation:yes
Citation:hesim citation info
Materials:README
CRAN checks:hesim results

Documentation:

Reference manual:hesim.html ,hesim.pdf
Vignettes:Cost-effectiveness analysis (source,R code)
Introduction to 'hesim' (source,R code)
Simple Markov cohort model (source,R code)
Time inhomogeneous Markov cohort models (source,R code)
Time inhomogeneous Markov individual-level models (source,R code)
Markov models with multinomial logistic regression (source,R code)
Markov and semi-Markov multi-state models (source,R code)
Partitioned survival models (source,R code)

Downloads:

Package source: hesim_0.5.7.tar.gz
Windows binaries: r-devel:hesim_0.5.7.zip, r-release:hesim_0.5.7.zip, r-oldrel:hesim_0.5.7.zip
macOS binaries: r-release (arm64):hesim_0.5.7.tgz, r-oldrel (arm64):hesim_0.5.7.tgz, r-release (x86_64):hesim_0.5.7.tgz, r-oldrel (x86_64):hesim_0.5.7.tgz
Old sources: hesim archive

Reverse dependencies:

Reverse suggests:estar

Linking:

Please use the canonical formhttps://CRAN.R-project.org/package=hesimto link to this page.


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