search

UCL / TLOmodel

Epidemiology modelling framework for the Thanzi la Onse project
https://www.tlomodel.org/
MIT License
11 stars 5 forks source link

Addition of Cancers/epilepsy/depression consumables #1253

Open joehcollins opened 8 months ago

joehcollins commented 8 months ago

Hi @andrew-phillips-1 - just wanted to open an issue related to the above modules consumables just so I have somewhere to collect any questions as I go along. This issue is linked to PR #1124 where consumables and equipment for these modules is being added. I will close this issue when I have all the consumables/equipment added.

joehcollins commented 8 months ago

First question - in breast cancer (or other cancers where surgery is treatment) should failure to deliver treatment due to lacking consumables still lead to scheduling of palliative care? (currently, if surgery isnt delivered due to lacking consumable availability they will not move to the post treatment HSI where palliation is scheduled)

andrew-phillips-1 commented 8 months ago

oh i thought palliative care was accessible when people reach stage 4 whatever the route. That's the case in the new cervical cancer module. I agree we would want that.

joehcollins commented 8 months ago

The current logic (inclusive of consumables) would be that if someone attends HSI_BreastCancer_Investigation_Following_breast_lump_discernible and is able to have a biopsy (consumables are available, test succesfully detects cancer) they are either scheduled for treatment or palliation depending on staging. If the biopsy cant be delivered then they will not receive either treatment or palliation - which i think makes sense as they wouldnt know they had cancer?

andrew-phillips-1 commented 8 months ago

yes that seems right to me also

joehcollins commented 8 months ago

Ok thanks!

joehcollins commented 8 months ago

@andrew-phillips-1 - another question. For the PostTreatmentCheck HSIs in the cancer modules there is no additional testing using the dx_test function to determine new cancer staging (there is a note to suggest that this additional testing is potentially biopsy or ultrasound). Do we want to be using the same test again? I'm just thinking about adding in consumables for that specific HSI

andrew-phillips-1 commented 8 months ago

Hi @joehcollins I actually didn't know whether it would be standard practice to re-do biopsies from time to time to update the staging. Currently (at least in cervical cancer but I think all cancers) people get at most just one attempted curative treatment. So what would be the purpose (in the model at least) of additional biopsies after attempted treatment ? I guess for one you are thinking of reaching stage 4 and an indication for palliative care ?

joehcollins commented 8 months ago

Yes it was that stage 4 link with palliative care i was thinking about after treatment. However i think for now i will just leave as is and you can have a look when its all done?

andrew-phillips-1 commented 8 months ago

yes sounds good