  Simulation studies are computer experiments that involve creating data by
pseudorandom sampling. The key strength of simulation studies is the ability to
understand the behaviour of statistical methods because some 'truth' (usually
some parameter/s of interest) is known from the process of generating the data.
This allows us to consider properties of methods, such as bias. While widely
used, simulation studies are often poorly designed, analysed and reported. This
tutorial outlines the rationale for using simulation studies and offers
guidance for design, execution, analysis, reporting and presentation. In
particular, this tutorial provides: a structured approach for planning and
reporting simulation studies, which involves defining aims, data-generating
mechanisms, estimands, methods and performance measures ('ADEMP'); coherent
terminology for simulation studies; guidance on coding simulation studies; a
critical discussion of key performance measures and their estimation; guidance
on structuring tabular and graphical presentation of results; and new graphical
presentations. With a view to describing recent practice, we review 100
articles taken from Volume 34 of Statistics in Medicine that included at least
one simulation study and identify areas for improvement.
