左心室辅助装置随访策略的成本效益分析数据集

数据集获取（Figshare）

• 源站标题：A varied approach to left ventricular assist device follow-up improves cost-effectiveness
• DOI：10.6084/m9.figshare.14869088.v2
• 发布日期：2021-07-20
• 文件数：2 个
• 文件总体积：52.06 KB
• 源站页面：https://tandf.figshare.com/articles/dataset/A_varied_approach_to_left_ventricular_assist_device_follow-up_improves_cost-effectiveness/14869088

命令行下载

curl -L -o "Appendix.docx" "https://ndownloader.figshare.com/files/28892352"
curl -L -o "eFig_1.png" "https://ndownloader.figshare.com/files/28892355"

文件清单

• Appendix.docx（32.76 KB）
• eFig_1.png（19.30 KB）

文件总体积 52.06 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Left ventricular assist device (LVAD) implantation improves outcomes in advanced heart failure, however, the optimal frequency of outpatient assessments to improve cost-effectiveness and potentially avert readmissions is unclear.
To test if varying the frequency of follow-up after LVAD implantation reduces readmissions and improves cost-effectiveness, a less intensive follow-up (LIFU) strategy with scheduled visits at 1 month and then every 6 months was compared to an intensive follow-up (IFU) group with scheduled visits at 1, 2, and 4 weeks, and then every 3 months post-implant. We developed a decision-tree model to evaluate the cost-effectiveness of different follow-up schedules at 3, 6, and 12-months. The readmission rates for LIFU and IFU, along with the associated costs, were estimated using data from the IBM MarketScan Commercial Claims Databases (2015–2018). A total of 349 patients were enrolled, with 193 and 156 in the IFU and LIFU groups.
Patients with IFU were found to have a lower risk for readmission at 3 months (HR: 0.69, 95% confidence interval (CI): 0.60–0.79), but this difference diminished overtime at 6 months (HR: 0.84, 95% CI: 0.73–0.96) and 12 months (HR: 0.94, 95% CI: 0.83–1.06). The incremental net benefit of IFU, when compared with LIFU, is greatest in the first 3 months and also diminishes over time (3 months: $19616, 6 months $9257, 12 months $717).
An initial IFU strategy, followed by a period of de-escalation at the 6-month post-implant mark in lower-risk patients, may be a more cost-effective strategy to provide follow-up care while not predisposing patients to a higher risk of readmission.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.6084/m9.figshare.14869088.v2（source: https://tandf.figshare.com/articles/dataset/A_varied_approach_to_left_ventricular_assist_device_follow-up_improves_cost-effectiveness/14869088）。