AL淀粉样变性患者的真实世界治疗模式、费用和结果:Optum EHR和商业索赔数据库分析
基于Optum EHR和商业索赔数据库,分析AL淀粉样变性患者的真实世界治疗模式、费用和预后。

基本信息
资源简介
该数据集描述了AL淀粉样变性患者的真实世界治疗模式、临床结果和疾病费用。数据来源于美国Optum电子健康记录和Clinformatics商业索赔数据库(2008-2019年),纳入新诊断AL淀粉样变性并开始抗浆细胞治疗的患者。分析了医疗资源利用及相关费用,并使用Kaplan-Meier方法评估心肾衰竭发生率。共纳入1347名患者(EHR 776例,索赔571例),中位年龄68岁,56.8%为男性。初始诊断时33.1%和15.1%患者分别患有心衰和肾衰。大部分患者在LOT1接受含硼替佐米治疗(69%),其中硼替佐米-环磷酰胺-地塞米松方案最常见(26%)。各治疗线医疗资源利用相似。LOT1、LOT2、LOT3的每个患者月均费用分别为19,343美元、19,183美元和16,611美元。费用主要由抗浆细胞治疗、门诊和住院推动。初始诊断后5年心衰和肾衰发生率分别为64.5%和39.0%。该数据集突出了AL淀粉样变性带来的显著负担和次优结果。
下载信息
注册下载
需要注册 Kaggle 账号并登录后下载,适合需要跟踪下载记录和使用 API 的用户。
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公开数据集受托下载与技术交付服务。
提供高速下载与技术交付服务(收技术服务费,非数据销售)
暂未开放当前数据集主要来源为 Kaggle 公开托管,完整影像包建议通过原始链接或 Kaggle API 获取。
使用方式
数据集获取(Figshare)
- 源站标题:Real-world treatment patterns, costs, and outcomes in patients with AL amyloidosis: analysis of the Optum EHR and commercial claims databases
- DOI:10.6084/m9.figshare.21394688.v1
- 发布日期:2022-10-25
- 文件数:2 个
- 文件总体积:633.51 KB
- 源站页面:https://tandf.figshare.com/articles/dataset/Real-world_treatment_patterns_costs_and_outcomes_in_patients_with_AL_amyloidosis_analysis_of_the_Optum_EHR_and_commercial_claims_databases/21394688
命令行下载
curl -L -o "iamy_a_2137400_sm3084.jpg" "https://ndownloader.figshare.com/files/37983191"
curl -L -o "iamy_a_2137400_sm2848.docx" "https://ndownloader.figshare.com/files/37983194"
文件清单
iamy_a_2137400_sm3084.jpg(480.85 KB)iamy_a_2137400_sm2848.docx(152.66 KB)
文件总体积 633.51 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
This study characterised real-world treatment patterns, clinical outcomes, and cost-of-illness in patients with light-chain (AL) amyloidosis.
Data were extracted from the US-based Optum® EHR and Clinformatics® Data Mart (claims) databases (2008–2019) for patients newly diagnosed with AL amyloidosis and who initiated anti-plasma cell therapies. Healthcare resource utilisation (HCRU) and related costs were compared across lines of therapy (LOT). Incidences of cardiac and renal failure were evaluated using the Kaplan-Meier method.
About 1347 patients (EHR, n = 776; claims, n = 571) were included. Median age was 68 years; 56.8% were male. At initial diagnosis, 33.1% and 15.1% of patients had cardiac and renal failure, respectively. Most patients received bortezomib-containing treatment in LOT1 (69%); bortezomib-cyclophosphamide-dexamethasone was most common (26%). HCRU was similar across LOTs. Mean per-patient-per-month and per-patient-per-LOT costs were $19,343 and $105,944 for LOT1, $19,183 and $95,793 for LOT2, and $16,611 and $128,446 for LOT3, respectively. Costs were primarily driven by anti-plasma cell therapies, outpatient visits, and hospitalisations. The 5-year cardiac and renal failure rates following initial diagnosis were 64.5% and 39.0%, respectively.
AL amyloidosis is associated with substantial costs and suboptimal outcomes, highlighting the need for new therapeutic approaches to prevent organ deterioration, and reduce disease burden.
许可
CC BY 4.0
引用
学术使用请引用 DOI 10.6084/m9.figshare.21394688.v1(source: https://tandf.figshare.com/articles/dataset/Real-world_treatment_patterns_costs_and_outcomes_in_patients_with_AL_amyloidosis_analysis_of_the_Optum_EHR_and_commercial_claims_databases/21394688)。
数据缺失?
依托陕西、四川两大基地,我们与超过十家三甲医院建立直接合作关系,覆盖合规授权、采集治理、专业标注、数据交付的全流程,为AI医疗团队提供即拿即用的高质量临床数据。
⚡️ 需要数据支持或标注服务?立即联系我们获取专业方案。




