社区与临床依从性俱乐部对抗逆转录病毒治疗患者护理丢失和病毒抑制的影响：南非一项实用随机对照试验的结果

数据集获取（Figshare）

• 源站标题：The impact of community- versus clinic-based adherence clubs on loss from care and viral suppression for antiretroviral therapy patients: Findings from a pragmatic randomized controlled trial in South Africa
• DOI：10.1371/journal.pmed.1002808
• 发布日期：2019-05-21
• 文件数：3 个
• 文件总体积：1.25 MB
• 源站页面：https://plos.figshare.com/articles/dataset/The_impact_of_community-_versus_clinic-based_adherence_clubs_on_loss_from_care_and_viral_suppression_for_antiretroviral_therapy_patients_Findings_from_a_pragmatic_randomized_controlled_trial_in_South_Africa/8160362

命令行下载

curl -L -o "pmed.1002808.s001.csv" "https://ndownloader.figshare.com/files/15204917"
curl -L -o "pmed.1002808.s002.pdf" "https://ndownloader.figshare.com/files/15204923"
curl -L -o "pmed.1002808.s003.doc" "https://ndownloader.figshare.com/files/15204926"

文件清单

• pmed.1002808.s001.csv（156.39 KB）
• pmed.1002808.s002.pdf（869.74 KB）
• pmed.1002808.s003.doc（222.72 KB）

文件总体积 1.25 MB（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

Background
Adherence clubs, where groups of 25–30 patients who are virally suppressed on antiretroviral therapy (ART) meet for counseling and medication pickup, represent an innovative model to retain patients in care and facilitate task-shifting. This intervention replaces traditional clinical care encounters with a 1-hour group session every 2–3 months, and can be organized at a clinic or a community venue. We performed a pragmatic randomized controlled trial to compare loss from club-based care between community- and clinic-based adherence clubs.
Methods and findings
Patients on ART with undetectable viral load at Witkoppen Health and Welfare Centre in Johannesburg, South Africa, were randomized 1:1 to a clinic- or community-based adherence club. Clubs were held every other month. All participants received annual viral load monitoring and medical exam at the clinic. Participants were referred back to clinic-based standard care if they missed a club visit and did not pick up ART medications within 5 days, had 2 consecutive late ART medication pickups, developed a disqualifying (excluding) comorbidity, or had viral rebound. From February 12, 2014, to May 31, 2015, we randomized 775 eligible adults into 12 pairs of clubs—376 (49%) into clinic-based clubs and 399 (51%) into community-based clubs. Characteristics were similar by arm: 65% female, median age 38 years, and median CD4 count 506 cells/mm3. Overall, 47% (95% CI 44%–51%) experienced the primary outcome of loss from club-based care. Among community-based club participants, the cumulative proportion lost from club-based care was 52% (95% CI 47%–57%), compared to 43% (95% CI 38%–48%, p = 0.002) among clinic-based club participants. The risk of loss to club-based care was higher among participants assigned to community-based clubs than among those assigned to clinic-based clubs (adjusted hazard ratio 1.38, 95% CI 1.02–1.87, p = 0.032), after accounting for sex, age, nationality, time on ART, baseline CD4 count, and employment status. Among those who were lost from club-based care (n = 367), the most common reason was missing a club visit and the associated ART medication pickup entirely (54%, 95% CI 49%–59%)

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pmed.1002808（source: https://plos.figshare.com/articles/dataset/The_impact_of_community-_versus_clinic-based_adherence_clubs_on_loss_from_care_and_viral_suppression_for_antiretroviral_therapy_patients_Findings_from_a_pragmatic_randomized_controlled_trial_in_South_Africa/8160362）。