莫桑比克抗逆转录病毒治疗推广至外围机构后报告保留率的有效性：回顾性全国队列分析结果

数据集获取（Figshare）

• 源站标题：Validity of reported retention in antiretroviral therapy after roll-out to peripheral facilities in Mozambique: Results of a retrospective national cohort analysis
• DOI：10.1371/journal.pone.0198916
• 发布日期：2018-06-21
• 文件数：2 个
• 文件总体积：29.84 MB
• 源站页面：https://plos.figshare.com/articles/dataset/Validity_of_reported_retention_in_antiretroviral_therapy_after_roll-out_to_peripheral_facilities_in_Mozambique_Results_of_a_retrospective_national_cohort_analysis/6637790

命令行下载

curl -L -o "pone.0198916.s001.docx" "https://ndownloader.figshare.com/files/12153542"
curl -L -o "pone.0198916.s002.xls" "https://ndownloader.figshare.com/files/12153548"

文件清单

• pone.0198916.s001.docx（13.60 KB）
• pone.0198916.s002.xls（29.83 MB）

文件总体积 29.84 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
Retention in anti-retroviral therapy (ART) presents a challenge in sub-Saharan Africa. In Mozambique, after roll-out to peripheral facilities, the 12-month retention rate was reported mostly from sites with an electronic patient tracking system (EPTS), representing only 65% of patients. We conducted a nationally representative study, compared 12-month retention at EPTS and non-EPTS sites, and its predictors.
Methods
Applying a proportionate to population size sampling strategy, we obtained a nationally representative sample of patients who initiated ART between January 2013 and June 2014. We calculated weighted proportions of the patients’ status at 12 months after ART initiation, and 12-month incidence of lost to follow-up (LTFU) and death. We assessed determinants of LTFU and death by calculating adjusted hazard ratios (AHR) through multivariate cox-proportional hazard models.
Results
Among 19,297 patients sampled, 54.3% were still active, 33.1% LTFU, 2.0% dead, 2.6% transferred-out and 8.0% had unknown status, 12 months after ART initiation. Total attrition rate (LTFU or dead) was 45.5/100PY, higher at facilities without EPTS (51.8/100PY) than with EPTS (37.7/100PY). Clinical stage IV (AHR = 1.7), CD4 count ≤150 (AHR = 1.3) and being pregnant (AHR = 1.6) were significantly associated with LTFU. Clinical stage III or IV (AHR = 2.1 and 3.8), CD4 count ≤150 (AHR = 3.0), not being pregnant (AHR = 3.0), and ART regimens with stavudine (AHR = 4.28) were significantly associated with deaths. Patients enrolled in adherence support groups were 4.6 times less likely to be LTFU, but the number (n = 174) was too small to be significant (p = 0.273).
Conclusion
Retention in ART was substantially lower at non-EPTS sites. EPTS should be expanded to all ART sites to facilitate comprehensive routine monitoring of retention in care. Retention in Mozambique is low and needs to be improved, especially among pregnant women and patients with advanced disease at ART initiation. The effect of ART adherence support groups needs to be further monitored.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0198916（source: https://plos.figshare.com/articles/dataset/Validity_of_reported_retention_in_antiretroviral_therapy_after_roll-out_to_peripheral_facilities_in_Mozambique_Results_of_a_retrospective_national_cohort_analysis/6637790）。