下腰痛专科转诊适当性横断面分析数据表

数据集获取（Figshare）

• 源站标题：Data_Sheet_2_Appropriateness of specialized care referrals for LBP: a cross-sectional analysis.pdf
• DOI：10.3389/fmed.2023.1292481.s002
• 发布日期：2024-01-05
• 文件数：1 个
• 文件总体积：563.12 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Data_Sheet_2_Appropriateness_of_specialized_care_referrals_for_LBP_a_cross-sectional_analysis_pdf/24947133

命令行下载

curl -L -o "Data_Sheet_2_Appropriateness of specialized care referrals for LBP: a cross-sectional analysis.pdf" "https://ndownloader.figshare.com/files/43919271"

文件清单

• Data_Sheet_2_Appropriateness of specialized care referrals for LBP: a cross-sectional analysis.pdf（563.12 KB）

文件总体积 563.12 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

BackgroundLow back pain (LBP) accounts for a significant proportion of primary care visits. Despite the development of evidence-based guidelines, studies point to the inefficient use of healthcare resources, resulting in over 60.0% of patients with LBP being referred to spine surgeons without any surgical indication. Centralized waiting lists (CWLs) have been implemented to improve access to specialized care by managing asymmetry between supply and demands. To date, no study has provided data on patients’ clinical profiles and referral patterns to medical specialists for LBP in the context of a publicly funded healthcare system operating a prioritization model. The objective of this study was to evaluate the appropriateness of specialized care referrals for LBP after the implementation of a CWL.
MethodsA retrospective cross-sectional analysis of 500 randomly selected electronic health records of patients who attended the outpatient neurosurgery clinic of the administrative Mauricie-et-Centre-du-Québec region was performed. Inclusion criteria were neurosurgery consultation referrals for adults ≥18 years suffering from a primary complaint of LBP, and performed between September 1st, 2018, and September 1st, 2021. Data relevant for drawing a comprehensive portrait of patients referred to the neurosurgery service and for judging referrals appropriateness were manually extracted.
ResultsOf the 500 cases analyzed, only 112 (22.4%) were surgical candidates, while 221 (44.2%) were discharge from the neurosurgery service upon initial assessment. Key information was inconsistently documented in medical files, thus preventing the establishment of a comprehensive portrait of patients referred to the neurosurgery service for LBP. Nevertheless, over 80.0% of referrals made during the study period were deemed inappropriate. Inappropriate referrals were characterized by higher proportion of patients symptomatically improved, presenting a back-dominant chief complaint, exhibiting no objective neurological symptoms, and diagnosed with non-specific LBP.
ConclusionThis study reveals a significant proportion of inappropriate referrals to specialized care for LBP. Further research is

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.3389/fmed.2023.1292481.s002（source: https://frontiersin.figshare.com/articles/dataset/Data_Sheet_2_Appropriateness_of_specialized_care_referrals_for_LBP_a_cross-sectional_analysis_pdf/24947133）。