初级医疗中骨关节炎护理结构化模型的实施：阶梯楔形集群随机试验

数据集获取（Figshare）

• 源站标题：Implementing a structured model for osteoarthritis care in primary healthcare: A stepped-wedge cluster-randomised trial
• DOI：10.1371/journal.pmed.1002949
• 发布日期：2019-10-15
• 文件数：4 个
• 文件总体积：306.25 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Implementing_a_structured_model_for_osteoarthritis_care_in_primary_healthcare_A_stepped-wedge_cluster-randomised_trial/9983483

命令行下载

curl -L -o "pmed.1002949.s001.docx" "https://ndownloader.figshare.com/files/18006821"
curl -L -o "pmed.1002949.s002.pdf" "https://ndownloader.figshare.com/files/18006824"
curl -L -o "pmed.1002949.s003.docx" "https://ndownloader.figshare.com/files/18006827"
curl -L -o "pmed.1002949.s004.docx" "https://ndownloader.figshare.com/files/18006830"

文件清单

• pmed.1002949.s001.docx（33.28 KB）
• pmed.1002949.s002.pdf（196.09 KB）
• pmed.1002949.s003.docx（17.55 KB）
• pmed.1002949.s004.docx（59.32 KB）

文件总体积 306.25 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

Background
To improve quality of care for patients with hip and knee osteoarthritis (OA), a structured model for integrated OA care was developed based on international recommendations. The objective of this study was to assess the effectiveness of this model in primary care.
Methods and findings
We conducted a cluster-randomised controlled trial with stepped-wedge cohort design in 6 Norwegian municipalities (clusters) between January 2015 and October 2017. The randomised order was concealed to the clusters until the time of crossover from the control to the intervention phase. The intervention was implementation of the SAMBA model, facilitated by interactive workshops for general practitioners and physiotherapists with an update on OA treatment recommendations. Patients in the intervention group attended a physiotherapist-led OA education and individually tailored exercise programme for 8–12 weeks. The primary outcome was patient-reported quality of care (OsteoArthritis Quality Indicator questionnaire; 0–100, 100 = optimal quality) at 6 months. Secondary outcomes included patient-reported referrals to physiotherapy, magnetic resonance imaging (MRI), and orthopaedic surgeon consultation; patients’ satisfaction with care; physical activity level; and proportion of patients who were overweight or obese (body mass index ≥ 25 kg/m2). In all, 40 of 80 general practitioners (mean age [SD] 50 [12] years, 42% females) and 37 of 64 physiotherapists (mean age [SD] 42 [8] years, 65% females) participated. They identified 531 patients, of which 393 patients (mean age [SD] 64 [10] years, 71% females) with symptomatic hip or knee OA were included. Among these, 109 patients were recruited during the control periods (control group), and 284 patients were recruited during interventions periods (intervention group). The patients in the intervention group reported significantly higher quality of care (score of 60 versus 41, mean difference 18.9; 95% CI 12.7, 25.1; p 0.001) and higher satisfaction with OA care (odds ratio [OR] 12.1; 95% CI 6.44, 22.72; p 0.001) compared to patients in the control group. The increase in quality of care was close to, but below, the pre-specified mi

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pmed.1002949（source: https://plos.figshare.com/articles/dataset/Implementing_a_structured_model_for_osteoarthritis_care_in_primary_healthcare_A_stepped-wedge_cluster-randomised_trial/9983483）。