台湾长期机械通气的每质量调整生命年成本及终身成本

数据集获取（Figshare）

• 源站标题：Cost per QALY (Quality-Adjusted Life Year) and Lifetime Cost of Prolonged Mechanical Ventilation in Taiwan
• DOI：10.1371/journal.pone.0044043
• 发布日期：2012-09-06
• 文件数：2 个
• 文件总体积：2.96 MB
• 源站页面：https://plos.figshare.com/articles/dataset/Cost_per_QALY_Quality_Adjusted_Life_Year_and_Lifetime_Cost_of_Prolonged_Mechanical_Ventilation_in_Taiwan/120230

命令行下载

curl -L -o "Figure_S1.tif" "https://ndownloader.figshare.com/files/305298"
curl -L -o "Table_S1.docx" "https://ndownloader.figshare.com/files/305532"

文件清单

• Figure_S1.tif（2.94 MB）
• Table_S1.docx（17.18 KB）

文件总体积 2.96 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

Introduction
Patients who require prolonged mechanical ventilation (PMV) are increasing and producing financial burdens worldwide. This study determines the cost per QALY (quality-adjusted life year), out-of-pocket expenses, and lifetime costs for PMV patients stratified by underlying diseases and cognition levels.
Methods
A nationwide sample of 50,481 patients with continual mechanical ventilation for more than 21 days was collected during 1997–2007. After stratifying the patients according to specific diagnoses, a latent class analysis (LCA) was performed to categorise PMV patients with multiple co-morbidities into several homogeneous groups. The survival functions were estimated for individual groups using the Kaplan-Meier method and extrapolated to 300 months through a semi-parametric method. The survival functions were adjusted using an EQ-5D utility value derived from a convenience sample of 142 PMV patients to estimate quality-adjusted life expectancies (QALE). Another convenience sample of 165 patients was used to estimate the out-of-pocket expenses. The lifetime expenditures paid by the single-payer National Health Insurance (NHI) system and patients’’ families were estimated by multiplying average monthly expenditures by the survival probabilities and summing the values over lifetime.
Results
PMV therapy costs more than 100,000 U.S. dollars (USD) per QALY for all patients with poor cognition. For patients with partial cognition, PMV therapy costs less than 56,000 USD per QALY for those with liver cirrhosis, intracranial or spinal cord injuries, and 57,000–69,000 USD for patients with multiple co-morbidities under age of 65. The average lifetime cost of PMV was usually below 56,000 USD. The out-of-pocket expenses were often more than one-third of the total cost of treatment.
Conclusions
PMV treatment for patients with poor cognition would cost more than 5 times Taiwan’'s GDP (gross domestic products), or less cost-effective. The out-of-pocket expenses for PMV provision should also be considered in policy decision.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0044043（source: https://plos.figshare.com/articles/dataset/Cost_per_QALY_Quality_Adjusted_Life_Year_and_Lifetime_Cost_of_Prolonged_Mechanical_Ventilation_in_Taiwan/120230）。