{"id":1358,"date":"2015-05-18T14:30:00","date_gmt":"2015-05-18T05:30:00","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=1358"},"modified":"2015-05-25T17:12:15","modified_gmt":"2015-05-25T08:12:15","slug":"nma%e3%82%a8%e3%83%93%e3%83%87%e3%83%b3%e3%82%b9%e3%81%ae%e8%b3%aa%e3%82%92%e8%a9%95%e4%be%a1%e3%81%99%e3%82%8b-2-stata%e3%82%92%e4%bd%bf%e3%81%a3%e3%81%9f%e5%8a%b9%e6%9e%9c%e6%8e%a8%e5%ae%9a","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=1358","title":{"rendered":"NMA\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3092\u8a55\u4fa1\u3059\u308b-2: STATA\u3092\u4f7f\u3063\u305f\u52b9\u679c\u63a8\u5b9a\u5024"},"content":{"rendered":"<p>NMA\u8ad6\u6587\u306b\u304a\u3051\u308bCQ\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3042\u308b\u3002<br \/>\nFoote CJ, et al:Which Surgical Treatment for Open Tibial Shaft Fractures Results in the Fewest Reoperations? A Network Meta-analysis.<br \/>\n<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25724836\">Clin Orthop Relat Res. 2015 Feb 28<\/a><\/p>\n<p><\/p>\n<p>\nP:\u6210\u4eba\u306e\u811b\u9aa8\u958b\u653e\u9aa8\u6298\u60a3\u8005\u306b\u304a\u3044\u3066\u3001<br \/>\nI\uff1a\u6574\u5f62\u5916\u79d1\u7684\u6cbb\u7642\uff08Reamed nail, Unreamed nail, plate fixation, AO external fixation, Ender nail, Ilizarov fixation)\u306f\u3001<br \/>\nO:\u518d\u624b\u8853\u306b\u9055\u3044\u304c\u3042\u308b\u304b\u3002<\/p>\n<p><\/p>\n<p>\u25cf<a href=\"http:\/\/www.grade-jpn.com\/grade2e-cover.html\"><strong>GRADE2\u7248<\/strong><\/a>\u3067\u89e3\u8aac\u3057\u3066\u3044\u308bSTATA\u3092\u4f7f\u3063\u3066\u3001\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3092\u5b9f\u65bd\u3057\u3066\u307f\u308b\u3002<\/p>\n<p>\u25cf<strong>\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30d7\u30ed\u30c3\u30c8<\/strong><\/p>\n<p><a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/network.jpg\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/network-300x210.jpg\" alt=\"network\" width=\"300\" height=\"210\" class=\"alignnone size-medium wp-image-1408\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/network-300x210.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/network.jpg 923w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>STATA\u3092\u4f7f\u3063\u305fNMA\u3067\u3042\u308a\u3001\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u306e\u5f62\u72b6\u3068\u3057\u3066\u306f\u3001\u300c\u8907\u5408\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u300d\u3067\u3042\u308b\u3002\u5404\u4ecb\u5165\u30ce\u30fc\u30c9\u306e\u5927\u304d\u3055\u306f\u3001\u30b5\u30f3\u30d7\u30eb\u30b5\u30a4\u30ba\u306e\u5927\u304d\u3055\u306b\u6bd4\u4f8b\u3057\u3066\u3044\u308b\u3002\u76f4\u63a5\u6bd4\u8f03\u3068\u3057\u3066\u306e\u5404\u30ce\u30fc\u30c9\u3092\u7d50\u5408\u3057\u3066\u3044\u308b\u7dda\u306e\u30ab\u30e9\u30fc\u306f\u3001risk of bias\u3092\u793a\u3057\u3066\u3044\u308b\uff08\u8d64\uff1ahigh\u3001\u7dd1\u8272\uff1alow\u3000risk of bias\uff09\u3002<\/p>\n<p><\/p>\n<p>\u25cf<strong>\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u5168\u4f53\u306b\u304a\u3051\u308b\u76f4\u63a5\u6bd4\u8f03\u306e\u5360\u3081\u308b\u5bc4\u4e0e\u5ea6<\/strong>\u306f\u3001AvB\uff0819.5%)\u3001AvD(9.1%), BvC(24.4%), BvE(3.4%), CvD(12.4%)\u3067\u3042\u308a\u3001\u5168\u4f53\u3068\u3057\u3066\u306f\u3084\u3084\u201d\u9650\u754c\u201d\u304c\u591a\u3044\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n<p><a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/contribution2.jpg\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/contribution2-300x190.jpg\" alt=\"contribution\" width=\"300\" height=\"190\" class=\"alignnone size-medium wp-image-1410\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/contribution2-300x190.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/contribution2.jpg 492w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>contribution plot\u3068risk of bias\uff08RoB)\u3092\u4f7f\u3063\u3066\u3001NMA\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u201d\u9650\u754c\u201d\u3092GRADE\u306b\u3088\u308a\u8a55\u4fa1\u3059\u308b\u3068\uff08Salanti\uff09\u3001=19.5*(0) + 9.1*(0) + 24.4*(-2) + 3.4*(-2) + 12.4*(-2)=-0.8\u3067\u3042\u308a\u3001\u7814\u7a76\u306e\u9650\u754c\u306b\u3088\u308a\u3001\u4e00\u6bb5\u968e\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u3068\u306a\u308b\u3002\u3057\u304b\u3057\u3001NMA\u63a8\u5b9a\u5024\u306b\u95a2\u3059\u308bGRADE\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306b\u95a2\u3057\u3066\u306f\u3001\u3055\u3089\u306b\u3001\u4e00\u8cab\u6027\u3001\u76f4\u63a5\u6027\uff08\u63a8\u79fb\u6027\uff09\u3001\u7cbe\u78ba\u3055\u3001\u51fa\u7248\u30d0\u30a4\u30a2\u30b9\u306a\u3069\u3092\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u30fb\u30fb\u30fbSalanti\u624b\u6cd5\u306b\u3088\u308b\u89e3\u6790\u306f<a href=\"http:\/\/www.grade-jpn.com\/grade2e-cover.html\"><strong>GRADE2\u7248<\/strong><\/a>\u3092\u53c2\u7167\u306e\u3053\u3068\u3002<br \/>\nA:Reamed, B: Unreamed, C:External(AO) fixation, D:Plate, E:Ender, F:Ilizov fixation<\/p>\n<p>\u25cf<strong>NMA\u63a8\u5b9a\u5024<\/strong><\/p>\n<p><a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/forest1.jpg\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/forest1-300x201.jpg\" alt=\"forest\" width=\"300\" height=\"201\" class=\"alignnone size-medium wp-image-1404\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/forest1-300x201.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/forest1.jpg 944w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n<\/p>\n<p>Unreamed vs Reamed\u306e\u63a8\u5b9a\u5024\u306f\u3001OR 0.63 (0.34-1.17)\u3067\u3042\u308a\u3001\u8ad6\u6587\u30c7\u30fc\u30bf\uff08OR=0.62, 0.37-1.03\uff09\u3068\u8fd1\u4f3c\u3057\u3066\u3044\u308b\u3002\u307e\u305f\u3001\u8ad6\u6587\u306e\u8868\uff14\u3067\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3001Unreamed vs external\u3082\u3001OR 0.42 (0.23-0.77)\u3067\u3042\u308a\u3001\u8ad6\u6587\u30c7\u30fc\u30bf\uff08OR 0.38, 0.23-0.62\uff09\u3068\u8fd1\u4f3c\u3057\u3066\u3044\u308b\u3002\u306a\u304a\u3001\u672c\u30d5\u30a9\u30ec\u30b9\u30c8\u30d7\u30ed\u30c3\u30c8\u306b\u304a\u3044\u3066\u306f\u300195%\u4fe1\u983c\u533a\u9593\u3068\u3068\u3082\u306b\u300195%\u4e88\u6e2c\u533a\u9593\uff08\u8d64\u306e\u6a2a\u7dda\uff09\u3082\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>\u25cf<strong>SUCRA(surface under the cumulative ranking curve)<\/strong><\/p>\n<table summary=\"nma\" border=\"0\" style=\"border-collapse:collapse;border:none;\">\n<tr>\n<td>\n<a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/sucra-0523-2.jpg\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/sucra-0523-2-300x212.jpg\" alt=\"sucra-0523-2\" width=\"300\" height=\"212\" class=\"alignnone size-medium wp-image-1447\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/sucra-0523-2-300x212.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/sucra-0523-2.jpg 997w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/td>\n<td>\n<a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/sucra-0523.jpg\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/sucra-0523-300x150.jpg\" alt=\"sucra-0523\" width=\"300\" height=\"150\" class=\"alignnone size-medium wp-image-1448\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/sucra-0523-300x150.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/05\/sucra-0523.jpg 406w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n<\/td>\n<\/tr>\n<\/table>\n<p>\u539f\u8ad6\u6587\u306b\u304a\u3044\u3066\u306f\u3001Ender nailing\u3068Ilizov fixation\u306b\u95a2\u3057\u3066\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u304c\u201dvery low&#8221;\u306e\u305f\u3081\u3001\u305d\u308c\u3089\u3092\u9664\u5916\u3057\u305fSUCRA\u3068\u30e9\u30f3\u30ad\u30f3\u30b0\u304c\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3002\u672c\u89e3\u6790\u306b\u304a\u3044\u3066\u306f\u3001\u3042\u3048\u3066\u7d71\u8a08\u5b66\u7684\u306a\u30e9\u30f3\u30ad\u30f3\u30b0\u304c\u8aa4\u89e3\u3092\u62db\u304f\u7d50\u679c\u306b\u306a\u308a\u3046\u308b\u3053\u3068\u3092\u63d0\u793a\u3059\u308b\u305f\u3081\u306b\u3001\u5168\u3066\u306e\u4ecb\u5165\u306b\u95a2\u3059\u308b\u30e9\u30f3\u30ad\u30f3\u30b0\u3092\u793a\u3057\u305f\u3002<\/p>\n<p>\u201d\u975e\u5e38\u306b\u4f4e\u201d\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u30e9\u30f3\u30ad\u30f3\u30b0\u89e3\u6790\u304b\u3089\u9664\u5916\u3059\u308b\u3053\u3068\u304c\u3001\u30e9\u30f3\u30ad\u30f3\u30b0\u306b\u3088\u308b\u8aa4\u89e3\u3092\u56de\u907f\u3059\u308b\u3072\u3068\u3064\u306e\u624b\u6cd5\u3068\u3044\u3048\u308b\u3053\u3068\u304c\u3001\u5916\u79d1\u533b\u5411\u3051\u306e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9\u306b\u3082\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n<p><\/p>\n<p>\u3053\u306e\u3088\u3046\u306b\u3001STATA\uff08version 13\uff09\u3092\u4f7f\u3063\u3066\u3001\u8ad6\u6587\u30c7\u30fc\u30bf\u3068\u307b\u307c\u540c\u3058\u52b9\u679c\u63a8\u5b9a\u5024\u3092\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304c\u3001STATA\u306f\u9ad8\u984d\u3067\u3042\u308b\u3002<br \/>\n\u6b21\u56de\u306f\u3001\u540c\u3058\u30c7\u30fc\u30bf\u5229\u7528\u3057\u3066\u3001R\u3092\u4f7f\u3063\u305f\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3092\u7d39\u4ecb\u3057\u305f\u3044\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>NMA\u8ad6\u6587\u306b\u304a\u3051\u308bCQ\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3042\u308b\u3002 Foote CJ, et al:Which Surgical Treatment for Open Tibial Shaft Fractures Results in t [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,258],"tags":[],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1358"}],"collection":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1358"}],"version-history":[{"count":58,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1358\/revisions"}],"predecessor-version":[{"id":1524,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1358\/revisions\/1524"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1358"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}