{"id":146,"date":"2010-10-26T15:02:08","date_gmt":"2010-10-26T06:02:08","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=146"},"modified":"2014-04-16T15:34:23","modified_gmt":"2014-04-16T06:34:23","slug":"%e3%82%b3%e3%83%ac%e3%82%b9%e3%83%86%e3%83%ad%e3%83%bc%e3%83%ab%e3%81%ab%e9%96%a2%e3%81%99%e3%82%8b%ef%bc%92%e3%81%a4%e3%81%ae%e5%9b%bd%e5%86%85%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=146","title":{"rendered":"\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u306b\u95a2\u3059\u308b\uff12\u3064\u306e\u56fd\u5185\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3"},"content":{"rendered":"<div>\n<p>\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001\u9ad8LDL\u306a\u3069\u306b\u95a2\u3059\u308b\u56fd\u5185\u306e\uff12\u3064\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u3081\u3050\u3063\u3066\u6fc0\u3057\u3044\u8ad6\u4e89\u304c\u7e70\u308a\u8fd4\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p>(A)<a href=\"http:\/\/jas.umin.ac.jp\/pdf\/guideline_summary.pdf\" target=\"_blank\"><b>\u52d5\u8108\u786c\u5316\u6027\u5fc3\u75be\u60a3\u4e88\u9632\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32007 \u5e74\u7248\uff08\u52d5\u8108\u786c\u5316\u5b66\u4f1a\uff09<\/b><\/a><\/p>\n<p><\/p>\n<p>(B)<a href=\"http:\/\/wwwsoc.nii.ac.jp\/jsln\/guideline\/guideline-abstractPDF.pdf\" target=\"_blank\"><b>\u9577\u5bff\u306e\u305f\u3081\u306e\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb \u30ac\u30a4\u30c9\u30e9\u30a4\u30f32010 \u5e74\u7248\uff08\u65e5\u672c\u8102\u8cea\u6804\u990a\u5b66\u4f1a\uff09<\/b><\/a><\/p>\n<p><\/p>\n<p>\u6279\u5224\u3055\u308c\u305f\u5074\u306e\u5faa\u74b0\u5668\u7cfb\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30fb\u52d5\u8108\u786c\u5316\u5b66\u4f1a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5074\u306f\u3001\u65e5\u672c\u533b\u5e2b\u4f1a\u3084\u65e5\u672c\u533b\u5b66\u4f1a\u3001\u52d5\u8108\u786c\u5316\u5b66\u4f1a\u304c\u5408\u540c\u3067\u3001\u300c\u9577\u5bff\u306e\u305f\u3081\u306e\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u8aa4\u308a\u3067\u3042\u308b\u3002\u79d1\u5b66\u7684\u306a\u6839\u62e0\u304c\u306a\u3044\u3002\u300d\u3068\u767a\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p>\n<b>\u533b\u7642\u306e\u6700\u524d\u7dda\u306e\u81e8\u5e8a\u533b\u306f\u3069\u3046\u3059\u3079\u304d\u304b\u30fb\u30fb\u30fb?<\/b><\/p>\n<p><\/p>\n<p>\u300c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u306f\u4f55\u304b\uff63\u3001\u300c\u63a8\u5968\u306e\u59a5\u5f53\u6027\u3068\u53b3\u683c\u6027\uff63\u3092\u8003\u3048\u308b\u3068\u3001\u7d50\u8ad6\u306f\u660e\u3089\u304b\u3067\u3059\u3002<br \/>\n<b>Guidelines should inform clinicians what the quality of the underlying evidence is and whether recommendations are strong or weak<\/b><\/p>\n<p><\/p>\n<p>(1) \u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3(CPG-B)\u306b\u304a\u3044\u3066\u306f\u3001\u63a8\u5968\u306e\u5f37\u3055\uff08\u63a8\u5968\u5ea6\uff09\u3084\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306e\u5b9a\u7fa9\u3084\u8a55\u4fa1\u306e\u8a18\u8f09\u304c\u306a\u3044\u3002<\/p>\n<p><\/p>\n<p>(2) CPG-B\u3067\u306f\u300c\u6700\u3082\u91cd\u8981\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u3001\u7dcf\u6b7b\u4ea1\u7387\u300d\u3068\u3057\u3066\u304a\u308a\u3001\u201d\u51a0\u52d5\u8108\u6027\u75be\u60a3\u306b\u95a2\u9023\u3057\u305f\u4e3b\u8981\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u201d\u3001\u201d\u81f4\u6b7b\u6027\u3042\u308b\u3044\u306f\u975e\u81f4\u6b7b\u6027\u8133\u5352\u4e2d\u201d\u306a\u3069\u3001\u60a3\u8005\u306b\u3068\u3063\u3066\u91cd\u8981\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u3064\u3044\u3066\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306e\u5341\u5206\u306a\u8a18\u8f09\u304c\u306a\u3044\u3002\u307e\u305f\u3001\u30b9\u30bf\u30c1\u30f3\u985e\u306b\u306fLDL\u4f4e\u4e0b\u306f\u3042\u308b\u3082\u306e\u306e\u5fc3\u75be\u60a3\u4e88\u9632\u52b9\u679c\u304c\u306a\u3044\u3001\u3068\u3044\u3046\u8aa4\u3063\u305f\u7406\u89e3\u304c\u3042\u308b\u3002<\/p>\n<p><\/p>\n<p>(3) CPG-B\u306e\u201d\u63a8\u5968\u201d\u306e\u6839\u62e0\u306f\u3001\u5358\u4e00\u306e\u89b3\u5bdf\u7814\u7a76\u3068\u3044\u3046\u300c\u975e\u5e38\u306b\u4f4e\u300d\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\uff08GRADE\uff09\u3067\u3042\u308a\u3001\u53b3\u683c\u6027\u306e\u30ec\u30d9\u30eb\u306f\u300c\u4f4e\u300d\uff08JAMA\u533b\u5b66\u6587\u732e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9\uff09\u3067\u3042\u308b\u3002<\/p>\n<p><\/p>\n<p>(4) \u6cbb\u7642\u306e\u63a8\u5968\u306e\u59a5\u5f53\u6027\u306b\u95a2\u3057\u3066\u3001\u300cJAMA\u533b\u5b66\u6587\u732e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9\u300d\u306e\u8a55\u4fa1\u9805\u76ee\u3067\u691c\u8a0e\u3059\u308b\u3068\u3001\u305d\u306e\u57fa\u6e96\u3092\u6e80\u305f\u3057\u3066\u3044\u306a\u3044\u3002<\/p>\n<p><\/p>\n<p>(5) \u52d5\u8108\u786c\u5316\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3(CPG-A)\u306f\u3001\uff08\u624b\u6cd5\u306fGRADE\u3068\u306f\u5168\u304f\u7570\u306a\u308b\u3082\u306e\u306e\uff09\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u30ec\u30d9\u30eb\u3084\u63a8\u5968\u30ec\u30d9\u30eb\u306e\u57fa\u6e96\u3092\u8a18\u8f09\u3057\u3066\u304a\u308a\u3001\u304b\u3064\u30a2\u30a6\u30c8\u30ab\u30e0\u3084\u30a8\u30d3\u30c7\u30f3\u30b9\u8a55\u4fa1\uff08\u52b9\u679c\u306e\u5927\u304d\u3055\u3092\u542b\u3081\u3066\uff09\u3092\u8aac\u660e\u3057\u3066\u3044\u308b\u3002<br \/>\n\u3057\u304b\u3057\u3001CPG-A\u306b\u304a\u3044\u3066\u306f\u3001\u306a\u3093\u3089\u304b\u306e\u9650\u754c\u306e\u3042\u308bRCTs\u3084\u52b9\u679c\u306e\u7a0b\u5ea6\u304c\u5927\u304d\u3044\u8907\u6570\u306e\u89b3\u5bdf\u7814\u7a76\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3092\u3069\u306e\u3088\u3046\u306b\u5224\u5b9a\u3059\u308b\u306e\u304b\u4e0d\u660e\u3067\u3042\u308b\u3002<br \/>\n\u307e\u305f\u3001\u300c\u79d1\u5b66\u7684\u6839\u62e0\u306f\u306a\u3044\u300d\u3068\u3044\u3046\u6307\u6458\u306f\u4e0d\u9069\u5207\u3067\u3042\u308a\u3001\u52d5\u7269\u5b9f\u9a13\u3067\u3082\u3001\u75c7\u4f8b\u5831\u544a\u3067\u3082\u3001\u5bfe\u7167\u306e\u306a\u3044\u89b3\u5bdf\u7814\u7a76\u3067\u3082\u3001\u3044\u304b\u306a\u308b\u7814\u7a76\u3082\u300c\u79d1\u5b66\u7684\u6839\u62e0\u300d\u3068\u601d\u3044\u307e\u3059\u3002<br \/>\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p><\/p>\n<p>\u2605\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4f5c\u6210\u8005\u3084\u5229\u7528\u8005\u306f\u3001EBM\u306e\u6559\u79d1\u66f8\u3067\u3042\u308bGuyatt\u3089\u306e\u300cJAMA Users&#8217; Guides to The Medical Literature\uff08\u7b2c2\u7248\uff09\u300d\u3001\u3042\u308b\u3044\u306f\u65e5\u672c\u8a9e\u7ffb\u8a33\u7248\u306e<a href=\"http:\/\/homepage3.nifty.com\/aihara\/jama_evidence.html\" target=\"_blank\"><b>\u300c\u533b\u5b66\u6587\u732e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9\u300d<\/b>\uff08\u76f8\u539f\u4ed6\u3001\u51f8\u7248\u30e1\u30c7\u30a3\u30a2\u30012010\u5e74\uff09<\/a>\u3092\u8aad\u3093\u3067\u307b\u3057\u3044\u3067\u3059\u3002\u672c\u66f8\u3067\u306f\u4f8b\u3048\u3070\u30fb\u30fb\u30fb\u30fb\u30fb\u85ac\u5264\u30af\u30e9\u30b9\u52b9\u679c\uff0822.5\u7ae0\uff09\u3092\u53c2\u7167\uff1a\u3000\u500b\u5225\u60a3\u8005\u30c7\u30fc\u30bf\u306b\u57fa\u3065\u304f\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3001IDEAL\u7814\u7a76\u3001PROVE-IT\u7814\u7a76\u306a\u3069\u3092\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p>\u305d\u3057\u3066\u3001\u81e8\u5e8a\u533b\u3084\u60a3\u8005\u306e\u305f\u3081\u306b\u3001<a href=\"http:\/\/www.grade-jpn.com\/\" target=\"_blank\"><b>GRADE\u30b7\u30b9\u30c6\u30e0\uff08web\u30b5\u30a4\u30c8\uff09<\/b><\/a>\u3092\u5229\u7528\u3057\u3066\u307b\u3057\u3044\uff08\u3053\u308c\u306f\u3001Guyatt\u6559\u6388\u3089\u306e\u9858\u3044\u3067\u3082\u3042\u308a\u307e\u3059\uff09\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001\u9ad8LDL\u306a\u3069\u306b\u95a2\u3059\u308b\u56fd\u5185\u306e\uff12\u3064\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u3081\u3050\u3063\u3066\u6fc0\u3057\u3044\u8ad6\u4e89\u304c\u7e70\u308a\u8fd4\u3055\u308c\u3066\u3044\u307e\u3059\u3002 (A)\u52d5\u8108\u786c\u5316\u6027\u5fc3\u75be\u60a3\u4e88\u9632\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32007 \u5e74\u7248\uff08\u52d5\u8108\u786c\u5316\u5b66\u4f1a\uff09 (B)\u9577\u5bff\u306e\u305f\u3081\u306e\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb \u30ac\u30a4\u30c9\u30e9\u30a4\u30f3 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[16],"tags":[49,213,20,119,212],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/146"}],"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=146"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/146\/revisions"}],"predecessor-version":[{"id":536,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/146\/revisions\/536"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=146"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=146"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}