{"id":150,"date":"2010-11-16T18:18:22","date_gmt":"2010-11-16T09:18:22","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=150"},"modified":"2014-04-16T15:34:22","modified_gmt":"2014-04-16T06:34:22","slug":"grade%e5%88%a9%e7%94%a8%e3%81%ae%e5%a0%b1%e5%91%8a%e5%9f%ba%e6%ba%96","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=150","title":{"rendered":"GRADE\u5229\u7528\u306e\u5831\u544a\u57fa\u6e96"},"content":{"rendered":"<div>\n<p>GRADE\u30b7\u30b9\u30c6\u30e0\u306f\u3001<a href=\"http:\/\/homepage3.nifty.com\/aihara\/jama_evidence.html\" target=\"_blank\"><b>JAMA\u533b\u5b66\u6587\u732e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9<\/b><\/a>\u306e\u8907\u6570\u306e\u7ae0\u306b\u304a\u3044\u3066\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3084\u63a8\u5968\u306e\u5f37\u3055\u306e\u8a55\u4fa1\u30b7\u30b9\u30c6\u30e0\u3067\u3059\u3002<\/p>\n<p>\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3082\u3057\u304f\u306f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4f5c\u6210\u306b\u304a\u3044\u3066\u3001\u30ec\u30d3\u30e5\u30a2\u3084\u30d1\u30cd\u30eb\u304c\u300cGRADE\u30b7\u30b9\u30c6\u30e0\u3092\u5229\u7528\u3057\u305f\u300d\u3068\u5831\u544a\u3059\u308b\u5834\u5408\u306b\u306f\u3001GRADE Working Group\u304c\u4f5c\u6210\u3057\u305f\u3001\u3044\u304f\u3064\u304b\u306e\u57fa\u6e96\u304c\u9075\u5b88\u3055\u308c\u305f\u304b\u3092\u78ba\u8a8d\u3059\u3079\u304d\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p><a href=\"http:\/\/www.grade-jpn.com\/criteria%20of%20GRADE.doc\" target=\"_blank\"><b>GRADE\u5229\u7528\u306e\u5831\u544a\u57fa\u6e96(2010\u5e7410\u6708)<\/b><\/a><\/p>\n<p>\n<b>\uff11\uff0e<\/b>&nbsp;\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3092\u5b9a\u7fa9\u3059\u308b<br \/>\n<b>\uff12\uff0e<\/b>&nbsp;\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u8a55\u4fa1\u306eGRADE\u57fa\u6e96\u3092\u660e\u78ba\u306b\u3059\u308b<br \/>\n<b>\uff13\uff0e<\/b>&nbsp;\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u3064\u3044\u3066\u5168\u4f53\u7684\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea(overall quality of evidence)\u3092\u8a55\u4fa1\u3059\u308b<br \/>\n<b>\uff14\uff0e<\/b>&nbsp;\u30a8\u30d3\u30c7\u30f3\u30b9\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3092\uff08\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306b\u57fa\u3065\u3044\u3066\uff09\u4f5c\u6210\u3059\u308b<br \/>\n<b>\uff15\uff0e<\/b>&nbsp;\u63a8\u5968\u306e\u5f37\u3055\u3092GRADE\u5224\u5b9a\u57fa\u6e96\u3092\u4f7f\u3063\u3066\u8a55\u4fa1\u3059\u308b<br \/>\n<b>\uff16\uff0e<\/b>&nbsp;\u63a8\u5968\u306e\u5f37\u3055\u306f\u3001\uff12\u7a2e\u985e\uff08\u5f37\u3044\u3001\u5f31\u3044\uff09<br \/>\n<b>\uff17\uff0e<\/b>&nbsp;\u8a55\u4fa1\u306e\u904e\u7a0b\u3092\u660e\u78ba\u306b\u3059\u308b<\/p>\n<p><\/p>\n<p><b>\u6ce8\uff1a<\/b>GRADE\u30b7\u30b9\u30c6\u30e0\u306e\u57fa\u672c\u3092\u72ec\u81ea\u306b\u6539\u5909\u3057\u3066\u5229\u7528\u3059\u308b\u3053\u3068\u306f\u3001\u975e\u5e38\u306b\u597d\u307e\u3057\u304f\u306a\u3044\u3067\u3059\u3002<\/p>\n<p>GRADE working group: <br \/>\nSome organizations in their enthusiasm to use GRADE, have modified the GRADE approach. We recommend against such modifications because the elements of the GRADE process are interlinked, because modifications may confuse some evidence and guideline users, and because such changes compromise the goal of a single system with which clinicians, policy-makers and patients can become familiar.\uff08\u65e5\u672c\u8a9e\u7ffb\u8a33\u306f\u3000GRADE\u6559\u79d1\u66f8 p190\u53c2\u7167\uff09<\/p>\n<p><\/p>\n<p>\nGRADE\u30b7\u30b9\u30c6\u30e0\u3092\u7406\u89e3\u3057\u305f\u3044\u65b9\u306f\u3001<br \/>\n<a href=\"http:\/\/www.grade-jpn.com\/\" target=\"_blank\"><b>GRADE\u30b7\u30b9\u30c6\u30e0 (web\u30b5\u30a4\u30c8\uff09<\/b><\/a>,\u3042\u308b\u3044\u306f\u3001<br \/>\n<a href=\"http:\/\/www.amazon.co.jp\/dp\/4990442202?tag=gradejpn-22&#038;camp=243&#038;creative=1615&#038;linkCode=as1&#038;creativeASIN=4990442202&#038;adid=0JA2J4BYQCMTCXK53ZDQ&#038;\">\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u305f\u3081\u306eGRADE\u30b7\u30b9\u30c6\u30e0<\/a>\uff08\u76f8\u539f\u4ed6\u3001\u51f8\u7248\u30e1\u30c7\u30a3\u30a2\u30012010\u5e74\uff09\u3092\u3002<\/p>\n<p><\/p>\n<p>\n\u5f8c\u8005\u66f8\u7c4d\u306f\u56fd\u5185\u552f\u4e00\u306eGRADE\u6559\u79d1\u66f8\u3067\u3042\u308a\u3001\u5185\u5bb9\u306f\u3001\u4eca\u5f8cGRADE Working Group\u304cJ CLin Epidemiology\u8a8c\u3067\u767a\u8868\u3059\u308bGRADE\u30b7\u30ea\u30fc\u30ba\u306e\u7406\u89e3\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>GRADE\u30b7\u30b9\u30c6\u30e0\u306f\u3001JAMA\u533b\u5b66\u6587\u732e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9\u306e\u8907\u6570\u306e\u7ae0\u306b\u304a\u3044\u3066\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3084\u63a8\u5968\u306e\u5f37\u3055\u306e\u8a55\u4fa1\u30b7\u30b9\u30c6\u30e0\u3067\u3059\u3002 \u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3082\u3057\u304f\u306f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4f5c\u6210\u306b\u304a\u3044\u3066\u3001\u30ec\u30d3\u30e5\u30a2\u3084\u30d1\u30cd\u30eb\u304c\u300cG [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[220,221],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/150"}],"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=150"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/150\/revisions"}],"predecessor-version":[{"id":532,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/150\/revisions\/532"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=150"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=150"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=150"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}