{"id":1708,"date":"2015-06-05T17:05:45","date_gmt":"2015-06-05T08:05:45","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=1708"},"modified":"2015-06-06T18:55:41","modified_gmt":"2015-06-06T09:55:41","slug":"%e4%ba%88%e5%be%8c%e3%81%ab%e9%96%a2%e3%81%99%e3%82%8b%e3%82%a8%e3%83%93%e3%83%87%e3%83%b3%e3%82%b9%e3%81%aegrade%e8%a9%95%e4%be%a1","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=1708","title":{"rendered":"\u4e88\u5f8c\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306eGRADE\u8a55\u4fa1"},"content":{"rendered":"<p>\u6cbb\u7642GRADE, \u8a3a\u65adGRADE,NMA-GRADE\u3001\u305d\u3057\u3066\u3000\u4e88\u5f8cGRADE\u8ad6\u6587\u304c\u51fa\u7248\u3055\u308c\u305f\u3002<\/p>\n<p><strong><br \/>\nLorio A, et al. Use of GRADE for assessment of evidence about prognosis: rating confidence in estimates of event rates in broad categories of patients.<\/strong><br \/>\n<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h870.long\"><strong>http:\/\/www.bmj.com\/content\/350\/bmj.h870.long<\/strong><\/a><\/p>\n<p><\/p>\n<p>\u8ad6\u6587\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n<p>\n<strong>\u201d\u30d0\u30a4\u30a2\u30b9\u306e\u30ea\u30b9\u30af\u306b\u95a2\u308f\u308b\u6307\u91dd\u306e\u7b56\u5b9a\u306b\u304a\u3044\u3066\u3001\u300e\u533b\u5b66\u6587\u732e\u306e\u305f\u3081\u306e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9\uff08Users Guides to the Medical Literature\uff09\u300f \u7b2c18\u7ae0(*)\u306b\u6982\u8aac\u3055\u308c\u3001\u4ee5\u4e0b\u306b\u8981\u7d04\u3055\u308c\u308b\u4e3b\u8981\u6982\u5ff5\u306b\u7740\u76ee\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u57fa\u6e96\u306b\u306f\u3001\u96c6\u56e3\u306e\u5b9a\u7fa9\u3068\u4ee3\u8868\u6027\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u306e\u5b8c\u5168\u6027\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u5ba2\u89b3\u7684\u304b\u3064\u516c\u6b63\u306a\u6e2c\u5b9a\u304c\u542b\u307e\u308c\u308b\u3002\u201d<\/strong><br \/>\n\uff0818\u7ae0\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u7b2c2\u7248\u306eJAMA-UG\u3067\u3042\u308a\u3001<a href=\"http:\/\/www.grade-jpn.com\/jama_evidence.html\" target=\"_blank\"><span style=\"color:#ff0000;\"><strong>\u533b\u5b66\u6587\u732e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9<\/strong><\/span><\/a>\u3092\u53c2\u7167\u3057\u3066\u3044\u305f\u3060\u304d\u305f\u3044\uff09\n<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u25cf\u4e88\u5f8c\u306e\u7814\u7a76\u306b\u95a2\u3059\u308brisk of bias<\/strong><\/p>\n<p><a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/06\/RoB_prognosisjpg.jpg\"><img decoding=\"async\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/06\/RoB_prognosisjpg.jpg\" alt=\"RoB_prognosis,jpg\" width=\"90%\" class=\"alignnone size-full wp-image-1709\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/06\/RoB_prognosisjpg.jpg 671w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/06\/RoB_prognosisjpg-300x145.jpg 300w\" sizes=\"(max-width: 671px) 100vw, 671px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u25cf\u5e83\u7fa9\u306e\u96c6\u56e3\u306b\u304a\u3051\u308b\u5178\u578b\u7684\u306a\u30ea\u30b9\u30af\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306e\u5b9a\u7fa9\uff08GRADE\uff09<\/strong>\n<\/p>\n<table summary=\"prognosis\" border=\"1\" style=\"border-collapse:collapse;border:none;\">\n<tr>\n<td style=\"border:1px solid #000000; padding:5px; background:#cccccc;\">\n<b>QoE<\/b><\/td>\n<td style=\"border:1px solid #000000; padding:5px; background:#cccccc;\">\n<b>Definition<\/b><\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">High<\/td>\n<td style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">We are very confident that the true prognosis (probability of future events) lies close to that of the estimate*<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">Moderate<\/td>\n<td style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">\nWe are moderately confident that the true prognosis (probability of future events) is likely to be close to the estimate, but there is a possibility that it is substantially different<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">Low<\/td>\n<td style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">\nOur confidence in the estimate is limited: the true prognosis (probability of future events) may be substantially different from the estimate.<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">Very low<\/td>\n<td style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">\nWe have very little confidence in the estimate: the true prognosis (probability of future events) is likely to be substantially different from the estimate.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" style=\"border:1px solid #000000; padding:5px; background:#ffffff;\">\n*Prognostic studies measure incidence\u2014that is, target events over time in a population of interest at risk for the target event. The target event can be an adverse outcome (such as mortality) in patients with the disease of interest (for example, recent onset of atrial fibrillation) or the onset of a disease of interest (such as gastric ulcer) in a previously unaffected population. It can also be time to the spontaneous disappearance of a symptom (cough in upper airways or earache in children). Studies assessing prevalence\u2014that is, the number of affected cases in the population of interest\u2014although investigating a similar and complementary topic, are generally cross sectional and will be covered in a separate paper.\n<\/td>\n<\/tr>\n<\/table>\n<p><\/p>\n<p>******************************************<br \/>\n\u672c\u8ad6\u6587\u306b\u304a\u3044\u3066\u306f\u3001\u4e88\u5f8c\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u95a2\u3059\u308b\uff08\u73fe\u6642\u70b9\u306b\u304a\u3051\u308b\uff09GRADE\u306e\u8ab2\u984c\u304c\u8a18\u8f09\u3055\u308c\u3066\u304a\u308a\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u4f5c\u6210\u3059\u308b\u7acb\u5834\u306e\u65b9\u3005\u306b\u306f\u5fc5\u8aad\u3067\u3042\u308d\u3046\u3002<\/p>\n<p>\u3055\u3066\u3001\u6cbb\u7642\u3001\u8a3a\u65ad\u30fb\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3001NMA\u306b\u95a2\u3059\u308bGRADE\u304c\u767a\u8868\u3055\u308c\u305f\u3002<br \/>\n\u6b21\u306f\u3001\u30fb\u30fb\u30fb\u3000<a href=\"http:\/\/www.grade-jpn.com\/jama_evidence.html\" target=\"_blank\"><span style=\"color:#ff0000;\"><strong>\u533b\u5b66\u6587\u732e\u30e6\u30fc\u30b6\u30fc\u30ba\u30ac\u30a4\u30c9<\/strong><\/span><\/a>\u306e\u8aad\u8005\u306a\u3089\u3070\u60f3\u50cf\u3067\u304d\u308b\u3060\u308d\u3046\u3002(^^)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6cbb\u7642GRADE, \u8a3a\u65adGRADE,NMA-GRADE\u3001\u305d\u3057\u3066\u3000\u4e88\u5f8cGRADE\u8ad6\u6587\u304c\u51fa\u7248\u3055\u308c\u305f\u3002 Lorio A, et al. Use of GRADE for assessment of evidence about  [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,436],"tags":[],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1708"}],"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=1708"}],"version-history":[{"count":16,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1708\/revisions"}],"predecessor-version":[{"id":1723,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1708\/revisions\/1723"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1708"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1708"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}