{"id":174,"date":"2012-03-26T09:46:55","date_gmt":"2012-03-26T00:46:55","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=174"},"modified":"2014-04-16T15:33:46","modified_gmt":"2014-04-16T06:33:46","slug":"grade%e3%82%b7%e3%82%b9%e3%83%86%e3%83%a0%e3%82%92%e5%88%a9%e7%94%a8%e3%81%97%e3%81%9f%e3%81%a8%e8%a8%80%e3%81%88%e3%82%8b%e3%81%9f%e3%82%81%e3%81%ae%e5%9f%ba%e6%ba%96","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=174","title":{"rendered":"GRADE\u30b7\u30b9\u30c6\u30e0\u3092\u5229\u7528\u3057\u305f\u3068\u8a00\u3048\u308b\u305f\u3081\u306e\u57fa\u6e96"},"content":{"rendered":"<div>\n<p>\u4eca\u5f8c\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3001HTA\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066GRADE\u30b7\u30b9\u30c6\u30e0\u304c\u5229\u7528\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u306a\u308b\u3068\u671f\u5f85\u3055\u308c\u307e\u3059\u3002GRADE working group\u306f\u300cGRADE\u30b7\u30b9\u30c6\u30e0\u3092\u5229\u7528\u3057\u305f\u3068\u8a00\u3048\u308b\u305f\u3081\u306e\u57fa\u6e96\uff08Criteria for using GRADE\uff09\u300d\u3092\u767a\u8868\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u300c\u3064\u304f\u308b\u300d\u7acb\u5834\u3067GRADE\u3092\u5229\u7528\u3059\u308b\u65b9\u3005\u306f\u4ee5\u4e0b\u306e\u57fa\u6e96\u3092\u53c2\u8003\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<p><\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>\n<b>[\uff11]\uff0e<\/b>\u300c\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8ceaquality of evidence\u300d \u306f\u3001GRADE Working Group\u304c\u63a1\u7528\u3059\u308b2\u3064\u306e\u5b9a\u7fa9 (\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3042\u308b\u3044\u306f\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30fb\u30ec\u30d3\u30e5\u30fc\u306e\u3044\u305a\u308c\u304b\uff09\u306b\u3088\u308a\u3001\u4e00\u8cab\u3057\u3066\u5b9a\u7fa9\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/p>\n<p><\/p>\n<p><b>[\uff12]\uff0e<\/b>\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306e\u5404GRADE\u57fa\u6e96 (risk of bias\uff0f\u7814\u7a76\u306e\u9650\u754c\u3001\u76f4\u63a5\u6027\u3001\u7d50\u679c\u306e\u4e00\u8cab\u6027\u3001\u7cbe\u78ba\u3055\u3001\u51fa\u7248\u30d0\u30a4\u30a2\u30b9\u3001\u52b9\u679c\u306e\u5927\u304d\u3055\u3001\u7528\u91cf\u53cd\u5fdc\u52fe\u914d\u3001\u8aac\u660e\u306e\u3064\u304b\u306a\u3044\u4ea4\u7d61\u3084\u30d0\u30a4\u30a2\u30b9 \u300c\u76f8\u53cd\u30d0\u30a4\u30a2\u30b9\uff08antagonistic bias\uff09\u300d \u306e\u5f71\u97ff) \u3092\u3001\u7528\u8a9e\u306e\u9055\u3044\u304c\u3042\u308b\u306b\u3057\u3066\u3082\u3001\u660e\u78ba\u306b\u8003\u616e\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/p>\n<p><\/p>\n<p><b>[\uff13]\uff0e<\/b>\u5404\u91cd\u8981\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u5168\u4f53\u7684\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\uff08overall quality of evidence\uff09\u3092\u30014\u6bb5\u968e \uff08\u4f8b: \u300c\u9ad8high\u300d\u3001\u300c\u4e2dmoderate\u300d\u3001\u300c\u4f4elow\u300d\u3001\u300c\u975e\u5e38\u306b\u4f4every low\u300d\uff09\u3001\u3042\u308b\u3044\u306f\u6b63\u5f53\u6027\u304c\u8a8d\u3081\u3089\u308c\u308b\u306a\u3089\u3070\u30013\u6bb5\u968e \uff08\u4f8b: \u300c\u9ad8high\u300d\u3001\u300c\u4e2dmoderate\u300d\u3001\u300c\u4f4elow\uff08\u300c\u4f4e\u300d \u304a\u3088\u3073 \u300c\u975e\u5e38\u306b\u4f4e\u300d \u3092\u542b\u3080\uff09\u300d\uff09\u306b\u3066\u3001GRADE Working Group\u304c\u63a1\u7528\u3059\u308b\u5b9a\u7fa9\u306b\u5408\u81f4\u3057\u305f\u5404\u6bb5\u968e\u306e\u5b9a\u7fa9\u306b\u57fa\u3065\u304d\u3001\u8a55\u4fa1\u306a\u3089\u3073\u306b\u7b49\u7d1a\u4ed8\u3051\u3059\u3079\u304d\u3067\u3042\u308b\u3002\n<\/p>\n<p><\/p>\n<p><b>[\uff14]\uff0e<\/b>\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306a\u3089\u3073\u306b\u63a8\u5968\u5ea6\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8981\u7d04 (\u30ca\u30e9\u30c6\u30a3\u30d6\u307e\u305f\u306f\u8868\u5f62\u5f0f) \u306b\u57fa\u3065\u304d\u5224\u65ad\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u7406\u60f3\u7684\u306b\u306f\u3001GRADE Working Group\u304c\u63d0\u5531\u3059\u308b\u5b8c\u5168\u7248\u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3092\u4f7f\u7528\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u306f\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30fb\u30ec\u30d3\u30e5\u30fc\u3092\u30d9\u30fc\u30b9\u3068\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u5c11\u306a\u304f\u3068\u3082\u3001\u8a55\u4fa1\u3055\u308c\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u3001\u306a\u3089\u3073\u306b\u305d\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u540c\u5b9a\u3084\u8a55\u4fa1\u306b\u4f7f\u7528\u3057\u305f\u624b\u6cd5\u3092\u660e\u78ba\u306b\u8a18\u8ff0\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u7279\u306b\u3001\u30b0\u30ec\u30fc\u30c9\u30a2\u30c3\u30d7\u3084\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u306e\u7406\u7531\u306b\u3064\u3044\u3066\u306f\u308f\u304b\u308a\u3084\u3059\u304f\u8aac\u660e\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/p>\n<p><\/p>\n<p><b>[\uff15]\uff0e<\/b>\u63a8\u5968\u306e\u5f37\u3055\uff08strength of a recommendation\uff09\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306e\u5404GRADE\u57fa\u6e96\u306b\u3064\u3044\u3066\u660e\u78ba\u306b\u8003\u616e\u3057 (\u671b\u307e\u3057\u3044\u5e30\u7d50\u3068\u671b\u307e\u3057\u304f\u306a\u3044\u5e30\u7d50\u306e\u30d0\u30e9\u30f3\u30b9\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3001\u4fa1\u5024\u89b3\u3068\u597d\u307f\u3001\u8cc7\u6e90\u306e\u5229\u7528\u72b6\u6cc1)\u3001\u4e00\u822c\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u5831\u544a\u3059\u3079\u304d\u3067\u3042\u308b (\u4f8b: \u30b3\u30b9\u30c8\u3092\u8003\u616e\u3057\u305f\u304b\u3069\u3046\u304b\u3084\u3001\u305d\u306e\u65b9\u6cd5\u3001\u306a\u3089\u3073\u306b\u8ab0\u306e\u4fa1\u5024\u89b3\u3068\u597d\u307f\u3092\u524d\u63d0\u3068\u3057\u305f\u306e\u304b\u306a\u3069)\u3002<\/p>\n<p><\/p>\n<p><b>[\uff16]\uff0e<\/b>\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u9078\u629e\u80a2\u306b\u5bfe\u3059\u308b\u80af\u5b9a\u7684\u307e\u305f\u306f\u5426\u5b9a\u7684\u306a\u63a8\u5968\u306e\u5f37\u3055\u306f\u30012\u6bb5\u968e (\u300c\u5f31\u3044weak\/\u6761\u4ef6\u4ed8\u304dconditional\u300d\u3001\u300c\u5f37\u3044strong\u300d) \u3067\u793a\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u5404\u6bb5\u968e\u306e\u5b9a\u7fa9\u306f\u3001GRADE Working Group\u304c\u63a1\u7528\u3059\u308b\u5b9a\u7fa9\u306b\u5408\u81f4\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u63a8\u5968\u5ea6\u3092\u793a\u3059\u306e\u306b \u300c\u5f31\u3044\uff0f\u6761\u4ef6\u4ed8\u304d\u300d\u3001\u300c\u5f37\u3044\u300d \u4ee5\u5916\u306e\u7528\u8a9e\u3092\u4f7f\u7528\u3059\u308b\u5834\u5408\u3067\u3082\u3001\u305d\u306e\u89e3\u91c8\u3084\u5185\u5bb9\u306f\u3001GRADE Working Group\u306e\u5b9a\u7fa9\u306b\u5408\u81f4\u3059\u3079\u304d\u3067\u3042\u308b\u3002 <\/p>\n<p><\/p>\n<p><b>[\uff17]\uff0e<\/b>\u7406\u60f3\u7684\u306b\u306f\u3001\u63a8\u5968\u5ea6\u306e\u5224\u65ad\u3092\u308f\u304b\u308a\u3084\u3059\u304f\u5831\u544a\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n<p><\/p>\n<p><u>\u53c2\u8003\uff1aGRADE\u95a2\u9023\u8cc7\u6599\uff0d<b>#10<\/b> <\/u><br \/>\n\u201dGRADE \u3092\u4f7f\u7528\u3057\u305f\u201d\u3068\u3059\u308b\u305f\u3081\u306e\u57fa\u6e96 (\u30ef\u30fc\u30c9\u6587\u66f8\u30012010.11.06)<\/p>\n<p><\/p>\n<p style=\"float:left;\">\n<a href=\"http:\/\/www.grade-jpn.com\/grade_materials.html\" target=\"_blank\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/grade-criteria-thumb.jpg\" width=\"121\" height=\"73\" alt=\"criteria\" \/><\/a>\n<\/p>\n<p><br clear=\"all\" \/><\/p>\n<p>GRADE\u30b7\u30b9\u30c6\u30e0\u3092\u5229\u7528\u3059\u308b\u969b\u306f\u3001GRADE\u3092\u6539\u5909\u3059\u308b\u3053\u3068\u3084\u3001GRADE\u306e\u8aa4\u3063\u305f\u5229\u7528\u306b\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u4eca\u5f8c\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3001HTA\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066GRADE\u30b7\u30b9\u30c6\u30e0\u304c\u5229\u7528\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u306a\u308b\u3068\u671f\u5f85\u3055\u308c\u307e\u3059\u3002GRADE working group\u306f\u300cGRADE\u30b7\u30b9\u30c6\u30e0\u3092\u5229\u7528\u3057\u305f\u3068\u8a00\u3048\u308b\u305f\u3081\u306e\u57fa\u6e96\uff08Cri [&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":[261,439],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/174"}],"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=174"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/174\/revisions"}],"predecessor-version":[{"id":508,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/174\/revisions\/508"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=174"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=174"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}