{"id":1789,"date":"2015-06-19T14:06:00","date_gmt":"2015-06-19T05:06:00","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=1789"},"modified":"2015-06-22T16:25:03","modified_gmt":"2015-06-22T07:25:03","slug":"who%e3%81%ae%e6%95%b4%e5%90%88%e6%80%a7%e3%81%ab%e6%ac%a0%e3%81%91%e3%82%8b%e6%8e%a8%e5%a5%a8%e3%81%ae%e5%8d%8a%e6%95%b0%e3%81%af%e3%80%81grade%e3%81%ae%e6%8c%87%e9%87%9d%e3%81%ab","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=1789","title":{"rendered":"\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968-(2)\uff1a WHO\u306e\u201d\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u201d\u306e\u534a\u6570\u306f\u3001GRADE\u306e\u6307\u91dd\u306b\u77db\u76fe\u3059\u308b"},"content":{"rendered":"<div>\nAlexander PE, et al. World Health Organization strong recommendations based on low-quality evidence (study quality) are frequent and often inconsistent with GRADE guidance<br \/>\n<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25618534\">J Clin Epidemiol<\/a>. 2014 Dec 19. pii: S0895-4356(14)00417-X. doi: 10.1016\/j.jclinepi.2014.10.011.<\/p>\n<p>\u3053\u306e\u8ad6\u6587\u306e\u6982\u7565\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3059\uff08\u4e0d\u660e\u306a\u70b9\u306f\u3001\u30aa\u30ea\u30b8\u30ca\u30eb\u8ad6\u6587\u3092\u78ba\u8a8d\u304f\u3060\u3055\u3044\uff09\u3002<\/p>\n<p>***********************************************************************<\/p>\n<p>WHO\u304c\u767a\u8868\u3059\u308b\u5f37\u3044\u63a8\u5968\u306e\u591a\u304f\u306f\u3001\u52b9\u679c\u63a8\u5b9a\u5024\u306e\u78ba\u4fe1\u6027\u304c\u300c\u4f4e\u300d\u307e\u305f\u306f\u300c\u975e\u5e38\u306b\u4f4e\u300d\u306b\u904e\u304e\u306a\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u3082\u306e\u3067\u3042\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3057\u3066\u3044\u308b\uff08<strong>\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\uff08discordant recommendation\uff09<\/strong>\uff09\u3002GRADE\u306e\u6307\u91dd\u3067\u306f\u3001\u3053\u306e\u3088\u3046\u306a\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u304c\u9069\u5207\u3067\u3042\u308b\u3053\u3068\u306f\u7a00\u3067\u3042\u308b\u3068\u3059\u308b\u4e00\u65b9\u3067\u3001\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u304c\u662f\u8a8d\u3055\u308c\u3046\u308b5\u3064\u306e\u5178\u578b\u7684\u72b6\u6cc1\u3092\u793a\u5506\u3057\u3066\u3044\u308b\uff08\u30d6\u30ed\u30b0\uff1a6\/16 <a href=\"http:\/\/aihara.la.coocan.jp\/?m=20150616\">http:\/\/aihara.la.coocan.jp\/?m=20150616<\/a>\uff09\u3002<\/p>\n<p>WHO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e<strong>\u201d\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u201d<\/strong>\u306b\u3064\u3044\u3066\u3001GRADE\u306e\uff15\u3064\u306e\u6700\u9069\u5206\u985e\u306e\u3044\u305a\u308c\u304b\u306b\u5c5e\u3057\u3066\u3044\u308b\u3082\u306e\u304b\u3001\u305d\u3046\u3067\u306a\u3044\u3082\u306e\u304b\u3092\u691c\u8a0e\u3057\u305f\u3002<\/p>\n<p><strong>\u25cf\u65b9\u6cd5:<\/strong><\/p>\n<p>2007\u5e74\u304b\u30892012\u5e74\u306b\u304b\u3051\u3066GRADE\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u4f7f\u7528\u3057\u3001WHO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5be9\u67fb\u59d4\u54e1\u4f1a\u306b\u3088\u308a\u627f\u8a8d\u3055\u308c\u305f\u3001\u5168\u3066\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u691c\u8a0e\u5bfe\u8c61\u3068\u3057\u305f\u3002\u5404\u63a8\u5968\u3092\u3001\u9069\u5207\u306b\u5b9a\u5f0f\u5316\u3055\u308c\u305f\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u306b\u95a2\u3059\u308b5\u3064\u306e\u5178\u578b\u4f8b\u306e\u3046\u3061\u306e1\u3064\u3001\u307e\u305f\u306f\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u304cGRADE\u306e\u6307\u91dd\u306b\u53cd\u3059\u308b\u5834\u5408\u306e3\u3064\u306e\u8ffd\u52a0\u7684\u5206\u985e\u306e\u3046\u3061\u306e1\u3064\u306b\u5206\u985e\u3057\u305f\u3002<\/p>\n<p>3\u3064\u306e\u8ffd\u52a0\u7684\u5206\u985e\u3068\u306f\u30011) \u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u300c\u4f4e\u300d \u307e\u305f\u306f \u300c\u975e\u5e38\u306b\u4f4e\u300d \u3067\u306f\u306a\u304f \u300c\u4e2d\u300d \u307e\u305f\u306f \u300c\u9ad8\u300d \u306e\u78ba\u4fe1\u6027\u3092\u6b63\u5f53\u5316\u3059\u308b\u3082\u306e\u3067\u3042\u3063\u305f\u5834\u5408\uff08<span style=\"color: #ff0000;\"><b>\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8aa4\u5206\u985e<\/b><\/span>\uff09\u30012) \u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\uff08<span style=\"color: #ff0000;\"><b>Good practice statement<\/b><\/span>\uff09\u3067\u3042\u308b\u5834\u5408\u3001\u307e\u305f\u306f 3) \u52b9\u679c\u63a8\u5b9a\u5024\u306e\u4e0d\u78ba\u5b9f\u6027\u306b\u3088\u308a\u3001\u6761\u4ef6\u4ed8\u304d\uff08\u5f31\u3044\uff09\u63a8\u5968\u3057\u304b\u63d0\u793a\u3057\u3048\u306a\u3044\u3068\u3044\u3048\u308b\uff08<span style=\"color: #ff0000;\"><b>GRADE\u306e\u6307\u91dd\u306b\u53cd\u3059\u308b\u63a8\u5968<\/b><\/span>\uff09\u5834\u5408\u3067\u3042\u308b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u25cf\u4e3b\u306a\u7d50\u679c\uff1a<\/strong><\/p>\n<p>GRADE\u3092\u4f7f\u7528\u3057\u3066\u4f5c\u6210\u3055\u308c\u3001GRC\u306b\u627f\u8a8d\u3055\u308c\u305f43\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u542b\u307e\u308c\u308b456\u306e\u63a8\u5968\u306e\u3046\u3061\u3001\u5f37\u3044\u63a8\u5968\u306f63.4%\uff08456\u4e2d289\u306e\u63a8\u5968\uff09\u3067\u3001\u305d\u308c\u4ee5\u5916\u306f\u6761\u4ef6\u7684\u63a8\u5968\u3067\u3042\u3063\u305f\u3002289\u4e2d160\uff0855.5%\uff09\u306e\u5f37\u3044\u63a8\u5968\u306f<strong>\u3001\u201d\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u201d<\/strong>\uff0833\u4ef6\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09\u3067\u3042\u3063\u305f\u3002<\/p>\n<p>WHO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3051\u308b<strong>\u201d\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u201d<\/strong>\u306e\u7b56\u5b9a\u304c\u9069\u5207\u3068\u3055\u308c\u308bGRADE\u306e5\u3064\u306e\u5178\u578b\u4f8b\u306e1\u3064\u306b\u5408\u81f4\u3059\u308b\u3068\u5224\u65ad\u3055\u308c\u305f\u3082\u306e\u306f15.6%\u306b\u3059\u304e\u306a\u304b\u3063\u305f\u3002GRADE\u306e\u6307\u91dd\u306b\u53cd\u3059\u308b\u3068\u5224\u65ad\u3055\u308c\u305f85%\u306e\u63a8\u5968\u306e\u3046\u3061\u300133\u306e\u63a8\u5968\uff0821%\uff09\u306f\u52b9\u679c\u63a8\u5b9a\u5024\u306b\u304a\u3051\u308b\u300c\u4e2d\u300d\u307e\u305f\u306f \u300c\u9ad8\u300d\u306e\u78ba\u4fe1\u6027\u3092\u6b63\u5f53\u5316\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u3082\u306e\u3067\u300129\u306e\u63a8\u5968\uff0818%\uff09\u306f\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u3067\u300173\u306e\u63a8\u5968\uff0846%\uff09\u306b\u3064\u3044\u3066\u306f\u5f37\u3044\u63a8\u5968\u3067\u306f\u306a\u304f\u6761\u4ef6\u7684\u63a8\u5968\u3092\u6b63\u5f53\u5316\u3059\u308b\u3082\u306e\u3067\u3042\u3063\u305f\uff08\u88681\uff09\u3002<\/p>\n<p><strong>\u8868\uff11. WHO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066\u4e0d\u9069\u5207\u306a\u5f62\u3067\u7b56\u5b9a\u3055\u308c\u3066\u3044\u308b\u3068\u5224\u65ad\u3055\u308c\u305f&#8221;\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968&#8221;<\/strong><\/p>\n<table style=\"border-collapse: collapse; border: none;\" border=\"1\" summary=\"who2\">\n<tbody>\n<tr>\n<td style=\"width: 40%; border: 1px solid #000000; padding: 5px; background: #ffffff;\"><b>\u6761\u4ef6<\/b><\/td>\n<td style=\"width: 40%; border: 1px solid #000000; padding: 5px; background: #ffffff;\"><b>WHO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304b\u3089\u306e\u4f8b<\/b><\/td>\n<td style=\"width: 20%; border: 1px solid #000000; padding: 5px; background: #ffffff;\"><b>\u51fa\u73fe\u983b\u5ea6 n\uff08160\u306e\u63a8\u5968\u306b\u5360\u3081\u308b\u5272\u5408\uff08%\uff09\uff09<\/b><\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">\n<p><strong>1.Misclassification of the evidence<\/strong><br \/>\n\u5b9f\u969b\u306b\u306f \u300c\u4e2d\u300d \u307e\u305f\u306f \u300c\u9ad8\u300d \u3068\u3059\u3079\u304d\u30a8\u30d3\u30c7\u30f3\u30b9\u3092 \u300c\u4f4e\u300d \u307e\u305f\u306f \u300c\u975e\u5e38\u306b\u4f4e\u300d \u3068\u3057\u305f\u8aa4\u5206\u985e\u3002<\/p>\n<\/td>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">\n<p>\u63a8\u5968: HIV\u691c\u67fb\u306e\u7d50\u679c\u304c\u78ba\u5b9a\u3057\u3066\u3044\u308b\u500b\u4eba\u304a\u3088\u3073\u305d\u306e\u30d1\u30fc\u30c8\u30ca\u30fc\u306b\u5bfe\u3057\u3001\u300c\u30ab\u30c3\u30d7\u30eb\u3068\u30d1\u30fc\u30c8\u30ca\u30fc\u5411\u3051\u306e\u4efb\u610f\u306eHIV\u691c\u67fb\u3068\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\uff08CHTC\uff09\u300d \u304a\u3088\u3073\u76f8\u4e92\u958b\u793a\u306e\u305f\u3081\u306e\u30b5\u30dd\u30fc\u30c8\u3092\u63d0\u4f9b\u3059\u3079\u304d\u3067\u3042\u308b\uff08\u5f37\u3044\u63a8\u5968\u3001\u3042\u3089\u3086\u308b\u6d41\u884c\u6761\u4ef6\u4e0b\u306b\u304a\u3051\u308b\u5168\u3066\u306eHIV\u611f\u67d3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306f \u300c\u4f4e\u300d\uff09\u3002\u5206\u985e\u306e\u5224\u65ad: \u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u306b\u3088\u308a\u3001CHTC\u3092\u53d7\u3051\u305f\u30ab\u30c3\u30d7\u30eb\u306f\u3001\u533b\u7642\u60c5\u5831\u306e\u63d0\u793a\u3092\u53d7\u3051\u305f\u30ab\u30c3\u30d7\u30eb\u3068\u6bd4\u8f03\u3057\u3001\u7121\u9632\u5099\u306a\u6027\u4ea4\u6e09\u304c\u6e1b\u3063\u305f\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u304a\u308a\u3001\u3053\u308c\u304c\u63a8\u5968\u3092\u652f\u6301\u3059\u308b \u300c\u4e2d\u300d \u306e\u8cea\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u63d0\u4f9b\u3057\u3066\u3044\u308b\u3002<\/p>\n<\/td>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">33\uff0820.6\uff09<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">\n<p><strong>2.Good practice statement<\/strong><br \/>\n\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\uff08<span style=\"color: #ff0000;\">\u30d1\u30cd\u30eb\u306fGRADE\u624b\u6cd5\u3092\u9069\u7528\u3059\u3079\u304d\u3067\u306a\u3044<\/span>\uff09\u3002\u8981\u7d04\u304c\u56f0\u96e3\u306a\u5927\u898f\u6a21\u306a\u9593\u63a5\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u7dcf\u4f53\uff08\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u9577\u671f\u9593\u3092\u7db2\u7f85\u3059\u308b\u304d\u308f\u3081\u3066\u5927\u898f\u6a21\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u306b\u3088\u308a\u3001\u5f53\u8a72\u4ecb\u5165\u306e\u671b\u307e\u3057\u3044\u5e30\u7d50\u304c\u671b\u307e\u3057\u304f\u306a\u3044\u5e30\u7d50\u3088\u308a\u3082\u306f\u308b\u304b\u306b\u5927\u304d\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b\uff08\u3059\u306a\u308f\u3061\u3001\u5b9f\u969b\u306b\u306f\u78ba\u4fe1\u6027\u304c\u9ad8\u3044\u304c\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u7cfb\u7d71\u7684\u306b\u8981\u7d04\u3059\u308b\u3053\u3068\u304c\u30d1\u30cd\u30eb\u306e\u8cc7\u6e90\u306e\u6709\u52b9\u6d3b\u7528\u3068\u306f\u3044\u3048\u306a\u3044\uff09\u3002<\/p>\n<\/td>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">\n<p>\u63a8\u5968: \u7d50\u6838\u306e\u75c7\u72b6\u3092\u6301\u3064\u4eba\u3005\u306e\u30c8\u30ea\u30a2\u30fc\u30b8\u3092\u884c\u3046\uff08\u5f37\u3044\u63a8\u5968\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306f \u300c\u4f4e\u300d\uff09\u3002<\/p>\n<p>\u5206\u985e\u306e\u5224\u65ad: \u3053\u306e\u63a8\u5968\u306f\u3001\u7d50\u6838\u306e\u53ef\u80fd\u6027\u304c\u5341\u5206\u306b\u9ad8\u3044\u4eba\u306f\u305f\u3060\u3061\u306b\u4ed6\u306e\u60a3\u8005\u304b\u3089\u9694\u96e2\u3057\u3001\u901f\u3084\u304b\u306b\u9069\u5207\u306a\u691c\u67fb\u3092\u53d7\u3051\u308b\u3079\u304d\u3067\u3042\u308b\u3068\u793a\u5506\u3057\u3066\u3044\u308b\u3002\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u306b\u8a72\u5f53\u3059\u308b\u3053\u306e\u4f8b\u3067\u306f\u3001\u30c8\u30ea\u30a2\u30fc\u30b8\u3042\u308a\u3068\u30c8\u30ea\u30a2\u30fc\u30b8\u7121\u3057\u3092\u6bd4\u8f03\u3057\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u3084\u89b3\u5bdf\u7814\u7a76\u306f\u306a\u3044\u305f\u3081\u3001\u76f4\u63a5\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u5b58\u5728\u3057\u306a\u3044\u3002\u4e00\u65b9\u3001\u5146\u5019\u3084\u75c7\u72b6\u306b\u3088\u3063\u3066\u7d50\u6838\u306e\u53ef\u80fd\u6027\u304c\u6975\u3081\u3066\u9ad8\u3044\u4eba\u3068\u7d50\u6838\u306e\u53ef\u80fd\u6027\u304c\u4f4e\u3044\u4eba\u3092\u533a\u5225\u3067\u304d\u3001\u306a\u304a\u304b\u3064\u9694\u96e2\u306b\u3088\u3063\u3066\u7d50\u6838\u306e\u611f\u67d3\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u3053\u3068\u306b\u3064\u3044\u3066\u306f\u9ad8\u3044\u78ba\u4fe1\u6027\u3092\u6b63\u5f53\u5316\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u3002\u3053\u308c\u3089\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u7dcf\u4f53\u3092\u53ce\u96c6\u3057\u3001\u8981\u7d04\u3059\u308b\u3053\u3068\u306f\u3001\u30d1\u30cd\u30eb\u306e\u6642\u9593\u306e\u6709\u52b9\u6d3b\u7528\u3068\u306f\u3044\u3048\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n<\/td>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">29\uff0818.1\uff09<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">\n<p><strong>3.Recommendations inconsistent with GRADE guidance<\/strong><br \/>\nGRADE\u306e\u6307\u91dd\u306b\u53cd\u3059\u308b\u63a8\u5968\uff08\u6307\u91dd\u306b\u5f93\u3048\u3070\u63a8\u5968\u306e\u5f37\u3055\u306f \u300c\u5f37\u3044\u300d \u3067\u306f\u306a\u304f \u300c\u6761\u4ef6\u7684\u300d \u3067\u3042\u308b\uff09\u3002<\/p>\n<\/td>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">\n<p>\u63a8\u5968: \u5206\u5a29\u5f8c\u51fa\u8840\u306e\u6cbb\u7642\u306b\u306f\u5b50\u5bae\u30de\u30c3\u30b5\u30fc\u30b8\u304c\u63a8\u5968\u3055\u308c\u308b\uff08\u5f37\u3044\u63a8\u5968\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306f \u300c\u975e\u5e38\u306b\u4f4e\u300d\uff09\u3002<\/p>\n<p><\/p>\n<p>\u5206\u985e\u306e\u5224\u65ad: \u5b50\u5bae\u30de\u30c3\u30b5\u30fc\u30b8\u3092\u652f\u6301\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306f \u300c\u975e\u5e38\u306b\u4f4e\u300d \u3067\u3042\u308a\u3001\u5b50\u5bae\u30de\u30c3\u30b5\u30fc\u30b8\u306b\u3088\u3063\u3066\u3088\u308a\u52b9\u679c\u7684\u306a\u4ecb\u5165\u306e\u958b\u59cb\u304c\u9045\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u304b\u3089\u3001\u6761\u4ef6\u7684\u63a8\u5968\u304c\u6700\u3082\u9069\u3057\u3066\u3044\u308b\u3060\u308d\u3046\u3002<\/p>\n<\/td>\n<td style=\"border: 1px solid #000000; padding: 5px; background: #ffffff;\">73\uff0845.6\uff09<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>CHTC: couples HIV testing and counseling.<\/p>\n<p>&nbsp;<\/p>\n<p>\u3055\u3089\u306b\u3001\u91cd\u8981\u306a\u70b9\u306f\u3001\u61f8\u6848\u306e\u4ecb\u5165\u306b\u5bfe\u3059\u308b\u6bd4\u8f03\u5bfe\u7167\u304c\u63a8\u5968\u306e\u4e2d\u3067\u660e\u78ba\u306b\u3055\u308c\u3066\u3044\u306a\u3044\u3082\u306e\u304c\u534a\u6570\u4ee5\u4e0a\uff0856%\uff09\u3042\u3063\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u25cf\u7d50\u8ad6\uff1a<\/strong><\/p>\n<p>\u672c\u7814\u7a76\u3067\u306f\u3001\u5927\u534a\u306e\u63a8\u5968\u304cGRADE\u306e\u539f\u5247\u306b\u53cd\u3057\u3066\u7b56\u5b9a\u3055\u308c\u305f\u3082\u306e\u3067\u3042\u308a\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u30d7\u30ed\u30bb\u30b9\u306e\u5b8c\u5168\u6027\u304c\u8105\u304b\u3055\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u3002WHO\u306e\u3088\u3046\u306bGRADE\u3092\u4f7f\u7528\u3057\u3001GRADE\u3078\u306e\u6e96\u62e0\u306b\u53d6\u308a\u7d44\u3080\u7d44\u7e54\u306f\u3001\u95a2\u9023\u3059\u308bGRADE\u306e\u539f\u5247\u306b\u3064\u3044\u3066\u6b63\u5f0f\u306a\u30ec\u30d3\u30e5\u30fc\u3092\u884c\u3046\u3079\u304d\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002\u307e\u305f\u3001\u3053\u306e\u3088\u3046\u306aGRADE\u539f\u5247\u306e\u30ec\u30d3\u30e5\u30fc\u306e\u5b9f\u65bd\u5f8c\u306b\u306f\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30ea\u30b9\u30c8\u3078\u306e\u8ffd\u52a0\u7684\u8a13\u7df4\u3084\u7d99\u7d9a\u7684\u306a\u65b9\u6cd5\u8ad6\u7684\u652f\u63f4\u304c\u5fc5\u8981\u3068\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n<p>*******************************************<\/p>\n<p>\u76f8\u539f\u30b3\u30e1\u30f3\u30c8\uff1a<\/p>\n<p>\u3053\u308c\u307e\u3067\u3001\u56fd\u5185\u306eGRADE\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u3044\u304f\u3064\u304b\u3092\u201dGRADE\u3092\u5229\u7528\u3057\u305f\u3068\u3044\u3048\u308b\u6700\u5c0f\u9650\u306e\u57fa\u6e96\u201d\u3092\u4f7f\u3063\u3066\u8a55\u4fa1\u3057\u3001\u305d\u306e\u7d50\u679c\u3092\u516c\u958b\u3057\u3066\u3044\u307e\u3059\u304c\uff08<strong><a href=\"http:\/\/www.grade-jpn.com\/jp_grade\/japanese_grade_cpg.html\">GRADE\u3092\u5229\u7528\u3057\u305f\u56fd\u5185\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a><\/strong>\uff09\u3001\u201d\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u201d\u3068\u3044\u3046\u8996\u70b9\u3067\u307f\u308b\u3068\u3001WHO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4ee5\u4e0a\u306e\u554f\u984c\u304c\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>\u56fd\u5185\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u8cea\u3092\u30c1\u30a7\u30c3\u30af\u3059\u308b\u72ec\u7acb\u3057\u305f\u6a5f\u95a2\u304c\u5fc5\u8981\u3067\u3057\u3087\u3046\u3057\u3001\u305d\u306e\u524d\u306b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3059\u3079\u3066\u30d5\u30ea\u30fc\u3067\u516c\u958b\u3059\u3079\u304d\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Alexander PE, et al. World Health Organization strong recommendations based on low-quality evidence (study qua [&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":[],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1789"}],"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=1789"}],"version-history":[{"count":52,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1789\/revisions"}],"predecessor-version":[{"id":1945,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1789\/revisions\/1945"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1789"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1789"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}