{"id":1995,"date":"2015-07-02T10:06:49","date_gmt":"2015-07-02T01:06:49","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=1995"},"modified":"2015-07-29T13:01:26","modified_gmt":"2015-07-29T04:01:26","slug":"%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%a8-4%ef%bc%9a%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%e3%83%91%e3%83%8d%e3%83%ab%e3%81%af%e5%84%aa","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=1995","title":{"rendered":"\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968-(4)\uff1a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306f\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u3092\u30b0\u30ec\u30fc\u30c7\u30a3\u30f3\u30b0\u3059\u3079\u304d\u3067\u306f\u306a\u3044"},"content":{"rendered":"<p>\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u306e\u4e00\u3064\u306b\u3001<strong>\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0<\/strong>\u304c\u3042\u308a\u307e\u3059\u304c\u3001GRADE working group\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>Guyatt GH, Sch\u00fcnemann HJ, Djulbegovic B, Akl EA. <strong>Guideline panels should not GRADE good practice statements<\/strong>. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25660962\">J Clin Epidemiol<\/a>. 2015 May;68(5):597-600.<\/p>\n<p><\/p>\n<p>\u3053\u308c\u307e\u3067\u306e\u30d6\u30ed\u30b0\u8a18\u4e8b\u3092\u307e\u3068\u3081\u308b\u3068\u4ee5\u4e0b\u3067\u3059\u3002<br \/>\n\u25cf\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\uff1a\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u304c\u300c\u4f4e\u3001\u3082\u3057\u304f\u306f\u975e\u5e38\u306b\u4f4e\u300d\u3067\u3042\u308a\u306a\u304c\u3089\u3001\u300c\u5f37\u3044\u63a8\u5968\u300d\u3068\u3059\u308b<br \/>\n\u25cf\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u306b\u306f\u3001\uff15\u3064\u306e\u6700\u9069\u5206\u985e\u304c\u3042\u308b\uff08<a href=\"http:\/\/aihara.la.coocan.jp\/?p=1849\">http:\/\/aihara.la.coocan.jp\/?p=1849<\/a>\uff09<br \/>\n\u25cfGRADE\u306e\u6307\u91dd\u306b\u53cd\u3059\u308b\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u306e\uff13\u5206\u985e\u304c\u3042\u308b\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8aa4\u5206\u985e\u3001\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u3001\u6761\u4ef6\u4ed8\u304d\u63a8\u5968\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u3044\uff09<a href=\"http:\/\/aihara.la.coocan.jp\/?p=1789\">http:\/\/aihara.la.coocan.jp\/?p=1789<\/a><\/p>\n<p><\/p>\n<p>\u4e00\u822c\u7684\u306b\u3001<strong>\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0<\/strong>\u3068\u306f\u3001\u8907\u6570\u306e\u9593\u63a5\u6bd4\u8f03\u3092\u542b\u3080\u30ea\u30f3\u30af\u4ed8\u3051\u3055\u308c\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u304b\u3089\u306a\u308b\u5927\u898f\u6a21\u306a\u9593\u63a5\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u7dcf\u4f53\u306b\u3088\u308a\u3001\u63a8\u5968\u3055\u308c\u308b\u884c\u70ba\u306e\u6b63\u5473\u5229\u76ca\u304c\u5f37\u304f\u652f\u6301\u3055\u308c\u308b\u72b6\u6cc1\u306e\u3053\u3068\u3092\u3044\u3044\u307e\u3059\u3002<\/p>\n<p>GRADE working group\u304c\u3088\u304f\u4f7f\u3046\u9762\u767d\u3044\u4f8b\u30921\u3064\u3042\u3052\u308b\u3068\u3001\u822a\u7a7a\u6a5f\u304b\u3089\u30d1\u30e9\u30b7\u30e5\u30fc\u30c8\u4f7f\u7528\u307e\u305f\u306f\u30d1\u30e9\u30b7\u30e5\u30fc\u30c8\u306a\u3057\u3067\u98db\u3073\u964d\u308a\u305f\u5834\u5408\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u9055\u3044\u3067\u3059\u3002\u6b63\u5f0f\u306a\u6587\u732e\u691c\u7d22\u3092\u884c\u308f\u306a\u304f\u3068\u3082\u9593\u63a5\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u3088\u3063\u3066\u793a\u3055\u308c\u308b\u4ecb\u5165\u306e\u6b63\u5473\u5229\u76ca\u306e\u78ba\u5b9f\u6027\u304c\u3053\u306e\u4f8b\u3068\u540c\u30ec\u30d9\u30eb\u3067\u3042\u308b\u3068\u78ba\u4fe1\u3067\u304d\u308b\u5834\u5408\u3001\u30d1\u30cd\u30eb\u306f\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u3092\u63d0\u793a\u3059\u308b\u3053\u3068\u3092\u691c\u8a0e\u3059\u3079\u304d\u3067\u3059\u3002\u307e\u305f\u3001\u5f53\u8a72\u63a8\u5968\u3092\u652f\u6301\u3059\u308b\u30ea\u30f3\u30af\u4ed8\u3051\u3055\u308c\u305f\u9593\u63a5\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u53ce\u96c6\u3059\u308b\u4f5c\u696d\u304c\u5927\u5909\u304b\u3064\u975e\u751f\u7523\u7684\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u308b\u5834\u5408\u3001\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u3092\u63d0\u793a\u3059\u308b\u3053\u3068\u3092\u691c\u8a0e\u3059\u308b\u306e\u304c\u59a5\u5f53\u3068\u3044\u3048\u307e\u3059\u3002<br \/>\n\uff08<strong><a href=\"http:\/\/aihara.la.coocan.jp\/?p=256\">\u30d1\u30e9\u30b7\u30e5\u30fc\u30c8\u88c5\u7740\u306e\u6709\u52b9\u6027\u306b\u95a2\u3059\u308bRCT\u306f\u5fc5\u8981\u304b<\/a><\/strong>\uff09<\/p>\n<p><\/p>\n<p>\u5225\u306e\u4f8b\u3092\u6319\u3052\u308b\u3068\u3001\u5c11\u3057\u3067\u3082\u7d50\u6838\u306e\u53ef\u80fd\u6027\u3092\u793a\u5506\u3059\u308b\u75c7\u72b6\u3092\u6301\u3064\u60a3\u8005\u3067\u3042\u308c\u3070\u5fc5\u305a\u30c8\u30ea\u30a2\u30fc\u30b8\u306e\u5bfe\u8c61\u3068\u3059\u308b\u3053\u3068\u304c\u8ce2\u660e\u3067\u3042\u308b\u3068\u78ba\u4fe1\u3067\u304d\u308b\u306e\u306f\u306a\u305c\u3060\u308d\u3046\u304b\u3002\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u8005\u304c\u3044\u3046\u3068\u3053\u308d\u306e\u30c8\u30ea\u30a2\u30fc\u30b8\u3068\u306f\u3001\u7d50\u6838\u306e\u7591\u3044\u306e\u3042\u308b\u60a3\u8005\u3092\u3001\u691c\u67fb\u524d\u78ba\u7387\u304c\u5341\u5206\u306b\u9ad8\u3044\u60a3\u8005\u306b\u9650\u308a\u3001\u9694\u96e2\u3057\u3066\u691c\u67fb\u3092\u884c\u3046\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u3002\u308f\u308c\u308f\u308c\u304c\u30c8\u30ea\u30a2\u30fc\u30b8\u306f\u8ce2\u660e\u3067\u3042\u308b\u3068\u78ba\u4fe1\u3067\u304d\u308b\u306e\u306f\u3001\u30c8\u30ea\u30a2\u30fc\u30b8\u3092\u3057\u306a\u3051\u308c\u3070\uff08\u3059\u306a\u308f\u3061\u691c\u67fb\u524d\u78ba\u7387\u306e\u9ad8\u3044\u60a3\u8005\u306b\u9650\u5b9a\u305b\u305a\u3001\u5c11\u3057\u3067\u3082\u7d50\u6838\u306e\u53ef\u80fd\u6027\u3092\u793a\u5506\u3059\u308b\u75c7\u72b6\u3092\u6301\u3064\u60a3\u8005\u3067\u3042\u308c\u3070\u5168\u54e1\u306b\u5fb9\u5e95\u3057\u305f\u691c\u67fb\u3092\u884c\u3046\u5834\u5408\uff09\u3001\u904e\u5270\u306a\u691c\u67fb\u304c\u5b9f\u65bd\u3055\u308c\u3001\u8cb4\u91cd\u306a\u533b\u7642\u8cc7\u6e90\u304c\u7121\u99c4\u306b\u4f7f\u308f\u308c\u308b\u7d50\u679c\u3068\u306a\u308b\u304b\u3089\u3067\u3042\u308b\u3002<\/p>\n<p><\/p>\n<p>\u4e0a\u8a18JCE 2015\u8ad6\u6587\u306b\u306f\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306f\u3001<strong>\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0<\/strong>\u3092\u63d0\u793a\u3059\u308b\u524d\u306b\u3001\u307e\u305a\u6b21\u306b\u793a\u3059\u554f\u984c\u306b\u3064\u3044\u3066\u660e\u78ba\u306b\u691c\u8a0e\u3059\u3079\u304d\u3067\u3042\u308b\u3068\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p><strong>\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0<\/strong>\u306b\u3064\u3044\u3066\u691c\u8a0e\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u304c\u81ea\u554f\u3059\u3079\u304d\u8cea\u554f<\/p>\n<table width=\"80%\" style=\"border-collapse: collapse; border: none;\" border=\"1\" summary=\"discordant\">\n<tbody>\n<tr>\n<td style=\"border: 1px solid #000000; padding: 5px; background:#ffffff;\">\n(1)\u8a18\u8ff0\u306f\u660e\u78ba\u304b\u3064\u5b9f\u884c\u53ef\u80fd\u304b<br \/>\n(2)\u305d\u306e\u30e1\u30c3\u30bb\u30fc\u30b8\u306f\u672c\u5f53\u306b\u5fc5\u8981\u304b<br \/>\n(3)\u6b63\u5473\u5229\u76ca\u304c\u5927\u304d\u304f\u3001\u306a\u304a\u304b\u3064\u7591\u3044\u306e\u4f59\u5730\u306e\u306a\u3044\u3082\u306e\u304b<br \/>\n(4)\u305d\u308c\u306f\u3001\u53ce\u96c6\u3068\u8981\u7d04\u304c\u56f0\u96e3\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u304b<br \/>\n(5)\u516c\u8846\u885b\u751f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u5834\u5408\u3001\u691c\u8a0e\u3059\u3079\u304d\u5177\u4f53\u7684\u554f\u984c\uff08\u4f8b: \u516c\u5e73\u6027\uff09\u306f\u3042\u308b\u304b<br \/>\n(6)\u6839\u62e0\u3092\u660e\u78ba\u306b\u793a\u3057\u3066\u3044\u308b\u304b<br \/>\n(7)\u3053\u308c\u306f\u6b63\u5f0f\u306aGRADE\u4ed8\u3051\u3092\u884c\u3063\u305f\u65b9\u304c\u3088\u3044\u304b\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><\/p>\n<p>\u4f8b\u3048\u3070\u3001\u201d(3)\u6b63\u5473\u5229\u76ca\u304c\u5927\u304d\u304f\u3001\u306a\u304a\u304b\u3064\u7591\u3044\u306e\u4f59\u5730\u306e\u306a\u3044\u3082\u306e\u304b\u201d\u306e\u9805\u3068\u3057\u3066\u306f\u3001\u6b21\u306e\u3088\u3046\u306b\u89e3\u8aac\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br \/>\n\u300c\u63d0\u6848\u3055\u308c\u3066\u3044\u308b\u63aa\u7f6e\u304c\u61f8\u6848\u306e\u72b6\u6cc1\u3067\u5b9f\u65bd\u53ef\u80fd\u3067\u3001\u306a\u304a\u304b\u3064\u305d\u308c\u306b\u4f34\u3046\u5bb3\u3068\u30b3\u30b9\u30c8\u304c\u6700\u5c0f\u9650\u3067\u3042\u308b\u3079\u304d\u3067\u3042\u308b\u3002\u3064\u307e\u308a\u3001\u60a3\u8005\u304b\u3089\u898b\u305f\u6b63\u5473\u306e\u5229\u76ca\u304c\u5927\u304d\u304f\u3001\u7591\u3044\u306e\u4f59\u5730\u306e\u306a\u3044\u3082\u306e\u3067\u3042\u308b\u3079\u304d\u3067\u3042\u308b\u3002\u3055\u3089\u306b\u3001\u5f53\u8a72\u4ecb\u5165\u306b\u904e\u5270\u306a\u6a5f\u4f1a\u30b3\u30b9\u30c8\u304c\u4f34\u3046\u3079\u304d\u3067\u306f\u306a\u3044\u3002\u3064\u307e\u308a\u30d1\u30cd\u30ea\u30b9\u30c8\u306f\u3001\u63d0\u6848\u3055\u308c\u3066\u3044\u308b\u63aa\u7f6e\u304c\u958b\u59cb\u3055\u308c\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u3001\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u3088\u308a\u6709\u52b9\u306a\u4ed6\u306e\u3069\u306e\u4ecb\u5165\u304c\u8105\u304b\u3055\u308c\u308b\u3053\u3068\u306b\u306a\u308b\u306e\u304b\u306b\u3064\u3044\u3066\u691c\u8a0e\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u300d<br \/>\n\uff08\u4ed6\u306e\u5404\u9805\u76ee\u306e\u610f\u5473\u306b\u3064\u3044\u3066\u306f\u3001\u539f\u8ad6\u6587\u3092\u53c2\u7167\u3057\u3066\u3044\u305f\u3060\u304d\u305f\u3044\uff09<\/p>\n<p><\/p>\n<p><span style=\"color:#ff0000;\">\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u304c\u5b58\u5728\u3057\u306a\u3044\u5834\u5408\uff08\u3042\u308b\u3044\u306f\u61f8\u6848\u306e\u7591\u554f\u3092\u3068\u308a\u3042\u3052\u305f\u6b63\u5f0f\u306a\u7814\u7a76\u304c1\u4ef6\u3082\u5b58\u5728\u3057\u306a\u3044\u5834\u5408\uff09\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3092\u3001\u300c\u4f4e\u300d\u307e\u305f\u306f\u300c\u975e\u5e38\u306b\u4f4e\u300d\u3068\u5206\u985e\u3059\u3079\u304d\u3067\u3042\u308b\u3068\u8003\u3048\u3066\u3057\u307e\u3046\u3002\u3053\u308c\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3068\u306f\u52b9\u679c\u63a8\u5b9a\u5024\u306e\u78ba\u4fe1\u6027\u3092\u610f\u5473\u3059\u308b\u3001\u3068\u3044\u3046GRADE\u306e\u5b9a\u7fa9\u3092\u30d1\u30cd\u30ea\u30b9\u30c8\u304c\u8aa4\u89e3\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u610f\u5473\u3059\u308b\uff08Gordon\uff09\u3002<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u306e\u4e00\u3064\u306b\u3001\u512a\u308c\u305f\u533b\u7642\u6163\u884c\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u304c\u3042\u308a\u307e\u3059\u304c\u3001GRADE working group\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002 Guyatt GH, Sch\u00fcnemann HJ, Djulbegovic B, [&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\/1995"}],"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=1995"}],"version-history":[{"count":23,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1995\/revisions"}],"predecessor-version":[{"id":3071,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/1995\/revisions\/3071"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1995"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1995"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1995"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}