{"id":216,"date":"2012-09-04T15:19:20","date_gmt":"2012-09-04T06:19:20","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=216"},"modified":"2014-04-16T15:33:09","modified_gmt":"2014-04-16T06:33:09","slug":"grade%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%e4%bd%9c%e6%88%90%e3%81%ae%e6%b5%81%e3%82%8c%ef%bc%9a-item-34-%e8%a8%ba%e7%99%82%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=216","title":{"rendered":"GRADE\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u6d41\u308c\uff1a Item #-34: \u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210"},"content":{"rendered":"<p>\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306f\u3001\u63a8\u5968\u306e\u8349\u6848\u304c\u30a8\u30d3\u30c7\u30f3\u30b9\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u306e\u30c7\u30fc\u30bf\u306b\u6cbf\u3063\u3066\u3044\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3057\u3001\u69d8\u5f0f\u306e\u7d71\u4e00\u6027\u3001\u63a8\u5968\u8868\u73fe\u306e\u4e00\u8cab\u6027\u3092\u78ba\u4fdd\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n<p><\/p>\n<p>\u4f8b\uff11\uff1a\u3000\u30b9\u30e9\u30a4\u30c9\uff03 111<\/p>\n<table summary=\"rec\">\n<tr>\n<td>\n<p style=\"float:left;\">\n<a href=\"http:\/\/aihara.la.coocan.jp\/item_34_gl.php\" onclick=\"window.open('http:\/\/aihara.la.coocan.jp\/item_34_gl.php','popup','width=799,height=539,scrollbars=no,resizable=no,toolbar=no,directories=no,location=no,menubar=no,status=no,left=0,top=0'); return false\" onkeypress=\"window.open('http:\/\/aihara.la.coocan.jp\/item_34_gl.php','popup','width=799,height=539,scrollbars=no,resizable=no,toolbar=no,directories=no,location=no,menubar=no,status=no,left=0,top=0'); return false\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/item_34_gl-thumb.jpg\" width=\"500\" height=\"337\" alt=\"cpg\" \/><\/a>\n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p style=\"float:left;\">\n\u4f8b2\uff1a<a href=\"http:\/\/www.cadth.ca\/media\/pdf\/compus_IA_OT_rec_report.pdf\" target=\"_blank\"><br \/>\nOptimal Therapy Recommendations for the Prescribing and Use of Insulin Analogues<\/a>\n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p style=\"float:left;\">\n<a href=\"http:\/\/aihara.la.coocan.jp\/item_34_gl2.php\" onclick=\"window.open('http:\/\/aihara.la.coocan.jp\/item_34_gl2.php','popup','width=1090,height=715,scrollbars=no,resizable=no,toolbar=no,directories=no,location=no,menubar=no,status=no,left=0,top=0'); return false\" onkeypress=\"window.open('http:\/\/aihara.la.coocan.jp\/item_34_gl2.php','popup','width=1090,height=715,scrollbars=no,resizable=no,toolbar=no,directories=no,location=no,menubar=no,status=no,left=0,top=0'); return false\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/item_34_gl2-thumb.jpg\" width=\"500\" height=\"327\" alt=\"cadth\" \/><\/a>\n<\/p>\n<\/td>\n<\/tr>\n<\/table>\n<div>\n<p>\u5404\u63a8\u5968\u4e8b\u9805\u306e\u4e00\u822c\u5f62\u5f0f\u3068\u3057\u3066\u6c7a\u307e\u3063\u305f\u3082\u306e\u306f\u306a\u3044\u304c\u3001\u53c2\u8003\u3068\u3057\u3066ACCP\u3088\u308a\u767a\u8868\u3055\u308c\u3066\u3044\u308b\u69d8\u5f0f\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u3092\u4e0b\u8868\u306b\u793a\u3059\u3002<\/p>\n<p>\nACCP Evidence-Based Guideline Development: A Successful and Transparent Approach Addressing Conflict of Interest\u3001 Funding\u3001 and Patient-Centered Recommendations\u3001 Michael H. Baumann\u3001 Sandra Zelman Lewis\u3001 David Gutterman   CHEST 2007; 132:1015\u20131024\n<\/p>\n<\/div>\n<p><\/p>\n<table summary=\"accp\" border=\"1\" style=\"border-collapse:collapse;border:none;\">\n<tr>\n<td style=\"border:1px solid #000000;background:#cccccc;width:600px;\">\n<p><b>ACCP\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff1a\u3000\u63a8\u5968\u4e8b\u9805\u306e\u69d8\u5f0f\u304a\u3088\u3073\u5f62\u5f0f<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<p>\u63a8\u5968\u306e\u6700\u521d\u306e\u90e8\u5206\u306b\u306f\u3001\u9069\u5207\u306a\u60a3\u8005\u96c6\u56e3\u3092\u793a\u3059\u3002\u5236\u7d04\u8981\u56e0\u304c\u3042\u308c\u3070\u3001\u305d\u308c\u3082\u8a18\u8f09\u3059\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<p>\n\u63a8\u5968\u3067\u306f\u3001\u305f\u3068\u3048\u3070\u30b5\u30fc\u30d3\u30b9\u3001\u691c\u67fb\u3001\u6cbb\u7642\u3001\u307e\u305f\u306f\u533b\u7642\u63aa\u7f6e\u3092\u63d0\u6848\u3059\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<p>\u63a8\u5968\u306e\u6587\u8a00\u306b\u7528\u3044\u308b\u8868\u73fe\u3068\u3057\u3066\u306f\u3001\u4e8b\u5b9f\u306b\u3064\u3044\u3066\u8ff0\u3079\u308b\u3088\u3046\u306a\u8868\u73fe\u3067\u306f\u306a\u304f\u3001\u30b5\u30fc\u30b8\u5de3\u306b\u95a2\u3059\u308b\u78ba\u5b9a\u7684\u306a\u63d0\u6848\u3092\u884c\u3046\u3088\u3046\u306a\u8868\u73fe\u3092\u4f7f\u3046\u3053\u3068\u3002\u4e00\u89a7\u8868\u307e\u305f\u306f\u8868\u306e\u5f62\u5f0f\u306f\u4f7f\u7528\u3057\u306a\u3044\u3053\u3068\u3002\u4e8b\u5b9f\u306e\u4f9b\u8ff0\u304a\u3088\u3073\u305d\u306e\u6839\u62e0\u306b\u3064\u3044\u3066\u306f\u3001\u63a8\u5968\u306e\u76f4\u524d\u306e\u672c\u6587\u306b\u8a18\u8f09\u3059\u308b\u3002\u5229\u76ca\u304c\u660e\u3089\u304b\u306b\u30ea\u30b9\u30af\u304a\u3088\u3073\u8ca0\u62c5\u3092\u4e0a\u56de\u308b\u5834\u5408\u306f\u3001\u300c\u63a8\u5968\u3059\u308b (recommend)\u300d\u306a\u3069\u3068\u3044\u3063\u305f\u5f37\u3044\u8868\u73fe\u3092\u4f7f\u7528\u3059\u308b\u3002\u5229\u76ca\u3068\u5bb3\u306e\u30d0\u30e9\u30f3\u30b9\u304c\u305d\u308c\u307b\u3069\u660e\u78ba\u51fa\u306a\u3044\u5834\u5408\u306f\u3001\u300c\u63d0\u6848\u3059\u308b (suggest)\u300d\u3001\u300c\u8003\u616e\u3059\u308b (consider)\u300d\u306a\u3069\u3068\u3044\u3063\u305f\u8868\u73fe\u3092\u4f7f\u7528\u3057\u3001\u9069\u5207\u306a\u72b6\u6cc1\u304a\u3088\u3073\u60a3\u8005\u96c6\u56e3\u306b\u95a2\u3059\u308b\u9069\u5207\u306a\u8aac\u660e\u3092\u6dfb\u3048\u308b\u3053\u3068\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<p>\u63a8\u5968\u306b\u306f\u5f15\u7528\u3092\u542b\u3081\u306a\u3044\u3002\u5f15\u7528\u306f\u3001\u63a8\u5968\u306e\u76f4\u524d\u306b\u8a18\u8f09\u3055\u308c\u308b\u8003\u5bdf\u306e\u9069\u5207\u306a\u5834\u6240\u306b\u542b\u3081\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<p>\u63a8\u5968\u306e\u30b0\u30ec\u30fc\u30c7\u30a3\u30f3\u30b0\u306f\u3001\u63a8\u5968\u306e\u6700\u5f8c\u306b\u63d0\u793a\u3055\u308c\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<p>\u30b0\u30ec\u30fc\u30c7\u30a3\u30f3\u30b0\u306e\u305f\u3081\u306e\u30b7\u30b9\u30c6\u30e0\u306f\u3001ACCP\u306eHSP\u8a55\u4fa1\u30b7\u30b9\u30c6\u30e0(GRADE\u30b7\u30b9\u30c6\u30e0)\u306b\u5f93\u3046\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<p>\u63a8\u5968\u306f\u592a\u5b57\u3067\u8a18\u8f09\u3059\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p><\/p>\n<p>\n<b>\u25a0\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u57f7\u7b46\u30d1\u30cd\u30eb\u306e\u6700\u7d42\u4f1a\u8b70<\/b><br \/>\n\uff08ACCP Evidence-Based Guideline Development\u3000 CHEST 2007; 132:1015\u20131024\u3088\u308a\uff09<br \/>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u30c6\u30fc\u30d6\u30eb\u304c\u5b8c\u6210\u3057\u3001\u57f7\u7b46\u30d1\u30cd\u30eb\u306b\u3088\u308b\u7ae0\u306e\u521d\u671f\u30c9\u30e9\u30d5\u30c8\u306e\u57f7\u7b46\u3001\u30ec\u30d3\u30e5\u30fc\u3001\u4fee\u6b63\u304c\u5b8c\u4e86\u3059\u308b\u3068\u3001\u57f7\u7b46\u30d1\u30cd\u30eb\u306e\u6700\u7d42\u5bfe\u9762\u4f1a\u8b70\u304c\u958b\u50ac\u3055\u308c\u3001\u30d1\u30cd\u30eb\u306b\u3088\u308b\u6700\u7d42\u7248\u306e\u53d7\u7406\u304c\u78ba\u5b9a\u3055\u308c\u308b\u3002\u3053\u306e\u4f1a\u8b70\u3067\u306f\u3001\u672a\u89e3\u6c7a\u306e\u91cd\u8981\u306a\u554f\u984c\u304a\u3088\u3073\u7d1b\u4e89\u3092\u660e\u3089\u304b\u306b\u3057\u3001\u30d1\u30cd\u30eb\u30e1\u30f3\u30d0\u30fc\u5168\u54e1\u3067\u3001\u3053\u308c\u306b\u3064\u3044\u3066\u8b70\u8ad6\u3057\u3001\u5fc5\u8981\u3067\u3042\u308c\u3070\u6295\u7968\u306b\u3088\u308a\u554f\u984c\u306e\u89e3\u6c7a\u304c\u56f3\u3089\u308c\u308b\u3002<\/p>\n<p>\n\u8b70\u8ad6\u304a\u3088\u3073\u691c\u8a0e\u306e\u5bfe\u8c61\u3068\u306a\u308b\u306e\u306f\u3001\u63a8\u5968\u4e8b\u9805\u306e\u6587\u8a00\u3001\u30ea\u30b9\u30af\u3068\u5229\u76ca\u306e\u30d0\u30e9\u30f3\u30b9\u3001\uff08\u30d1\u30cd\u30eb\u304c\u6c7a\u5b9a\u3057\u3066\u3044\u306a\u3044\u5834\u5408\u306f\uff09\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306e\u89e3\u91c8\u3001\u63a8\u5968\u306e\u5408\u610f\u306e\u7a0b\u5ea6\uff08\u4f8b\u3001\u57f7\u7b46\u30d1\u30cd\u30eb\u306e80%\u4ee5\u4e0a\u304c\u5408\u610f\u3057\u305f\u5834\u5408 \u3001\u305d\u306e\u63a8\u5968\u306f\u627f\u8a8d\u3055\u308c\u308b *\uff09\u3067\u3042\u308b\u3002<\/p>\n<p>\n\u305f\u3060\u3057\u3001\u8b70\u9577\u306e\u88c1\u91cf\u306b\u3088\u308a\u3001(1)\u5727\u5012\u7684\u591a\u6570\uff08supermajority &gt; 80%\uff09\u306e\u5408\u610f\u304c\u5f97\u3089\u308c\u308b\u307e\u3067\u8b70\u8ad6\u3092\u7d99\u7d9a\u3059\u308b\u5834\u5408\u3001(2)\u5408\u610f\u4e0d\u5341\u5206\u3092\u7406\u7531\u306b\u63a8\u5968\u3092\u524a\u9664\u3059\u308b\u5834\u5408\u3001(3)\u63a8\u5968\u306f\u524a\u9664\u3055\u308c\u306a\u3044\u304c\u3001\u63a8\u5968\u306e\u76f4\u524d\u306e\u8003\u5bdf\u306b\u5c11\u6570\u610f\u898b\u3092\u542b\u3081\u308b\u5834\u5408\u304c\u3042\u308b\u3002<\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<br \/>\n(*) \u5404\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306b\u3088\u3063\u3066\u5224\u5b9a\u57fa\u6e96\u306f\u7570\u306a\u308b\u3002<br \/>\n\u4f8b\u3001\u6557\u8840\u75c7\u6551\u547d\u30ad\u30e3\u30f3\u30da\u30fc\u30f3\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff08GRADE\u6559\u79d1\u66f8 p131\uff09\n<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306f\u3001\u63a8\u5968\u306e\u8349\u6848\u304c\u30a8\u30d3\u30c7\u30f3\u30b9\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u306e\u30c7\u30fc\u30bf\u306b\u6cbf\u3063\u3066\u3044\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3057\u3001\u69d8\u5f0f\u306e\u7d71\u4e00\u6027\u3001\u63a8\u5968\u8868\u73fe\u306e\u4e00\u8cab\u6027\u3092\u78ba\u4fdd\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002 \u4f8b\uff11\uff1a\u3000\u30b9\u30e9\u30a4\u30c9\uff03 111 \u4f8b2\uff1a Optimal Therapy Reco [&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":[444,311],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/216"}],"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=216"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/216\/revisions"}],"predecessor-version":[{"id":466,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/216\/revisions\/466"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=216"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=216"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}