{"id":217,"date":"2012-09-05T09:46:31","date_gmt":"2012-09-05T00:46:31","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=217"},"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-35-%e3%83%ac%e3%83%93%e3%83%a5%e3%83%bc%e3%81%a8%e5%a4%96%e9%83%a8%e8%a9%95","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=217","title":{"rendered":"GRADE\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u6d41\u308c\uff1a Item #-35: \u30ec\u30d3\u30e5\u30fc\u3068\u5916\u90e8\u8a55\u4fa1"},"content":{"rendered":"

ACCP Evidence-Based Guideline Development (CHEST 2007; 132:1015\u20131024\uff09\u306e\u3001”EBG Review” \u9805\u3092\u53c2\u8003\u306b\u3057\u305f\u3082\u306e\u3067\u3042\u308b\u3002EBG: evidence-based clinical practice guideline\n<\/p>\n

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\n\u6700\u7d42\u4f1a\u8b70\u306e\u8b70\u4e8b\u9332\u306b\u57fa\u3065\u3044\u3066\u4fee\u6b63\u304c\u52a0\u3048\u3089\u308c\u305f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u539f\u7a3f\u306f\u3001\u30ec\u30d3\u30e5\u30fc\u304a\u3088\u3073\u6539\u8a02\u306e\u305f\u3081\u306b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306e\u8907\u6570\u306e\u30b0\u30eb\u30fc\u30d7\u306b\u63d0\u51fa\u3055\u308c\u308b\u3002\u62c5\u5f53\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u30d7\u30ed\u30bb\u30b9\u3001\u4e00\u8cab\u6027\u3001\u63a8\u5968\u304a\u3088\u3073\u8a55\u4fa1\u304c\u9069\u5207\u304b\u3069\u3046\u304b\u3001\u304a\u3088\u3073\u5185\u5bb9\u306b\u3064\u3044\u3066\u30ec\u30d3\u30e5\u30fc\u3059\u308b\u3002\u57f7\u7b46\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u30ec\u30d3\u30e5\u30a2\u306e\u6279\u5224\u3092\u5341\u5206\u306b\u541f\u5473\u3057\u305f\u4e0a\u3067\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u539f\u7a3f\u3092\u8a55\u8b70\u4f1a\u306b\u63d0\u51fa\u3057\u3001\u627f\u8a8d\u3092\u5f97\u308b\u3002<\/p>\n

\n\u8a55\u8b70\u4f1a\u306e\u30e1\u30f3\u30d0\u30fc\u306f\u3001\u69cb\u9020\u5316\u3055\u308c\u305f\u30ec\u30d3\u30e5\u30fc\u30d5\u30a9\u30fc\u30e0\u3092\u3057\u3088\u3046\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u5fb9\u5e95\u7684\u306a\u30ec\u30d3\u30e5\u30fc\u306e\u5b9f\u65bd\u3092\u78ba\u5b9f\u306b\u3057\u3066\u3044\u308b\u3002\u3053\u306e\u30ec\u30d3\u30e5\u30fc\u30d5\u30a9\u30fc\u30e0\u306e\u4e00\u90e8\u306f\u3001AGREE (Appraisal of Guidelines Research and Evaluation)\u30c4\u30fc\u30eb \u3092\u30d9\u30fc\u30b9\u3068\u3059\u308b\uff08ACCP\u30ec\u30d3\u30e5\u30fc\u30d5\u30a9\u30fc\u30e0\uff09\u3002<\/p>\n

\u8a55\u8b70\u4f1a\u306e\u627f\u8a8d\u304c\u5f97\u3089\u308c\u308b\u3068\u3001\u539f\u7a3f\u306f\u51fa\u7248\u306e\u305f\u3081\u306e\u5be9\u67fb\u304a\u3088\u3073\u72ec\u7acb\u3057\u305f\u5916\u90e8\u7d44\u7e54\u306b\u3088\u308b\u30ec\u30d3\u30e5\u30fc\u304c\u5b9f\u65bd\u3055\u308c\u308b\u3002<\/p>\n

ACCP\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u30ec\u30d3\u30e5\u30fc\u30d7\u30ed\u30bb\u30b9\u3067\u306f\u3001\u5fb9\u5e95\u6027\u3068\u8fc5\u901f\u6027\u306e\u4e21\u7acb\u304c\u56f3\u3089\u308c\u3001\u306a\u304a\u304b\u3064\u6700\u5927\u9650\u306e\u8cea\u304a\u3088\u3073\u900f\u660e\u6027\u304c\u78ba\u4fdd\u3055\u308c\u3066\u3044\u308b\u3002\u3053\u306e\u30d7\u30ed\u30bb\u30b9\u306e\u8fc5\u901f\u6027\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u30ec\u30d3\u30e5\u30fc\u306e\u7d42\u4e86\u3068\u540c\u6642\u306b\u63a8\u5968\u306e\u9069\u6642\u6027\u304c\u6e1b\u3058\u3089\u308c\u3066\u3044\u304f\u3068\u3044\u89b3\u70b9\u304b\u3089\u91cd\u8996\u3055\u308c\u308b\u3002
\n=============================================================<\/p>\n

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\u3059\u306a\u308f\u3061\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u516c\u958b\u524d\u306b\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u691c\u7d22\u3068\u8981\u7d04\u306e\u65b9\u6cd5\u3001\u63a8\u5968\u306e\u4f5c\u6210\u65b9\u6cd5\u306a\u3069\u306e\u8cea\u3092\u3001\u306a\u3093\u3089\u304b\u306e\u65b9\u6cd5\u3067\u8a55\u4fa1\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u8cea\u306e\u30c1\u30a7\u30c3\u30af\u306b\u306f\u3001\u3044\u304f\u3064\u304b\u306e\u624b\u6cd5\u304c\u958b\u767a\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001WHO\u306eGWG\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\uff08\u9644\u9332C\u300cWHO \u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u7528\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u300d154 \u9801\uff09\u3001Appraisal of Guidelines for Research & Evaluation (AGREE *)\u3001Conference on Guideline Standardization (COGS)\u306a\u3069\u304c\u3042\u308b\u3002(GRADE\u6559\u79d1\u66f8 p126)<\/p>\n

<\/p>\n\n\n\n\n\n\n\n\n\n
ACCP\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff1a\u30ec\u30d3\u30e5\u30fc\u30d5\u30a9\u30fc\u30e0<\/b><\/td>\n<\/tr>\n
\n

\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u6982\u8981<\/b>
\n\uff11\uff0e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u76ee\u6a19\u3001\u304a\u3088\u3073\u5177\u4f53\u7684\u306a\u81e8\u5e8a\u8ab2\u984c\u304c\u660e\u78ba\u306b\u8ff0\u3079\u3089\u308c\u3066\u3044\u308b\u3002
\n\uff12\uff0e\u7d44\u307f\u5165\u308c\uff0f\u9664\u5916\u57fa\u6e96\u306b\u3064\u3044\u3066\u660e\u78ba\u306a\u8aac\u660e\u304c\u3055\u308c\u3066\u3044\u308b\u3002
\n\uff13\uff0e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u5bfe\u8c61\u30e6\u30fc\u30b6\u30fc\u306b\u3064\u3044\u3066\u9069\u5207\u306a\u8aac\u660e\u304c\u3042\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n

\n

\n\u65b9\u6cd5\u8ad6<\/b>
\uff14\uff0e\u8aac\u660e\u306e\u3055\u308c\u305f\u65b9\u6cd5\u8ad6\u3092\u4f7f\u3063\u3066\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u4f5c\u6210\u3055\u308c\u3066\u3044\u308b\u3002
\n\uff15\uff0e\u6587\u732e\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30fb\u30ec\u30d3\u30e5\u30fc\u304c\u5b9f\u65bd\u3055\u308c\u3066\u3044\u308b\u3002
\n\uff16\uff0e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306f\u3001\u6b63\u5f0f\u306a\u30b7\u30b9\u30c6\u30e0\u3092\u7528\u3044\u3066\u8a55\u4fa1\u4ed8\u3051\u3055\u308c\u3066\u3044\u308b\u3002
\n\uff17\uff0e\u30a8\u30d3\u30c7\u30f3\u30b9\u3001\u304a\u3088\u3073\u5229\u76ca\u3068\u5bb3\u306e\u8a55\u4fa1\u306b\u57fa\u3065\u3044\u305f\u63a8\u5968\u3067\u3042\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n

\n

\n\u63a8\u5968\u306e\u63d0\u793a (Presentation)<\/b>
\n\uff18\uff0e\u63a8\u5968\u5185\u5bb9\u304c\u5177\u4f53\u7684\u3067\u308f\u304b\u308a\u3084\u3059\u3044\u3002
\n\uff19\uff0e\u60a3\u8005\u96c6\u56e3\u306b\u3064\u3044\u3066\u5177\u4f53\u7684\u306b\u8aac\u660e\u3055\u308c\u3066\u3044\u308b\u3002
\n\uff11\uff10\uff0e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4e2d\u3067\u3001\u4e3b\u8981\u306a\u63a8\u5968\u4e8b\u9805\u304c\u660e\u78ba\u306b\u308f\u304b\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u308b\u3002
\n\uff11\uff11\uff0e\u63a8\u5968\u4e8b\u9805\u306e\u8981\u7d04\uff08\u81e8\u5e8a\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3092\u542b\u3080\u5834\u5408\u3042\u308a\uff09\u304c\u63d0\u4f9b\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n

\n

\n
\n\u8a3a\u7642\u3078\u306e\u9069\u7528\u53ef\u80fd\u6027 (Applicability)<\/b>
\n\uff11\uff12\uff0e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066\u3001\u63a8\u5968\u3092\u5b9f\u884c\u3059\u308b\u305f\u3081\u306e\u6226\u7565\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u304b\u3002
\n\uff11\uff13\uff0e\u8a3a\u7642\u306e\u4e2d\u3067\u3069\u306e\u3088\u3046\u306b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u6d3b\u7528\u3059\u308b\u306e\u304b\u306b\u3064\u3044\u3066\u306e\u5177\u4f53\u7684\u60c5\u5831\u304c\u63d0\u793a\u3055\u308c\u3066\u3044\u308b\u304b\u3002<\/p>\n<\/td>\n<\/tr>\n

\n

\u4fe1\u983c\u6027\uff08Accountability\uff09<\/b>
\n\uff11\uff14\uff0e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4e2d\u3067\u8cc7\u91d1\u63d0\u4f9b\u8005\u304c\u958b\u793a\u3055\u308c\u3066\u3044\u308b\u304b\u3002
\n\uff11\uff15\uff0e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u7d44\u7e54\u306e\u5168\u30e1\u30f3\u30d0\u30fc\u306b\u3088\u308a\u3001\u5229\u5bb3\u885d\u7a81\u306e\u53ef\u80fd\u6027\u304c\u958b\u793a\u3055\u308c\u3001\u660e\u78ba\u306a\u8aac\u660e\u304c\u3042\u3063\u305f\u304b\u3002<\/p>\n<\/td>\n<\/tr>\n

\n

\u95a2\u9023\u6027\u304a\u3088\u3073\u308f\u304b\u308a\u3084\u3059\u3055\uff08Relevance and readability\uff09<\/b>
\n\uff11\uff16\uff0e\u81e8\u5e8a\u7684\u306b\u95a2\u9023\u6027\u304c\u3042\u308b\u304b\u3002
\n\uff11\uff17\uff0e\u308f\u304b\u308a\u3084\u3059\u3044\u304b\u3002
\n\uff11\uff18\uff0e\u610f\u5473\u304c\u308f\u304b\u308b\u304b\u3002
\n\uff11\uff19\uff0e\u305d\u306e\u8003\u5bdf\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u304b\u3089\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u5b58\u5728\u3059\u308b\u5834\u5408\uff09\u5c0e\u304d\u51fa\u3055\u308c\u3066\u3044\u308b\u304b\u3002
\n\uff12\uff10\uff0e\u63a8\u5968\u306f\u305d\u306e\u8003\u5bdf\u304b\u3089\u5c0e\u304d\u51fa\u3055\u308c\u3066\u3044\u308b\u304b\u3002<\/p>\n<\/td>\n<\/tr>\n

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\n\u30ec\u30d3\u30e5\u30fc\u306e\u30b9\u30c6\u30fc\u30bf\u30b9(Review status)<\/b>
\n\uff12\uff11\uff0e\u3053\u306e\u8cc7\u6599\u306f\u3001ACCP\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u3057\u3066\u627f\u8a8d\u3092\u5f97\u3089\u308c\u308b\u304b\u3002
\n\u3000\u30fb\u305d\u306e\u307e\u307e\u306e\u72b6\u614b\u3067\u627f\u8a8d
\n\u3000\u30fb\u63d0\u6848\u5185\u5bb9\u3092\u691c\u8a0e\u4e2d\u306e\u305f\u3081\u627f\u8a8d\u3092\u4fdd\u7559\uff08\u8ffd\u52a0\u30b3\u30e1\u30f3\u30c8\u304c\u6dfb\u4ed8\u306e\u30b0\u30ea\u30c3\u30c9\u306b\u3066\u63d0\u4f9b\u3055\u308c\u308b\u5834\u5408\u3042\u308a\uff09
\n\u3000\u30fb\u627f\u8a8d\u3057\u306a\u3044\uff08\u30b0\u30ea\u30c3\u30c9\u306b\u793a\u3055\u308c\u308b\u30b3\u30e1\u30f3\u30c8\u3092\u53c2\u7167\uff09<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

\n\uff08AGREE\u3088\u308a\u6539\u5909\uff09\u3000http:\/\/journal.publications.chestnet.org\/article.aspx?articleid=1085372<\/p>\n

\n* \u73fe\u5728\u306f\u3001AGREE-II<\/b> \u304c\u5229\u7528\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

ACCP Evidence-Based Guideline Development (CHEST 2007; 132:1015\u20131024\uff09\u306e\u3001”EBG Review” \u9805\u3092\u53c2\u8003\u306b\u3057\u305f\u3082\u306e\u3067\u3042\u308b\u3002E […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[444,313,312],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/217"}],"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=217"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/217\/revisions"}],"predecessor-version":[{"id":465,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/217\/revisions\/465"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=217"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}