{"id":2471,"date":"2015-09-24T10:36:13","date_gmt":"2015-09-24T01:36:13","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=2471"},"modified":"2015-09-24T11:33:40","modified_gmt":"2015-09-24T02:33:40","slug":"%e4%bf%a1%e9%a0%bc%e3%81%a7%e3%81%8d%e3%82%8b%e8%a8%ba%e7%99%82%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%e3%82%92%e4%bd%9c%e6%88%90%e3%81%99%e3%82%8b%e3%81%9f%e3%82%81%e3%81%ab","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=2471","title":{"rendered":"\u4fe1\u983c\u3067\u304d\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u4f5c\u6210\u3059\u308b\u305f\u3081\u306b"},"content":{"rendered":"<p>\u4fe1\u983c\u3067\u304d\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u4f5c\u6210\u3059\u308b\u305f\u3081\u306e\u57fa\u6e96\u3068\u3057\u3066\u306f\u3001\u4ee5\u4e0b\u306e\uff12\u3064\u304c\u4ee3\u8868\u7684\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>(1)\u7c73\u56fdIOM\u306e\u300c<a href=\"http:\/\/www.grade-jpn.com\/iom\/Clinical_Practice_Guidelines_We_Can_Trust-j.html\">Standards for Developing Trustworthy Clinical Practice Guidelines\uff08\u4fe1\u983c\u3067\u304d\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff08CPG\uff09\u4f5c\u6210\u306e\u305f\u3081\u306e\u57fa\u6e96\uff09<\/a>\u300d<\/p>\n<p>(2)\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u56fd\u969b\u7684\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u3067\u3042\u308bGIN (Guidelines International Network\uff09\u306e\u300c<a href=\"http:\/\/annals.org\/article.aspx?articleid=1103747\">Guidelines international network: toward international standards for clinical practice guidelines<\/a>\u300d<\/p>\n<p><\/p>\n<p>\u3053\u308c\u3089\u306e\uff12\u3064\u306e\u57fa\u6e96\u306e\u9055\u3044\u306b\u95a2\u3057\u3066\u306f\u3001<strong>IOM\u57fa\u6e96<\/strong>\u306f\u975e\u5e38\u306b\u53b3\u683c\u3067\u3001GIN\u306e<strong>minimum G-I-N standards<\/strong>\u306fIOM\u3088\u308a\u306f\u7de9\u3084\u304b\u306a\u3082\u306e\u3067\u3088\u308a\u73fe\u5b9f\u7684\u3067\u5b9f\u884c\u53ef\u80fd\u306a\u57fa\u6e96\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u7c73\u56fd\u306b\u304a\u3044\u3066\u306f\u3001ATS (American Thoracic Society)\u3092\u542b\u3080\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u5c02\u9580\u5bb6\u56e3\u4f53\u306f\u3001IOM\u57fa\u6e96\u3092\u9806\u5b88\u3059\u308b\u3088\u3046\u8981\u6c42\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u3067\u3059\u3002<\/p>\n<p><\/p>\n<div style=\"font-size: 1.2em\">\n<p><strong>\u25cfminimum G-I-N standards\uff1a<\/strong><\/p>\n<\/div>\n<p><a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/09\/gin.jpg\"><img decoding=\"async\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/09\/gin.jpg\" alt=\"gin\" width=\"100%\" class=\"alignnone size-full wp-image-2473\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/09\/gin.jpg 1100w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/09\/gin-300x143.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/09\/gin-1024x490.jpg 1024w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><\/a><br \/>\n<\/p>\n<div style=\"font-size: 1.2em\">\n<p><strong>\u25cf\u3069\u306e\u3088\u3046\u306a\u57fa\u6e96\u3092\u8a2d\u5b9a\u3059\u3079\u304d\u306a\u306e\u3060\u308d\u3046\u304b\uff1a<\/strong><\/p>\n<\/div>\n<table summary=\"stata\" border=\"1\" style=\"border-collapse:collapse;border:none;\">\n<tr>\n<td style=\"border:1px solid #000000; padding:5px; background:#FFDAB9;\">\nWhile both the G-I-N and IOM standards will likely improve the trustworthiness of guidelines produced by professional societies, together they bring several additional challenges. <strong>First, development groups must choose between the minimum G-I-N standards and the more rigorous IOM standards, or perhaps something in between<\/strong>.<\/td>\n<\/tr>\n<\/table>\n<div style=\"font-size: 0.8em\">\n<p>(A Guide to Guidelines for Pulmonary, Sleep, and Critical Care Medicine Clinicians. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23256160\">Proc Am Thorac Soc. 2012 Dec;9(5):211-4.<\/a>\uff09<\/p>\n<\/div>\n<p><\/p>\n<p>\u25cf\u4ed6\u306b\u306f\u3001<strong>\u300cGIN-McMaster\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u300d<\/strong>\u3068\u3044\u3046\u3001GRADE working group\u304c\u4e2d\u5fc3\u3068\u306a\u3063\u3066\u4f5c\u6210\u3057\u305f\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002<br \/>\nGRADE\u6559\u79d1\u66f82\u7248\u306e\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u8cc7\u6599\u30b5\u30a4\u30c8\uff08\u4ee5\u4e0bURL\uff09\u3088\u308a\u3001DL\u53ef\u80fd\u3067\u3059\u3002<br \/>\n<a href=\"http:\/\/www.grade-jpn.com\/online_supplementals\/online_supplemental_materials.html\"><strong>http:\/\/www.grade-jpn.com\/online_supplementals\/online_supplemental_materials.html<\/strong><\/a><\/p>\n<p>\u25cfGRADE\u3092\u4f7f\u3063\u305f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306a\u3089\u3070\u3001<span style=\"color:#ff0000;\"><strong>\u300cGRADE\u3092\u5229\u7528\u3057\u305f\u3068\u3059\u308b\u6700\u5c0f\u9650\u306e\u57fa\u6e96\uff08GRADE\u5229\u7528\u57fa\u6e96\u300d<\/strong><\/span>\u3092\u53c2\u8003\u306b\u3059\u3079\u304d\u3067\u3059\u3002<br \/>\n<a href=\"http:\/\/www.grade-jpn.com\/jp_grade\/japanese_grade_cpg.html\"><strong>http:\/\/www.grade-jpn.com\/jp_grade\/japanese_grade_cpg.html<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4fe1\u983c\u3067\u304d\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u4f5c\u6210\u3059\u308b\u305f\u3081\u306e\u57fa\u6e96\u3068\u3057\u3066\u306f\u3001\u4ee5\u4e0b\u306e\uff12\u3064\u304c\u4ee3\u8868\u7684\u3067\u3059\u3002 (1)\u7c73\u56fdIOM\u306e\u300cStandards for Developing Trustworthy Clinical Practice Guid [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[438,5,357],"tags":[],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/2471"}],"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=2471"}],"version-history":[{"count":22,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/2471\/revisions"}],"predecessor-version":[{"id":7565,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/2471\/revisions\/7565"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2471"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}