{"id":269,"date":"2013-04-02T15:47:40","date_gmt":"2013-04-02T06:47:40","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=269"},"modified":"2014-04-16T15:30:58","modified_gmt":"2014-04-16T06:30:58","slug":"%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%81%a8%e5%88%a9%e7%9b%8a%e7%9b%b8%e5%8f%8d-1","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=269","title":{"rendered":"\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u5229\u76ca\u76f8\u53cd-1"},"content":{"rendered":"
\n

\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u305f\u3081\u306bGRADE\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u4f7f\u3046\u76ee\u7684\u306e\u4e00\u3064\u306f\u900f\u660e\u6027\u3092\u9ad8\u304f\u3059\u308b\u3053\u3068\u3067\u3059\u3042\u308a\u3001\u3053\u308c\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u8a55\u4fa1\u3084\u63a8\u5968\u306e\u5f37\u3055\u306e\u5224\u5b9a\u3060\u3051\u3067\u306f\u306a\u304f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u5168\u904e\u7a0b\u306b\u3064\u3044\u3066\u900f\u660e\u6027\u304c\u9ad8\u3044\u3082\u306e\u306b\u3059\u308b\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u3002\u4fe1\u983c\u3067\u304d\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u4f5c\u6210\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u5229\u76ca\u76f8\u53cd\u306e\u7ba1\u7406\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n

<\/p>\n\n\n
\n\"iom_cpg\"<\/a>\n<\/td>\n\n

IOM\u306e\u300c\u4fe1\u983c\u306e\u304a\u3051\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u305f\u3081\u306e\u57fa\u6e96\u300d<\/b><\/a>
\nStandards for Developing Trustworthy Clinical Practice Guidelines (CPGs) \u306e\u3001<\/p>\n

<\/p>\n

\u7b2c1\u57fa\u6e96\u304c\u3001\u900f\u660e\u6027\u306e\u78ba\u4fdd<\/b>\u3067\u3042\u308a
\n\u7b2c2\u57fa\u6e96\u304c\u3001\u5229\u76ca\u76f8\u53cd\uff08COI: conflict of interest\uff09\u306e\u7ba1\u7406<\/b>\u3067\u3059\u3002<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

<\/p>\n

\u25a0\u5229\u76ca\u76f8\u53cd\uff08Conflict of Interest\uff09 \u306e\u5b9a\u7fa9\uff1aIOM<\/b>
\n———————————————————————————————————
\nIOM defined COI as \u201cA set of circumstances that creates a risk that professional judgment or actions regarding a primary interest will be unduly influenced by a secondary interest\u201d <\/em>
\n
\n \u300c\u4e3b\u8981\u306a\u5229\u5bb3\u306b\u95a2\u308f\u308b\u5c02\u9580\u7684\u5224\u65ad\u3084\u884c\u52d5\u304c\u5f93\u5c5e\u7684\u306a\u5229\u5bb3\u306b\u3088\u308a\u4e0d\u5f53\u306b\u5f71\u97ff\u3055\u308c\u308b\u30ea\u30b9\u30af\u3092\u4f34\u3046\u4e00\u9023\u306e\u72b6\u6cc1\u300d <\/b>
\n[IOM Conflict of Interest in Medical Research, Education, and Practice\uff09\u300f \u306b\u95a2\u3059\u308b2009\u5e74\u5831\u544a\u66f8]
\n———————————————————————————————————<\/p>\n

\u5229\u76ca\u76f8\u53cd\u306e\u958b\u793a\u3060\u3051\u3067\u305d\u306e\u5f71\u97ff\u3092\u6700\u5c0f\u9650\u306b\u3067\u304d\u308b\u306e\u304b\u306b\u3064\u3044\u3066\u306f\u7591\u554f\u304c\u3042\u308b\u3082\u306e\u306e\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u30e1\u30f3\u30d0\u30fc\u306e\u91d1\u92ad\u7684\u5229\u76ca\u76f8\u53cd\u3092\u958b\u793a\u3059\u308b\u3053\u3068\u306f\u3044\u307e\u3084\u5e38\u8b58\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002
\n\u307e\u305f\u3001\u91d1\u92ad\u7684\u5229\u76ca\u76f8\u53cd\u306b\u306f\u91d1\u984d\u3084\u671f\u9593\u306e\u898f\u5b9a\u304c\u3042\u308b\u3082\u306e\u306e\u3001\u77e5\u7684\u5229\u76ca\u76f8\u53cd\u306f\u7121\u671f\u9650\u3067\u3042\u308b\u3053\u3068\u3092\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306f\u3088\u304f\u8a8d\u8b58\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

<\/p>\n

\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3068\u63a8\u5968\u306e\u7b56\u5b9a\u306eGRADE framework\u3092\u9069\u5207\u306b\u5229\u7528\u3057\u305f\u3068\u3057\u3066\u3082\u3001\u91d1\u92ad\u7684\u30fb\u77e5\u7684\u5229\u76ca\u76f8\u53cd\u306e\u554f\u984c\u304c\u3042\u308b\u306a\u3089\u3070\u3001\u305d\u306eCPG\u306e\u4fe1\u983c\u6027\u306f\u640d\u306a\u308f\u308c\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\u5229\u76ca\u76f8\u53cd\u306b\u5f71\u97ff\u3055\u308c\u306a\u3044\u63a8\u5968\u3092\u4f5c\u6210\u3059\u308b\u305f\u3081\u306b\u3001\u3069\u306e\u3088\u3046\u306f\u6226\u7565\u3092\u3068\u3063\u3066\u3044\u308b\u304b\u304c\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u30c1\u30fc\u30e0\u306b\u6c42\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

<\/p>\n

\u25a0\u3053\u306e\u3088\u3046\u306a\u72b6\u6cc1\u3067\u3001\u56fd\u5185\u306e\u5229\u76ca\u76f8\u53cd\u306b\u95a2\u3059\u308b\u65b9\u91dd\u304c\u3001\u3053\u306e\u305f\u3073\u767a\u8868\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u539f\u7a3f\u6599\u3001\u8b1b\u6f14\u6599\u306a\u3069\u306e\u8b1d\u793c\u91d1\u984d\u958b\u793a\u306b\u53cd\u767a\u60c5\u5831\u516c\u958b\u3092\u5148\u9001\u308a\u306b\u3057\u305f\u533b\u5e2b\u4f1a\u306e\u53cd\u6483<\/a>
\n====================================
\n\u88fd\u85ac\u696d\u754c\u306e\u201c\u5f31\u307f\u201d\u304c\u9732\u5448\u3057\u305f\u4e88\u60f3\u901a\u308a\u306e\u7d50\u8ad6\u3060\u3063\u305f\u3002<\/p>\n

<\/p>\n

\u65b0\u85ac\u3092\u958b\u767a\u3059\u308b\u88fd\u85ac\u4f01\u696d\u306e\u696d\u754c\u56e3\u4f53\u3067\u3042\u308b\u65e5\u672c\u88fd\u85ac\u5de5\u696d\u5354\u4f1a\uff08\u88fd\u85ac\u5354\uff09\u306f\u30013\u6708\u4e0b\u65ec\u306b\u958b\u3044\u305f\u7dcf\u4f1a\u3067\u3001\u65e5\u672c\u533b\u5e2b\u4f1a\u306a\u3069\u306e\u731b\u53cd\u767a\u3092\u53d7\u3051\u30012013\u5e74\u5ea6\u304b\u3089\u4e88\u5b9a\u3057\u3066\u3044\u305f\u60c5\u5831\u516c\u958b\u3092\u4e00\u90e8\u5909\u66f4\u3057\u305f\u3002
\n
\n\u5177\u4f53\u7684\u306b\u306f\u300113\u5e74\u5ea6\u304b\u3089\u4e88\u5b9a\u3057\u3066\u3044\u305f\u5404\u88fd\u85ac\u4f01\u696d\u304c\u533b\u5e2b\u306b\u652f\u6255\u3063\u305f\u539f\u7a3f\u6599\u3084\u8b1b\u6f14\u6599\u306a\u3069\u306e\u500b\u5225\u91d1\u984d\u306e\u516c\u8868\u306b\u3064\u3044\u3066\u30011\u5e74\u5148\u9001\u308a\u306b\u3059\u308b\u3053\u3068\u3092\u6c7a\u3081\u305f\u306e\u3060\u3002<\/p>\n

<\/p>\n

\u3068\u3053\u308d\u304c\u3001\u81ea\u5206\u306e\u500b\u5225\u91d1\u984d\u304c\u30cd\u30c3\u30c8\u4e0a\u3067\u767d\u65e5\u306e\u4e0b\u306b\u3055\u3089\u3055\u308c\u308b\u3053\u3068\u3092\u77e5\u3063\u305f\u533b\u5e2b\u304b\u3089\u306f\u3001\u300c\u9031\u520a\u8a8c\u306e\u30cd\u30bf\u306b\u3055\u308c\u308b\u300d\u300c\u4e16\u9593\u3084\u540c\u50da\u304b\u3089\u306d\u305f\u307e\u308c\u308b\u300d\u300c\u5b50\u4f9b\u304c\u8a98\u62d0\u3055\u308c\u308b\u300d\u306a\u3069\u306e\u53cd\u5bfe\u610f\u898b\u304c\u7d9a\u3005\u3068\u51fa\u59cb\u3081\u305f\u3002<\/p>\n

<\/p>\n

\u3042\u308b\u5185\u79d1\u533b\u306f\u300c\u8b1b\u6f14\u6599\u306f\u901a\u5e38\u3067\u3082\u6570\u5341\u4e07\u5186\u3001\u6709\u540d\u6559\u6388\u306a\u3069\u3067\u306f\u6570\u767e\u4e07\u5186\u4ee5\u4e0a\u306e\u91d1\u984d\u304c\u652f\u6255\u308f\u308c\u308b\u3002\u88fd\u85ac\u4f01\u696d\u306f\uff08\u516c\u8868\u306e\uff09\u540c\u610f\u66f8\u3092\u6301\u3063\u3066\u306f\u304f\u308b\u304c\u3001\u3058\u3063\u304f\u308a\u8aad\u307e\u306a\u3044\u533b\u5e2b\u3082\u3044\u308b\u3002\u307e\u3055\u304b\u500b\u4eba\u540d\u307e\u3067\u304c\u516c\u8868\u3055\u308c\u308b\u3068\u306f\u601d\u308f\u306a\u304b\u3063\u305f\u533b\u5e2b\u3082\u591a\u3044\u306e\u3067\u3057\u3087\u3046\u300d\u3068\u8aac\u660e\u3059\u308b\u3002
\n====================================<\/p>\n

<\/p>\n

\u306a\u3093\u3068\u3082\u60c5\u3051\u306a\u3044\u8a71\u3067\u3059\u3002
\n\u3053\u306eCOI\u306b\u95a2\u3057\u3066\u306f\u3001\u4eca\u5f8c\u3082\u3068\u308a\u3042\u3052\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u305f\u3081\u306bGRADE\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u4f7f\u3046\u76ee\u7684\u306e\u4e00\u3064\u306f\u900f\u660e\u6027\u3092\u9ad8\u304f\u3059\u308b\u3053\u3068\u3067\u3059\u3042\u308a\u3001\u3053\u308c\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u8a55\u4fa1\u3084\u63a8\u5968\u306e\u5f37\u3055\u306e\u5224\u5b9a\u3060\u3051\u3067\u306f\u306a\u304f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u5168\u904e\u7a0b\u306b\u3064\u3044\u3066\u900f\u660e\u6027\u304c\u9ad8\u3044\u3082\u306e\u306b\u3059\u308b\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u3002 […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[68],"tags":[372,371,373],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/269"}],"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=269"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/269\/revisions"}],"predecessor-version":[{"id":413,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/269\/revisions\/413"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=269"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}