{"id":273,"date":"2013-05-08T10:36:53","date_gmt":"2013-05-08T01:36:53","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=273"},"modified":"2014-04-16T15:30:22","modified_gmt":"2014-04-16T06:30:22","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-2","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=273","title":{"rendered":"\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u5229\u76ca\u76f8\u53cd-2"},"content":{"rendered":"<div>\n<p>Diovan\u81e8\u5e8a\u8a66\u9a13\u306b\u95a2\u3057\u3066\u3001\u4eca\u5ea6\u306fJikei Heart Study\u306eLancet\u8ad6\u6587\u3067\u306eCOI\u5831\u544a\u4e0d\u5099\u304c\u767a\u899a\u3057\u307e\u3057\u305f\u3002Lancet\u8ad6\u6587\u306b\u304a\u3051\u308b\u89e3\u6790\u62c5\u5f53\u8005Noburo Shirahashi\u6c0f\u304c\u30ce\u30d0\u30eb\u30c6\u30a3\u30b9\u793e\u793e\u54e1\u3067\u3042\u308b\u3053\u3068\u3092\u8a18\u3057\u3066\u304a\u3089\u305a\u5927\u962a\u5e02\u7acb\u5927\u5b66\u3068\u306e\u95a2\u9023\u3060\u3051\u304c\u8a18\u8f09\u3055\u308c\u3001\u305d\u3057\u3066\u5927\u962a\u5e02\u7acb\u5927\u5b66\u306fNovartis\u793e\u304b\u3089100\u4e07\u30c9\u30eb\u4ee5\u4e0a\u306e\u5bc4\u4ed8\u3092\u53d7\u3051\u3066\u3044\u3066\u3044\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<br \/>\n\uff08<a href=\"http:\/\/www.pharmalive.com\/novartis-probes-japanese-scandal-over-diovan-research\">ractions?! Conflicts?! 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style=\"color:#FF0000;\">COI\u306b\u95a2\u3059\u308b\u3044\u304f\u3064\u304b\u306e\u5b9a\u7fa9<\/span>\uff1a<br \/>\n\u7c73\u56fd\u533b\u5b66\u7814\u7a76\u6240\uff08Institute of Medicine\uff09\u306e \u300e\u533b\u5b66\u7814\u7a76\u3001\u6559\u80b2\u3001\u8a3a\u7642\u306b\u304a\u3051\u308b\u5229\u76ca\u76f8\u53cd\uff08Conflict of Interest in Medical Research, Education, and Practice\uff09\u300f \u306b\u95a2\u3059\u308b2009\u5e74\u5831\u544a\u66f8\u3067\u306f\u3001COI\u3092 <b>\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>\u3068\u5b9a\u7fa9\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p>\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u7d44\u7e54(*)\u306eCOI\u65b9\u91dd\u306b\u95a2\u3059\u308b\u6700\u8fd1\u306e\u5305\u62ec\u7684\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u3001COI\u3068\u306f <b>\u300c\u72ec\u7acb\u3057\u305f\u7b2c\u4e09\u8005\u304b\u3089\u898b\u3066\u3001\u5c02\u9580\u5bb6\u3068\u3057\u3066\u306e\u500b\u4eba\u306e\u884c\u52d5\u3084\u6c7a\u65ad\u304c\u91d1\u92ad\u9762\u3084\u5b66\u8853\u9762\u3067\u306e\u6607\u9032\u3001\u8a3a\u7642\u4e0a\u306e\u53ce\u5165\u6e90\u3001\u3042\u308b\u3044\u306f\u793e\u4f1a\u7684\u7acb\u5834\u306a\u3069\u306e\u500b\u4eba\u7684\u5229\u76ca\u306b\u3088\u308a\u52d5\u6a5f\u4ed8\u3051\u3089\u308c\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u5408\u7406\u7684\u306b\u7591\u308f\u308c\u308b\u3088\u3046\u306a\u3001\u500b\u4eba\u306e\u79c1\u7684\u5229\u5bb3\u3068\u8077\u52d9\u306e\u9593\u306e\u76f8\u9055\u300d \u306a\u3089\u3073\u306b\u3001\u300c\u5148\u5165\u89b3\u3092\u6301\u305f\u305a\u3057\u3066\u79d1\u5b66\u7684\u7591\u554f\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3059\u308b\u500b\u4eba\u306e\u80fd\u529b\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3046\u308b\u91d1\u92ad\u7684\u307e\u305f\u306f\u77e5\u7684\u95a2\u4fc2\u300d<\/b> \u3067\u3042\u308b\u3068\u6355\u6349\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\uff08Sch\u00fcnemann\u3089 2009\uff09\u3002<\/p>\n<p><\/p>\n<p>CPG\u56fa\u6709\u306e<b>\u77e5\u7684COI<\/b>\u306b\u95a2\u3057\u3066\u306f\u3001<br \/>\n<b>\u300c\u3042\u308b\u7279\u5b9a\u306e\u63a8\u5968\u306b\u95a2\u3059\u308b\u500b\u4eba\u306e\u5224\u65ad\u306b\u4e0d\u5f53\u306b\u5f71\u97ff\u3059\u308b\u3088\u3046\u306a\u3001\u3042\u308b\u7279\u5b9a\u306e\u898b\u89e3\u3078\u306e\u56fa\u57f7\u3092\u751f\u3058\u3055\u305b\u3046\u308b\u5b66\u8853\u7684\u6d3b\u52d5\u300d<\/b> \u3068\u5b9a\u7fa9\u3057\u3066\u3044\u307e\u3059\uff08Guyatt\u3089 2010\uff09\u3002<\/p>\n<p><\/p>\n<p>*:\u7c73\u56fd\u5fc3\u81d3\u5354\u4f1a\uff08American Heart Association\uff09\u3001\u7c73\u56fd\u80f8\u90e8\u75be\u60a3\u5b66\u4f1a\uff08American Thoracic Society\uff09\u3001\u7c73\u56fd\u80f8\u90e8\u5c02\u9580\u533b\u5b66\u4f1a\uff08American College of Chest Physicians\uff09\u3001\u7c73\u56fd\u5185\u79d1\u5b66\u4f1a\uff08American College of Physicians\uff09\u3001\u4e16\u754c\u4fdd\u5065\u6a5f\u95a2\uff08World Health Organization\uff09\u3092\u542b\u3080\u5168\u3066\u306eCPG\u4f5c\u6210\u6a5f\u95a2\u306b\u3088\u308b\u91d1\u92ad\u7684\u3001\u77e5\u7684\u5229\u76ca\u76f8\u53cd\u3092\u7db2\u7f85\u3057\u305fCOI\u65b9\u91dd\u306e\u7b56\u5b9a\u304c\u6025\u901f\u5c55\u958b\u3057\u3066\u304a\u308a\uff08Guyatt\u3089 2010\u3001Sch\u00fcnemann\u3089 2009\uff09\u3001\u4f5c\u6210\u3055\u308c\u305f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066COI\u306e\u7ba1\u7406\u3084\u958b\u793a\u5185\u5bb9\u3092\u77e5\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p>\u25a0<span style=\"color:#FF0000;\">\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3051\u308bCOI\u306e\u7ba1\u7406\u5831\u544a\u306e\u5b9f\u614b<\/span>\uff1a<br \/>\nCOI\u304c\u533b\u7642\u4e0a\u306e\u610f\u601d\u6c7a\u5b9a\u8005\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3046\u308b\u3068\u3044\u3046\u6982\u5ff5\u306f\u5e83\u304f\u8a8d\u8b58\u3055\u308c\u3066\u3044\u308b\u3082\u306e\u306e\u3001\u5c02\u9580\u5b66\u4f1a\u306b\u3088\u308a\u57f7\u7b46\u3055\u308c\u305f431\u4ef6\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u8a55\u4fa1\u306b\u304a\u3044\u3066\u3001\u305d\u306e67%\u304c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u30d1\u30cd\u30eb\u30e1\u30f3\u30d0\u30fc\u306b\u95a2\u3059\u308b\u60c5\u5831\u3092\u958b\u793a\u3057\u3066\u304a\u3089\u305a\u3001COI\u306e\u57fa\u672c\u7684\u8a55\u4fa1\u3055\u3048\u5b9f\u884c\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\uff08Grilli\u3089 2000\uff09\u3002\u307e\u305f\u3001\u7c73\u56fd\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u60c5\u5831\u30bb\u30f3\u30bf\u30fc\uff08National Guideline Clearinghouse\uff09\u306e200\u4ef6\u3092\u8d85\u3048\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u8abf\u67fb\u3067\u306f\u3001\u305d\u306e\u534a\u6570\u4ee5\u4e0a\u3067\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u91d1\u92ad\u7684\u30b9\u30dd\u30f3\u30b5\u30fc\u3084\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u8457\u8005\u306e\u91d1\u92ad\u7684\u5229\u76ca\u76f8\u53cd\u306b\u95a2\u3059\u308b\u60c5\u5831\u304c\u542b\u307e\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u3066\u304a\u308a\uff08Taylor 2005\uff09\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306b\u643a\u308f\u308b\u6709\u529b\u533b\u5e2b\u306e60%\u306f\u4f01\u696d\u304b\u3089\u4f55\u3089\u304b\u306e\u7814\u7a76\u8cc7\u91d1\u4f9b\u51fa\u3092\u53d7\u3051\u3066\u3044\u305f\u3068\u3044\u3046\u5831\u544a\uff08Choudhry 2002\uff09\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p>\u4ee5\u4e0a\u304b\u3089\u3001\u900f\u660e\u6027\u306e\u9ad8\u3044\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u4f5c\u6210\u3059\u308b\u7d44\u7e54\u306fCOI\u306e\u7ba1\u7406\u3068\u5831\u544a\u3092\u6539\u5584\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u6ce81\uff1a<b>\u30b5\u30f3\u30b7\u30e3\u30a4\u30f3\u6761\u9805<\/b>\uff1a\u30002010\u5e743\u6708\u306b\u7c73\u56fd\u533b\u7642\u4fdd\u967a\u6539\u9769\u306e\u4e00\u74b0\u3068\u3057\u3066\u6210\u7acb\u3057\u305f\u6cd5\u5f8b\u3067\u3001\u88fd\u85ac\u30fb\u533b\u7642\u6a5f\u5668\u95a2\u9023\u306e\u4f01\u696d\u306b\u3001\u533b\u5e2b\u30fb\u533b\u7642\u6a5f\u95a2\u306a\u3069\u3078\u306e\u3059\u3079\u3066\u306e\u652f\u6255\u3044\u306e\u958b\u793a\u3092\u7fa9\u52d9\u4ed8\u3051\u3001\u305d\u306e\u5185\u5bb9\u30922013\u5e74\u5ea6\u304b\u3089\u30a6\u30a8\u30d6\u30b5\u30a4\u30c8\u4e0a\u3067\u516c\u958b\u3059\u308b\u3068\u3044\u3046\u3082\u306e\u3002<br \/>\n\u3053\u308c\u3092\u53d7\u3051\u3066\u65e5\u672c\u3067\u306f\u65e5\u672c\u88fd\u85ac\u5de5\u696d\u5354\u4f1a\u306f\u3001<a href=\"http:\/\/www.jpma.or.jp\/media\/release\/pdf\/tomeisei_gl.pdf\">\u4f01\u696d\u6d3b\u52d5\u3068\u533b\u7642\u6a5f\u95a2\u7b49\u306e\u95a2\u4fc2\u306e\u900f\u660e\u6027\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a>\u3092\u7b56\u5b9a\uff082011\u5e741\u6708\uff09\u3057\u307e\u3057\u305f\u304c\u3001\u65e5\u672c\u533b\u5e2b\u4f1a\u306a\u3069\u306e\u731b\u53cd\u767a\u3082\u3042\u3063\u30661\u5e74\u5148\u9001\u308a\u3068\u306a\u308a\u307e\u3057\u305f\uff082013\u5e743\u6708\uff09\u3002<\/p>\n<p>\u3061\u306a\u307f\u306b\u3001\u30ce\u30d0\u30eb\u30c6\u30a3\u30b9 \u30d5\u30a1\u30fc\u30de\u682a\u5f0f\u4f1a\u793e\u306f<a href=\"http:\/\/www.novartis.co.jp\/about\/pdf\/transparency_m_2013.pdf\">\u533b\u7642\u6a5f\u95a2\u7b49\u3068\u306e\u95a2\u4fc2\u306b\u304a\u3051\u308b<br \/>\n\u900f\u660e\u6027\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a>\u3092\u516c\u958b\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u30c7\u30a3\u30aa\u30d0\u30f3\u8ad6\u6587\u64a4\u56de\u306b\u95a2\u3057\u3066\u306f\u3001\u300c\u533b\u5e2b\u4e3b\u5c0e\u7814\u7a76\u3067\u3042\u308a\u3001\u4f1a\u793e\u3088\u308a\u4e3b\u5c0e\u533b\u5e2b\u3078\u306e\u8cc7\u91d1\u63d0\u4f9b\u306f\u306a\u3044\u300d\u3068\u30b3\u30e1\u30f3\u30c8\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Diovan\u81e8\u5e8a\u8a66\u9a13\u306b\u95a2\u3057\u3066\u3001\u4eca\u5ea6\u306fJikei Heart Study\u306eLancet\u8ad6\u6587\u3067\u306eCOI\u5831\u544a\u4e0d\u5099\u304c\u767a\u899a\u3057\u307e\u3057\u305f\u3002Lancet\u8ad6\u6587\u306b\u304a\u3051\u308b\u89e3\u6790\u62c5\u5f53\u8005Noburo Shirahashi\u6c0f\u304c\u30ce\u30d0\u30eb\u30c6\u30a3\u30b9\u793e\u793e\u54e1\u3067\u3042\u308b\u3053 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[68],"tags":[376],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/273"}],"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=273"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/273\/revisions"}],"predecessor-version":[{"id":409,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/273\/revisions\/409"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=273"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}