{"id":276,"date":"2013-05-21T17:07:21","date_gmt":"2013-05-21T08:07:21","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=276"},"modified":"2015-11-10T10:27:19","modified_gmt":"2015-11-10T01:27:19","slug":"iom%e5%9f%ba%e6%ba%96%e3%81%ab%e3%82%88%e3%82%8b%e8%a9%95%e4%be%a1%ef%bc%9a%e3%80%80%e5%96%98%e6%81%af%e4%ba%88%e9%98%b2%e3%83%bb%e7%ae%a1%e7%90%86%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=276","title":{"rendered":"IOM\u57fa\u6e96\u306b\u3088\u308b\u8a55\u4fa1\uff1a\u3000\u5598\u606f\u4e88\u9632\u30fb\u7ba1\u7406\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32012"},"content":{"rendered":"<p>IOM\u306e\u201d\u4fe1\u983c\u3067\u304d\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u305f\u3081\u306e\u57fa\u6e96\u201d\u3092\u4f7f\u3063\u3066\u3001\u56fd\u5185\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4f5c\u6210\u624b\u6cd5\u3092\u500b\u4eba\u7684\u306b\u8a55\u4fa1\u3057\u3066\u307f\u307e\u3059\u3002<\/p>\n<p>\n<b>\u25a0\u5bfe\u8c61\uff1a<\/b><b>\u5598\u606f\u4e88\u9632\u30fb\u7ba1\u7406\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32012\uff08\u65e5\u672c\u30a2\u30ec\u30eb\u30ae\u30fc\u5b66\u4f1a<\/b>\uff08\u5598\u606f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5c02\u9580\u90e8\u4f1a\uff09<\/p>\n<p><b>\u25a0\u65b9\u6cd5\uff1a<\/b><a href=\"http:\/\/www.grade-jpn.com\/iom\/Clinical_Practice_Guidelines_We_Can_Trust-j.html\">IOM\u306e\u4fe1\u983c\u3067\u304d\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u305f\u3081\u306e\u57fa\u6e96<\/a>\u3092\u4f7f\u3063\u3066\u3001\uff18\u3064\u306e\u57fa\u6e96\u3092\u8a55\u4fa1\u3057\u3001\u305d\u306e\u7d50\u679c\u3092\u3001\u9069\u5207\u3001\u4e0d\u9069\u5207\u3001\u4e0d\u660e\u306e3\u6bb5\u968e\u3067\u63d0\u793a\u3059\u308b\u3002<\/p>\n<p><b>\u25a0\u7d50\u679c\uff1a<\/b><\/p>\n<p>(1)\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8a55\u4fa1\u306f\u300c\u672c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u5598\u606f\u6cbb\u7642\u30fb\u7ba1\u7406\u306b\u95a2\u3059\u308b\u52e7\u544a\u306e\u4fe1\u6191\u6027\u3092\u793a\u3059\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\u3092\u9069\u5b9c\u3001\u6587\u732e\u756a\u53f7\u306e\u5f8c\u306b\u8a18\u8f09\u3057\u305f\u300d\u3068\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3002(<a href=\"http:\/\/www.grade-jpn.com\/jp_grade\/asthma_cpg_2012.pdf\">GINA\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u6e96\u3058\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u5206\u985e<\/a>\uff09<br \/>\n(2)IOM\u57fa\u6e96\u3092\u4f7f\u3063\u305f\u8a55\u4fa1\uff1a<\/p>\n<p><\/p>\n<table summary=\"asthma\" border=\"1\" style=\"border-collapse:collapse;border:none;width:600px;\">\n<tr>\n<td style=\"border:1px solid #000000;background:#bbdddd;\" width=\"50%\"><b>IOM\u306e\uff18\u57fa\u6e96<\/b><\/td>\n<td style=\"border:1px solid #000000;background:#bbdddd;\" width=\"6%\"><b>\u8a55\u4fa1<\/b><\/td>\n<td style=\"border:1px solid #000000;background:#bbdddd;\" width=\"44%\"><b>\u30b3\u30e1\u30f3\u30c8<\/b><\/td>\n<\/tr>\n<tr>\n<tr>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u57fa\u6e961\uff1a\u900f\u660e\u6027\u306e\u78ba\u4fdd<\/td>\n<td style=\"border:1px solid #000000; valign:top; background:#00ff00\"><\/td>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b<\/td>\n<\/tr>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u57fa\u6e962\uff1aCOI\u306e\u7ba1\u7406<\/td>\n<td style=\"border:1px solid #000000; valign:top; background:#00ff00\"><\/td>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b<\/td>\n<\/tr>\n<tr>\n<tr>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u57fa\u6e963\uff1aCPG\u4f5c\u6210\u30b0\u30eb\u30fc\u30d7\u306e\u69cb\u6210<\/td>\n<td style=\"border:1px solid #000000; valign:top; background:#00ff00\"><\/td>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b<\/td>\n<\/tr>\n<\/tr>\n<tr>\n<tr>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u57fa\u6e964\uff1aCPG\u3068SR\u306e\u9023\u4fc2<\/td>\n<td style=\"border:1px solid #000000; valign:top; background:#ff0000\"><\/td>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\"><span style=\"color:#ff0000;\">SR\u3092\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u57fa\u6e965\uff1a\u63a8\u5968\u306b\u5411\u3051\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u57fa\u76e4\u4f5c\u308a\u306a\u3089\u3073\u306b\u63a8\u5968\u306e\u5f37\u3055\u306e\u8a55\u4fa1<\/td>\n<td style=\"border:1px solid #000000; valign:top; background:#ff0000\"><\/td>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\"><span style=\"color:#ff0000;\">\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u5206\u985e\u306f\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u306b\u3088\u308b\u500b\u5225\u7814\u7a76\u306e\u8a55\u4fa1\u3067\u3001\u63a8\u5968\u3068\u306e\u95a2\u9023\u306f\u660e\u78ba\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u306a\u3044<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u57fa\u6e966\uff1a\u63a8\u5968\u306e\u8868\u8a18<\/td>\n<td style=\"border:1px solid #000000; valign:top; background:#ff0000\"><\/td>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\"><span style=\"color:#ff0000;\">\u63a8\u5968\u306e\u5f37\u3055\u306f\u660e\u78ba\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u306a\u3044<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u57fa\u6e967\uff1a\u5916\u90e8\u30ec\u30d3\u30e5\u30fc<\/td>\n<td style=\"border:1px solid #000000; valign:top; background:#ff0000\"><\/td>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\"><span style=\"color:#ff0000;\">\u8a18\u8f09\u3055\u308c\u3066\u3044\u306a\u3044\u3088\u3046\u3060<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u57fa\u6e968\uff1a\u66f4\u65b0<\/td>\n<td style=\"border:1px solid #000000; valign:top; background:#00ff00\"><\/td>\n<td style=\"border:1px solid #000000; valign:top; padding:5px; background:#ffffff;\">\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b<\/td>\n<\/tr>\n<\/table>\n<p><\/p>\n<p><span style=\"font-size:10px;\">COI: conflict of interest, CPG: clinical practice guideline, SR: systematic review<br \/>\n\u8a55\u4fa1\uff1a&nbsp;<img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/gr_0518-thumb.jpg\" width=\"20\" height=\"19\" alt=\"gr\" \/>\u9069\u5207\uff1b&nbsp;<img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/yl_0518-thumb.jpg\" width=\"20\" height=\"20\" alt=\"yr\" \/>\u4e0d\u660e\uff1b&nbsp;<img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/rd_0518-thumb.jpg\" width=\"20\" height=\"19\" alt=\"rd\" \/>\u4e0d\u9069\u5207<br \/>\n\u672c\u8a55\u4fa1\u306f\u500b\u4eba\u7684\u306a\u5224\u65ad\u3067\u3042\u308a\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u8a18\u8f09\u5185\u5bb9\u306a\u3069\u3092\u6279\u5224\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p><\/p>\n<p><b>\u25a0\u7d50\u8ad6\uff1a<\/b><br \/>\n\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u57fa\u6e96\u306e\u6839\u5e79\u3067\u3042\u308bIOM\u57fa\u6e96 4, 5, 6\u304c\u4e0d\u9069\u5207\u3067\u3042\u308b\u3068\u5224\u65ad\u3067\u304d\u307e\u3059\u3002<br \/>\n\u672cCPG\u306e\u5c02\u9580\u90e8\u4f1a\u4f1a\u9577\u3067\u3042\u308b\u5927\u7530\u5065\u5148\u751f\uff08\u56fd\u7acb\u75c5\u9662\u6a5f\u69cb\u6771\u4eac\u75c5\u9662\uff09\u306f\u3001\u6b21\u306e\uff12\u3064\u306e\u6d77\u5916CPG\u306e\u5171\u540c\u8457\u8005\u3067\u3059\u304c\u3001<br \/>\n<a href=\"http:\/\/www.jacionline.org\/article\/S0091-6749(10)01057-2\/fulltext#sec3\">Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 Revision<\/a>\u3067\u63a1\u7528\u3055\u308c\u305f\u6a19\u6e96GRADE\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u4f7f\u308f\u305a\u3001Global Initiative for Asthma (GINA)\u306e<a href=\"http:\/\/www.ginasthma.org\/local\/uploads\/files\/GINA_Report_2010_1.pdf\"> Global Strategy for Asthma Management and Prevention updated 2010<\/a>\u306e\u624b\u6cd5\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u5206\u985e\u306fGRADE\u6539\u5909\u3001\u63a8\u5968\u306e\u5f37\u3055\u306f\u63d0\u793a\u306a\u3057\uff09\u3092\u63a1\u7528\u3057\u305f\u3088\u3046\u3067\u3059\u3002<\/p>\n<p>\u6539\u5909GRADE\u306b\u3088\u308bGINA\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u53c2\u8003\u306b\u3057\u3066\u3044\u308b\u300c\u5598\u606f\u4e88\u9632\u30fb\u7ba1\u7406\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32012\u300d\u306b\u306fGRADE\u306e\u8a18\u8f09\u306f\u306a\u304b\u3063\u305f\u306e\u3067\u3001<a href=\"http:\/\/www.grade-jpn.com\/jp_grade\/japanese_grade_cpg.html\"><b>GRADE\u3092\u5229\u7528\u3057\u305f\u56fd\u5185\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/b><\/a>\u3068\u3057\u3066\u306f\u8a55\u4fa1\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>IOM\u306e\u201d\u4fe1\u983c\u3067\u304d\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u305f\u3081\u306e\u57fa\u6e96\u201d\u3092\u4f7f\u3063\u3066\u3001\u56fd\u5185\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4f5c\u6210\u624b\u6cd5\u3092\u500b\u4eba\u7684\u306b\u8a55\u4fa1\u3057\u3066\u307f\u307e\u3059\u3002 \u25a0\u5bfe\u8c61\uff1a\u5598\u606f\u4e88\u9632\u30fb\u7ba1\u7406\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32012\uff08\u65e5\u672c\u30a2\u30ec\u30eb\u30ae\u30fc\u5b66\u4f1a\uff08\u5598\u606f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5c02\u9580\u90e8\u4f1a\uff09 \u25a0\u65b9 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[357,16],"tags":[381,380],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/276"}],"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=276"}],"version-history":[{"count":18,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/276\/revisions"}],"predecessor-version":[{"id":3244,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/276\/revisions\/3244"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=276"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=276"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=276"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}