{"id":351,"date":"2014-04-14T14:23:22","date_gmt":"2014-04-14T05:23:22","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=351"},"modified":"2014-04-16T15:31:54","modified_gmt":"2014-04-16T06:31:54","slug":"grade%e5%88%a9%e7%94%a8%e3%81%ae%e5%9b%bd%e5%86%85%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%ef%bc%88%e6%ad%af%e7%a7%91%ef%bc%89","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=351","title":{"rendered":"GRADE\u5229\u7528\u306e\u56fd\u5185\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff08\u6b6f\u79d1\uff09"},"content":{"rendered":"<div>\n<p>Minds\u304c\u3001.\u300e\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u300f\u306e\u533b\u7642\u63d0\u4f9b\u8005\u5411\u3051\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u516c\u958b\u3057\u307e\u3057\u305f\u3002\uff082014\/03\/25\uff09<br \/>\n\u25c7\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4<br \/>\n<a href=\"http:\/\/minds.jcqhc.or.jp\/n\/med\/4\/med0174\/G0000641\">\u9589\u585e\u6027\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306b\u5bfe\u3059\u308b \u53e3\u8154\u5185\u88c5\u7f6e\u306b\u95a2\u3059\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a><br \/>\n\u3010\u4f5c\u6210\u3011 \u65e5\u672c\u7761\u7720\u6b6f\u79d1\u5b66\u4f1a \u3001\u65e5\u672c\u7761\u7720\u6b6f\u79d1\u5b66\u4f1a \u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u59d4\u54e1\u4f1a<\/p>\n<p><\/p>\n<p>\u3053\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u7279\u5fb4\u306f\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u3092\u63a1\u7528\u3057\u3066\u3044\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>GRADE Working group\u30e1\u30f3\u30d0\u30fc\u3068\u3057\u3066\u3001\u3053\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u8a55\u4fa1\u3059\u308b\u3068\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7591\u554f\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><b>\u25cf1<\/b>&nbsp;\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306eAHI\u5024\u3067\u307f\u308b\u304b\u304e\u308a\u3001\u8907\u6570\u306e\u7814\u7a76\u306b\u304a\u3044\u3066\u3001\u5747\u8cea\u306a\u96c6\u56e3\u3068\u306f\u601d\u3048\u306a\u3044\u306e\u3067\u3001Fixed effect model\u3092\u5229\u7528\u3059\u308b\u306e\u306f\u554f\u984c\u304c\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002<br \/>\n\uff08\u4f8b\u3001Aarab 2011\u7814\u7a76\u3067\u306fAHI 22\uff08\u53e3\u8154\u5185\u88c5\u7f6e\uff09 vs 20\uff08\u5bfe\u7167\uff09\u3001Petri2008\u306eAHI 39\u306833\u3068\u6bd4\u8f03\u3057\u30662\u500d\u8fd1\u3044\u5024\u3067\u3042\u308a\u3001\u540c\u3058\u3088\u3046\u306b\u5bfeCPAP\u6bd4\u8f03\u306b\u304a\u3044\u3066\u3082\u540c\u3058\u3088\u3046\u306a\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u5dee\u304c\u7814\u7a76\u9593\u3067\u307f\u3089\u308c\u308b\u3002\u201c\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3078\u306e\u5f71\u97ff\u306fAHI 30\u3092\u5883\u306b\u3057\u3066\u7570\u306a\u308b\u201d\u65e8\u306e\u8a18\u8ff0\u3092\u3057\u3066\u3044\u306a\u304c\u3089\u306e\u4e00\u9023\u306e\u7d71\u5408\u89e3\u6790\u306b\u306f\u3084\u3084\u7121\u7406\u304c\u3042\u308b\u3068\u601d\u3046\uff09<\/p>\n<p><\/p>\n<p>\u3082\u3063\u3068\u3082\u3001Random effect\u3067\u3082\u5927\u304d\u306a\u5dee\u306f\u306a\u3044\u3088\u3046\u3067\u3059\u304c\u3001\u4ee5\u4e0b\u306f\u672c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u30c7\u30fc\u30bf\u3092\u4f7f\u3063\u305f AHI\u306b\u3064\u3044\u3066\u306e,\u30e9\u30f3\u30c0\u30e0\u52b9\u679c\u30e2\u30c7\u30eb\u306b\u304a\u3051\u308bSMD\u3067\u3059\uff08\u79c1\u304c\u4f5c\u6210\uff09\u3002<\/p>\n<p><a href=\"http:\/\/aihara.la.coocan.jp\/ahi_smd.php\" onclick=\"window.open('http:\/\/aihara.la.coocan.jp\/ahi_smd.php','popup','width=915,height=264,scrollbars=no,resizable=no,toolbar=no,directories=no,location=no,menubar=no,status=no,left=0,top=0'); return false\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/ahi_smd-thumb.jpg\" width=\"600\" height=\"173\" alt=\"ahi\" \/><\/a><br \/>\n<br clear=\"all\" \/><\/p>\n<p><b>\u25cf2<\/b>&nbsp;\u63d0\u793a\u3055\u308c\u3066\u3044\u308b Mean difference\u306e\u5927\u304d\u3055\u306e\u7a0b\u5ea6\u306b\u3064\u3044\u3066\u3001\u8457\u8005\u3089\u304c\u3069\u306e\u3088\u3046\u306a\u5224\u65ad\u57fa\u6e96\u3092\u4f7f\u3063\u305f\u306e\u304b\u3088\u304f\u7406\u89e3\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n<p>\u53e3\u8154\u5185\u88c5\u7f6e vs \u672a\u6cbb\u7642\uff1a\u3000AHI -7.05[-12.05\uff5e-2.03]\u306f\u3001\u81e8\u5e8a\u7684\u306b\u91cd\u8981\u306a\u5dee\u306a\u306e\u304b\u3002\u6700\u5c11\u3068\u3059\u308b\u3068AHI\uff12\uff08\u5bfeCPAP\u3067\uff13\u7a0b\u5ea6\uff09\u306e\u9055\u3044\u3067\u3059\u3002<br \/>\n\u4ed6\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u3064\u3044\u3066\u3082\u540c\u69d8\u306b\u3001MID\u306b\u3064\u3044\u3066\u30d1\u30cd\u30eb\u306f\u3069\u306e\u3088\u3046\u306b\u898f\u5b9a\u3057\u3066\u3044\u305f\u306e\u304b\u4e0d\u660e\u3067\u3059\u3002\n<\/p>\n<p><\/p>\n<p><b>\u25cf3<\/b>&nbsp;\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3051\u308b\u8a18\u8f09\u5185\u5bb9\u3068\u8a18\u8f09\u9806\u306f\u4ee5\u4e0b\u3067\u3059\u3002<br \/>\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>\n\u7b2c4\u7ae0\uff5e\uff5e<br \/>\n\uff11\uff0e\u8ad6\u6587\u9078\u629e\u306e\u7d50\u679c<br \/>\n\uff12\uff0e\u9078\u629e\u8ad6\u6587\u306e\u8a55\u4fa1\u30fb\u7d50\u679c\u306e\u307e\u3068\u3081\uff1a<br \/>\u3000<br \/>\n&nbsp;&nbsp;&nbsp;&nbsp;SR\u306b\u304a\u3051\u308bbody of evidence\u306eSoF\u3068Evidence profile<br \/>\n\uff13\uff0e\u5bb3\u306b\u3064\u3044\u3066<br \/>\n\uff14\uff0e\u533b\u7642\u8cc7\u6e90\uff08\u30b3\u30b9\u30c8\uff09\u306b\u3064\u3044\u3066<br \/>\n\uff15\uff0e\u4fa1\u5024\u89b3\u3068\u597d\u307f\u306b\u3064\u3044\u3066<br \/>\n\u7b2c5\u7ae0\uff1a\u672cCQ\u306b\u3064\u3044\u3066\u306e\u300c\u63a8\u5968\u306e\u5f37\u3055\u3068\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u300d\u3068\u3001\u30d1\u30cd\u30eb\u306e\u6295\u7968\u7d50\u679c\u304c\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br \/>\n<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p><\/p>\n<p>\u3055\u3066\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u3063\u3066\u300c\u30a8\u30d3\u30c7\u30f3\u30b9\u304b\u3089\u63a8\u5968\u300d\u3092\u6c7a\u5b9a\u3059\u308b\u969b\u306b\u306f\u3001GRADE\u6559\u79d1\u66f8\u306b\u3082\u8a18\u8f09\u3057\u3066\u3044\u308b\u3088\u3046\u306b\u3001\uff14\u3064\u306e\u5224\u65ad\u57fa\u6e96\u3092\u660e\u8a18\u3057\u306a\u3044\u3068\u3044\u3051\u307e\u305b\u3093\u3002<\/p>\n<p><\/p>\n<p><b><br \/>\n(1)\u91cd\u5927\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u5168\u822c\u306b\u95a2\u3059\u308b\u5168\u4f53\u7684\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea<br \/>\n(2)\u671b\u307e\u3057\u3044\u52b9\u679c\u3068\u671b\u307e\u3057\u304f\u306a\u3044\u52b9\u679c\u306e\u30d0\u30e9\u30f3\u30b9<br \/>\n(3)\u4fa1\u5024\u89b3\u3084\u597d\u307f<br \/>\n(4)\u30b3\u30b9\u30c8\u3084\u8cc7\u6e90\u306e\u5229\u7528<\/b><\/p>\n<p><\/p>\n<p>\u30fb\u30fb\u30fb\u3000\u3067\u306f\u672c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066\u3001\u3053\u308c\u3089\u304c\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3092\u307f\u308b\u3068\u3001\u5224\u65ad\u57fa\u6e96\u306e(1)\u3068(2)\u306f\u5341\u5206\u306a\u8a18\u8f09\u304c\u306a\u304f\u3001\u30d1\u30cd\u30eb\u304c\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u300c\u63a8\u5968\uff08\u672c\u4f8b\u3067\u306fGRADE1\uff09\u300d\u3092\u6c7a\u5b9a\u3057\u305f\u306e\u304b\u7406\u89e3\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n<p><\/p>\n<p>\u3053\u306e\u70b9\u306b\u3064\u3044\u3066\u306f\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u306b\u304a\u3044\u3066\u300c\u5f37\u3044\u63a8\u5968\u300d\u306e\u610f\u5473\u306f\u3001\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u304b\u3092\u3001GRADE\u6559\u79d1\u66f8\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u5185\u5bb9\u3092\u78ba\u8a8d\u3057\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u3002<\/p>\n<p><\/p>\n<p>\u4f8b\uff1a\u300c\uff08\u60a3\u8005\u306b\u3068\u3063\u3066\uff09\u305d\u306e\u72b6\u6cc1\u4e0b\u306b\u3042\u308b\u307b\u307c\u5168\u54e1\u304c\u3001\u63a8\u5968\u3055\u308c\u305f\u884c\u52d5\u3092\u5e0c\u671b\u3057\u3001\u5e0c\u671b\u3057\u306a\u3044\u4eba\u304c\u3054\u304f\u308f\u305a\u304b\u3067\u3042\u308b\u3002\u300d<\/p>\n<p><\/p>\n<p>\u6700\u7d42\u7684\u306a\u3001\u672c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3051\u308b\u201d\u63a8\u5968\u201d\u306e\u6587\u66f8\u306f\u3001<br \/>\n\u300c\u53e3\u8154\u5185\u88c5\u7f6e\u306e\u4f7f\u7528\u3092\u9589\u585e\u6027\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306b\u63a8\u5968\u3059\u308b\u3002\u305f\u3060\u3057\u3001\u7d4c\u9f3b\u7684\u6301\u7d9a\u967d\u5727\u547c\u5438\u4e21\u65b9\uff08CPAP)\u304c\u9069\u5fdc\u3068\u306a\u308b\u75c7\u4f8b\u306b\u95a2\u3057\u3066\u306f\u3001CPAP\u3092\u9069\u5fdc\u3057\u3001CPAP\u3092\u4f7f\u7528\u3067\u304d\u306a\u3044\u5834\u5408\u3001\u53e3\u8154\u5185\u88c5\u7f6e\u306e\u4f7f\u7528\u304c\u671b\u307e\u3057\u3044\u300d<\/p>\n<p><\/p>\n<p>\u30fb\u30fb\u30fb\u3053\u308c\u306f\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u3067\u306f\u3001\u201c\u6761\u4ef6\u4ed8\u304d\u306e\u63a8\u5968\u201c\uff08conditional recommendation= weak rec.)\u306b\u76f8\u5f53\u3059\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u5b9f\u969b\u3001\u5bfe\u5bfe\u7167\u3001\u5bfeCPAP\u306e\u3001Forrest plot\u30c7\u30fc\u30bf\u3068\u3082\u4e00\u81f4\u3059\u308b\u5185\u5bb9\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p><b>\u25cf4<\/b>&nbsp;\u3055\u3089\u306b\u672c\u63a8\u5968\u6587\u7ae0\u5185\u5bb9\u306b\u95a2\u3057\u3066\u3001\u306a\u305c\u63a8\u5968\u306b\u3064\u306a\u304c\u308b\u300c\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3092moderate\uff08\u4e2d\uff09\u300d\u3068\u6700\u7d42\u7684\u306b\u6c7a\u5b9a\u3057\u305f\u306e\u304b\u304c\u3001\u3088\u304f\u308f\u304b\u308a\u307e\u305b\u3093\u3002\u8457\u8005\u3089\u304c\u63d0\u793a\u3057\u3066\u3044\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306e\u30c7\u30fc\u30bf\u306f\u3001\u3059\u3079\u3066SR\u306e\u305d\u308c\u306b\u3059\u304e\u307e\u305b\u3093\u3002\u308f\u304b\u308b\u4eba\u306f\u308f\u304b\u308b\u3067\u3057\u3087\u3001\u3068\u8a00\u308f\u308c\u308c\u3070\u30fb\u30fb\u30fb\u308f\u304b\u308a\u307e\u3059\u3002(^^)<\/p>\n<p><\/p>\n<p><b>\u25cf5<\/b>&nbsp;\u7d30\u304b\u306a\u70b9\u3067\u3059\u304c\u3001<br \/>\n(1)\u30b5\u30f3\u30d7\u30eb\u30b5\u30a4\u30ba\u3068\u3057\u3066\u3001\u201cimprecision\u306a\u3057\u201c\u3068\u3044\u3046\u5224\u5b9a\u306f\u3088\u3044\u306e\u3060\u308d\u3046\u304b\u3002<br \/>\n(2)\u305d\u306e\u4ed6\u3001\u7565<\/p>\n<p><\/p>\n<p><b>\u6700\u5f8c\u306b<\/b><br \/>\n\u305b\u3063\u304b\u304fGRADE\u3092\u63a1\u7528\u3057\u305f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306a\u306e\u3067\u3001\u3042\u3048\u3066\u53b3\u3057\u3044\u8a55\u4fa1\u3092\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u304c\u3001\u6b6f\u79d1\u306b\u304a\u3051\u308b\u7a4d\u6975\u7684\u306aGRADE\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u3092\u3001\u533b\u79d1\u3082\u898b\u7fd2\u3063\u305f\u307b\u3046\u304c\u3088\u3044\u3068\u601d\u3044\u307e\u3059\u3002<br \/>\n\u306a\u304a\u3001\u30c7\u30fc\u30bf\u306e\u89e3\u91c8\u306a\u3069\u79c1\u304c\u52d8\u9055\u3044\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u3082\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u305d\u306e\u969b\u306f\u3054\u5bb9\u8d66\u304f\u3060\u3055\u3044\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Minds\u304c\u3001.\u300e\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u300f\u306e\u533b\u7642\u63d0\u4f9b\u8005\u5411\u3051\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u516c\u958b\u3057\u307e\u3057\u305f\u3002\uff082014\/03\/25\uff09 \u25c7\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4 \u9589\u585e\u6027\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306b\u5bfe\u3059\u308b \u53e3\u8154\u5185\u88c5\u7f6e\u306b\u95a2\u3059\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3 \u3010\u4f5c\u6210\u3011 \u65e5\u672c\u7761 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