{"id":4151,"date":"2016-07-25T09:29:02","date_gmt":"2016-07-25T00:29:02","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=4151"},"modified":"2016-07-25T17:31:57","modified_gmt":"2016-07-25T08:31:57","slug":"grade-cpg%e4%bd%9c%e6%88%90%e3%81%ae%e5%9f%ba%e6%9c%ac%ef%bc%8d1-3%ef%bc%9a%e5%9b%bd%e5%86%85%e3%81%ae%e4%bb%a3%e8%a1%a8%e7%9a%84%e3%81%aagrade-cpg","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=4151","title":{"rendered":"GRADE CPG\u4f5c\u6210\u306e\u57fa\u672c\uff0d1.3\uff1a\u56fd\u5185\u306e\u4ee3\u8868\u7684\u306aGRADE CPG"},"content":{"rendered":"

[GRADE-CPG\u89e3\u8aac\u8cc7\u6599-\u2462]<\/p>\n

\u73fe\u6642\u70b9\u3067\u3001\u304a\u305d\u3089\u304f\u6700\u3082\u4ee3\u8868\u7684\u306aGRADE\u3092\u4f7f\u3063\u305f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff08GRADE\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09\u306f\u3001\u6b6f\u79d1\u306e2\u4ef6\u3001\u533b\u79d1\u306e3\u4ef6\u3068\u601d\u3044\u307e\u3059\uff08\u4e0b\u8868\uff09\u3002
\nGRADE\u3092\u5229\u7528\u3057\u305f\u56fd\u5185\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/b><\/a><\/p>\n

\u305d\u308c\u305e\u308c\u306eGRADE\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u6bd4\u8f03\u3059\u308b\u3068\u3069\u306e\u3088\u3046\u306a\u9055\u3044\u304c\u3042\u308b\u306e\u304b\u3092\u793a\u3057\u305f\u3082\u306e\u304b\u3001\u4ee5\u4e0b\u306e\u8868\u3067\u3059\uff08\u79c1\u306e\u500b\u4eba\u7684\u306a\u5224\u65ad\u3067\u3059\uff09\u3002<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\u8a55\u4fa1\u9805\u76ee\u3068\u30b3\u30e1\u30f3\u30c8<\/b><\/td>\n\u984e\u95a2\u7bc0\u75c7\u60a3\u8005\u306e\u305f\u3081\u306e\u521d\u671f\u6cbb\u7642CPG<\/b><\/td>\n\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1CPG\uff08GRADE\u5229\u7528\u90e8\u5206\uff09<\/b><\/td>\n\u3046\u8755\u6cbb\u7642CPG\uff08GRADE\u5229\u7528\u90e8\u5206\uff09<\/b><\/td>\nJRC\u8607\u751fCPG_2015<\/b><\/td>\nARDS-CPG_2016<\/b><\/td>\n<\/tr>\n
\u51fa\u7248\u5e74<\/b><\/td>\n2010<\/td>\n2014<\/td>\n2015<\/td>\n2016<\/td>\n2016<\/td>\n<\/tr>\n
\u30e1\u30f3\u30d0\u30fc\u306eCOI\u958b\u793a\u3068\u7ba1\u7406<\/b><\/td>\nCPG\u5185\u306b\u306f\u8a18\u8f09\u306a\u3057<\/td>\nCPG\u5185\u306b\u306f\u8a18\u8f09\u306a\u3057<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n<\/tr>\n
\u30d8\u30eb\u30b9\u30b1\u30a2\u306e\u7591\u554f<\/b><\/td>\n\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8<\/td>\n\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8<\/td>\n\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8<\/td>\n\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u30fb\u8a3a\u65ad<\/td>\n\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8<\/td>\n<\/tr>\n
\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u8996\u70b9<\/b><\/td>\n\u60a3\u8005\u500b\u4eba<\/td>\n\u60a3\u8005\u500b\u4eba<\/td>\n\u60a3\u8005\u500b\u4eba<\/td>\n\u60a3\u8005\u500b\u4eba<\/td>\n\u60a3\u8005\u500b\u4eba<\/td>\n<\/tr>\n
\u8907\u6570\u306eCQ\u3068\u8907\u6570\u306e\u30a2\u30a6\u30c8\u30ab\u30e0<\/b><\/td>\n\uff11\u3064\u306eCQ<\/td>\n\u306f\u3044<\/td>\n\u306f\u3044<\/td>\n\u306f\u3044<\/td>\n\u306f\u3044<\/td>\n<\/tr>\n
\u5229\u76ca\u3068\u5bb3\u306b\u95a2\u3059\u308b\u63a1\u7528\u7814\u7a76<\/b><\/td>\nRCT\u3068\u89b3\u5bdf\u7814\u7a76<\/td>\nRCT\u3068\u89b3\u5bdf\u7814\u7a76<\/td>\nRCT\u3068\u89b3\u5bdf\u7814\u7a76<\/td>\nRCT\u3068\u89b3\u5bdf\u7814\u7a76<\/td>\nRCT\u306e\u307f<\/td>\n<\/tr>\n
\u5404\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306fbody of evidence\u304b<\/b><\/td>\n\u306f\u3044<\/td>\n\u306f\u3044<\/td>\n\u306f\u3044<\/td>\n\u306f\u3044<\/td>\n\u306f\u3044<\/td>\n<\/tr>\n
body of evidence\u306e\u78ba\u5b9f\u6027\u306e\u8a55\u4fa1\uff088\u30c9\u30e1\u30a4\u30f3\uff09<\/b><\/td>\nGRADE<\/td>\nGRADE<\/td>\nGRADE<\/td>\nGRADE<\/td>\nGRADE<\/td>\n<\/tr>\n
GRADE Evidence profile<\/b><\/td>\n\u3042\u308a<\/td>\n\u306a\u3057<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n<\/tr>\n
GRADE\u306e\uff18\u30c9\u30e1\u30a4\u30f3\u306e\u4f7f\u3044\u65b9\u306f\u9069\u5207\u304b<\/b><\/td>\n\u9069\u5207<\/td>\n\u4e0d\u660e<\/td>\n\u9069\u5207<\/td>\n\u4e00\u90e8\u4e0d\u9069\u5207<\/td>\n\u4e00\u90e8\u4e0d\u9069\u5207<\/td>\n<\/tr>\n
\u63a8\u5968\u306b\u306f\u91cd\u5927\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u307f\u3092\u63a1\u7528\u3057\u3066\u3044\u308b\u304b<\/b><\/td>\n\u4e00\u90e8\u4e0d\u9069\u5207<\/td>\n\u9069\u5207<\/td>\n\u9069\u5207<\/td>\n\u9069\u5207<\/td>\n\u4e00\u90e8\u4e0d\u9069\u5207<\/td>\n<\/tr>\n
\u63a8\u5968\u306e\u5f37\u3055\uff082\u7a2e\u985e\uff09<\/b><\/td>\nGRADE<\/td>\nGRADE<\/td>\nGRADE<\/td>\nGRADE<\/td>\nGRADE<\/td>\n<\/tr>\n
\u63a8\u5968\u306e\u305f\u3081\u306e\uff14\u57fa\u6e96<\/b><\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n<\/tr>\n
\u30a2\u30a6\u30c8\u30ab\u30e0\u5168\u822c\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u306eGRADE\u898f\u5247\u63a1\u7528<\/b><\/td>\n\u3042\u308a<\/td>\n\u4e0d\u660e<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n<\/tr>\n
GRADE\u306e\uff14\u57fa\u6e96\u306e\u4f7f\u3044\u65b9\u306f\u9069\u5207\u304b<\/b><\/td>\n\u9069\u5207<\/td>\n\u305f\u3076\u3093\u9069\u5207<\/td>\n\u9069\u5207<\/td>\n\u9069\u5207<\/td>\n\u4e00\u90e8\u4e0d\u9069\u5207<\/td>\n<\/tr>\n
Evidence to Decision table<\/b>
GRADEpro GDT<\/td>\n		\u306a\u3057<\/td>\n\u306a\u3057<\/td>\n\u306a\u3057<\/td>\n\u4e00\u90e8CQ\u306b\u3042\u308a<\/td>\n\u5168CQ\u306b\u3042\u308a<\/td>\n<\/tr>\n
\u30d5\u30ea\u30fc\u516c\u958b<\/b><\/td>\n\u3042\u308a<\/td>\n\u306a\u3057<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n\u3042\u308a<\/td>\n<\/tr>\n
\u30b3\u30e1\u30f3\u30c8<\/b>\uff08\u4ee5\u4e0b\u3092\u53c2\u7167\uff09<\/td>\n#1<\/td>\n#2<\/td>\n#3<\/td>\n#4<\/td>\n#5<\/td>\n<\/tr>\n<\/table>\n

<\/p>\n

\n

\uff03\u30b3\u30e1\u30f3\u30c8\uff1a<\/b><\/p>\n

    \n
  1. CPG\u306e\u305f\u3081\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3067\u53d6\u308a\u4e0a\u3052\u308b\u81e8\u5e8a\u7591\u554f\uff08CQ\uff09\u3092\u5b9a\u7fa9\u3057\u305fAnalytic framework\u3092\u4f5c\u6210\u3057\u305f\u5834\u5408\u3001CQ1\u4ef6\u306f\u5c11\u306a\u3059\u304e\u308b\u3068\u601d\u3046\u3002\u305f\u3060\u3057\u3001\u5f53\u6642\u306fCPG\u4f5c\u6210\u306bGRADE\u3092\u53d6\u308a\u3044\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u7b2c\u4e00\u76ee\u7684\u3060\u3063\u305f\u3068\u601d\u308f\u308c\u308b\u306e\u3067\u3001CQ\u306e\u6570\u304c\u5341\u5206\u3067\u306f\u306a\u3044\u3053\u3068\u306f\u3001\u672cCPG\u306e\u8cea\u3092\u4e0b\u3052\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3002<\/li>\n
  2. \u30a2\u30a6\u30c8\u30ab\u30e0\u3054\u3068\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u304c\u3069\u306e\u3088\u3046\u306b\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u30fb\u30b0\u30ec\u30fc\u30c9\u30a2\u30c3\u30d7\u306b\u306a\u3063\u3066\u3044\u308b\u306e\u304b\u304c\u308f\u304b\u3089\u306a\u3044\u3002\u30a8\u30d3\u30c7\u30f3\u30b9\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u304c\u306a\u3044\u305f\u3081\u3001\u307e\u3063\u305f\u304f\u5224\u65ad\u3067\u304d\u306a\u3044\u3002\u539a\u52b4\u7701\u306e\u79d1\u5b66\u7814\u7a76\u8cbb\u88dc\u52a9\u91d1\u306b\u3088\u3063\u3066\u4f5c\u6210\u3055\u308c\u305f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3042\u308b\u304c\u3001\u95b2\u89a7\u306f\u5b66\u4f1a\u54e1\u9650\u5b9a\u3067\u3042\u308b\u3002\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u6709\u52b9\u306b\u4f7f\u3063\u3066\u307b\u3057\u3044\u306a\u3089\u3070\u30d5\u30ea\u30fc\u3067\u516c\u958b\u3059\u3079\u304d\u3060\u308d\u3046\u3002<\/li>\n
  3. GRADE\u30b7\u30b9\u30c6\u30e0\u306b\u6975\u3081\u3066\u6e96\u62e0\u3057\u305fCPG\u3067\u3001\u5fc5\u8981\u6700\u5c0f\u9650\u306e\u60c5\u5831\u91cf\u304c\u8a18\u8f09\u3055\u308c\u3066\u308f\u304b\u308a\u3084\u3059\u3044\u3002\u7279\u306b\u3001CQ1\u306f\u3001GRADE\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u53d6\u308a\u4e0a\u3052\u305fWS\u3067\u5229\u7528\u3059\u308b\u306b\u306f\u3001\u6700\u9069\u4f8b\u3068\u601d\u3046\u3002\u305f\u3060\u3057\u3001GRADE\u3092\u5229\u7528\u3057\u305f\u63a8\u5968\u306fCQ3\u4ef6\uff081\uff5e3\uff09\u306e\u307f\u3067\u3001\u4ed6\u306eCQ\uff084\uff5e21\uff09\u306fMinds2007\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u3063\u305f\u3082\u306e\u3067\u3042\u308b\u3002\u6539\u8a02\u7248\u306b\u304a\u3044\u3066\u3001GRADE\u3067\u7d71\u4e00\u3068\u3044\u3046\u3053\u3068\u306a\u306e\u3060\u308d\u3046\u3002\u307e\u305f\u3001\u6b6f\u79d1\u9818\u57df\u3067\u306f\u3001\u6709\u5bb3\u30a4\u30d9\u30f3\u30c8\u3067\u306f\u306a\u304f\u6709\u76ca\u30a4\u30d9\u30f3\u30c8\u3068\u3057\u3066\u89e3\u6790\u3059\u308b\u306e\u304c\u901a\u5e38\u306e\u305f\u3081\uff08\u4f5c\u6210\u59d4\u54e1\u306e\u30b3\u30e1\u30f3\u30c8\uff09\u3001\u4e00\u822c\u306e\u30d5\u30a9\u30ec\u30b9\u30c8\u30d7\u30ed\u30c3\u30c8\u3068\u306f\u7570\u306a\u308bX\u8ef8\u30b9\u30b1\u30fc\u30eb\u3067\u3042\u308b\u3002<\/li>\n
  4. \u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u306b\u304a\u3044\u3066\u4e0d\u9069\u5207\u306a\u3082\u306e\u304c\u3042\u308b\u3002\u305f\u3060\u3057\u3001\u672cCPG\u306fILOR\u306eCoSTR\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u7ffb\u8a33\u7248\u306a\u306e\u3067\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3092\u542b\u3081\u3066CPG\u5185\u5bb9\u306e\u56fd\u969b\u7684\u306a\u7d71\u4e00\u6027\u306e\u78ba\u4fdd\u3092\u512a\u5148\u3057\u305f\u7d50\u679c\u306a\u306e\u3060\u308d\u3046\u3002\u30a8\u30d3\u30c7\u30f3\u30b9\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u306e\u8a18\u8f09\u30c7\u30fc\u30bf\u3068\u7570\u306a\u308b\u30c6\u30ad\u30b9\u30c8\u5185\u5bb9\u3068\u306a\u3063\u3066\u3044\u308b\u3082\u306e\u304c\u3042\u308b\u3002<\/li>\n
  5. \u4ecb\u5165\u306e\u5bb3\u306e\u8a55\u4fa1\u306b\u306f\u3001RCT\u306b\u52a0\u3048\u3001\u89b3\u5bdf\u7814\u7a76\u3092\u4f7f\u7528\u3057\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u304c\u3001\u30de\u30f3\u30d1\u30ef\u30fc\u306e\u78ba\u4fdd\u304c\u3067\u304d\u306a\u304b\u3063\u305f\u306e\u3060\u308d\u3046\u3002\u3044\u304f\u3064\u304b\u306eCQ\u306b\u95a2\u3057\u3066\u3001\u5404\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u3001\u63a8\u5968\u306e\u65b9\u5411\u306e\u6c7a\u5b9a\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u5168\u822c\u306b\u308f\u305f\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u8a55\u4fa1\u306b\u304a\u3044\u3066\u3001\u7591\u554f\u7684\u306aGRADE\u8a55\u4fa1\u304c\u3042\u308b\u3002\u307e\u305f\u3001\u63a8\u5968\u306e\u6c7a\u5b9a\u306b\u969b\u3057\u3066\u3001\u91cd\u5927\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u4ed6\u306b\u3001\u91cd\u8981\u3060\u304c\u91cd\u5927\u3067\u306f\u306a\u3044\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u8003\u616e\u3057\u3066\u3044\u308b\u3082\u306e\u304c\u3042\u308b\u3002EtD framework\u3092\u6d3b\u7528\u3057\u305f\u56fd\u5185\u521d\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3042\u308b\u3002<\/li>\n<\/div>\n

    <\/p>\n

    \u4ee5\u4e0a\u306e\u3088\u3046\u306b\u3001GRADE\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4e2d\u3067\u3082\u3044\u304f\u3064\u304b\u306e\u554f\u984c\u304c\u3042\u308b\u3082\u306e\u304c\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002
    \n\u5177\u4f53\u7684\u306a\u554f\u984c\u70b9\u306f\u3001\u4eca\u5f8c\u30d6\u30ed\u30b0\u3082\u3057\u304f\u306fML\u306b\u304a\u3044\u3066\u3001\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n

    GRADE\u3092\u201d\u4e0d\u9069\u5207<\/strong>\u201d\u306b\u5229\u7528\u3057\u305f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u3064\u3044\u3066\u3082\u3001GRADE\u3092\u5229\u7528\u3057\u305f\u56fd\u5185\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/b><\/a>\u3092\u307f\u3066\u307b\u3057\u3044\u3067\u3059\u3002<\/p>\n

    \n 
    <\/p>\n","protected":false},"excerpt":{"rendered":"

    [GRADE-CPG\u89e3\u8aac\u8cc7\u6599-\u2462] \u73fe\u6642\u70b9\u3067\u3001\u304a\u305d\u3089\u304f\u6700\u3082\u4ee3\u8868\u7684\u306aGRADE\u3092\u4f7f\u3063\u305f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff08GRADE\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09\u306f\u3001\u6b6f\u79d1\u306e2\u4ef6\u3001\u533b\u79d1\u306e3\u4ef6\u3068\u601d\u3044\u307e\u3059\uff08\u4e0b\u8868\uff09\u3002 GRADE\u3092\u5229\u7528\u3057\u305f\u56fd\u5185\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3 […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[455,5,16],"tags":[],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/4151"}],"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=4151"}],"version-history":[{"count":83,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/4151\/revisions"}],"predecessor-version":[{"id":4476,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/4151\/revisions\/4476"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4151"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4151"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}