{"id":4230,"date":"2016-08-10T19:43:49","date_gmt":"2016-08-10T10:43:49","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=4230"},"modified":"2016-09-10T10:05:58","modified_gmt":"2016-09-10T01:05:58","slug":"grade-cpg%e4%bd%9c%e6%88%90%e3%81%ae%e5%9f%ba%e6%9c%ac%e3%83%bc%ef%bc%93%ef%bc%8e%ef%bc%94%ef%bc%9asr%e3%82%a8%e3%83%93%e3%83%87%e3%83%b3%e3%82%b9%e3%81%ae%e7%a2%ba%e5%ae%9f%e6%80%a7-%e2%91%a0","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=4230","title":{"rendered":"GRADE CPG\u4f5c\u6210\u306e\u57fa\u672c\u30fc\uff13\uff0e\uff14\uff1a[SR]\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027-\u2460\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea"},"content":{"rendered":"

[GRADE-CPG\u89e3\u8aac\u8cc7\u6599-\u2469]<\/p>\n

\u201d\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\uff08Certainty of evidence\uff09<\/strong>\u201d\u3068\u3044\u3046\u7528\u8a9e\u306f\u3001\u5f93\u6765\u4f7f\u308f\u308c\u3066\u3044\u305f\u201d\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\uff08Quality of evidence\uff09<\/strong>\u201d\u3068\u540c\u3058\u610f\u5473\u3067\u3059\u3002<\/p>\n

http:\/\/aihara.la.coocan.jp\/?p=2848<\/b><\/a><\/p>\n

\u3055\u3066\u3001GRADE\u3092\u4f7f\u3063\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u8a55\u4fa1\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u539f\u5247\u304c\u3042\u308a\u307e\u3059\uff08GRADE2\u7248\u306e4.4\u7ae0\uff09
\n********************************************************************
\n\uff11\uff0e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u4e3b\u4f53\u3068\u3057\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u7dcf\u4f53\uff08body of evidence\uff09\u306b\u3064\u3044\u3066\u8a55\u4fa1\u3059\u308b
\n\uff12\uff0e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u7b49\u7d1a\u306b\u306f\u3001\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u3068\u3001GRADE\u306e\uff18\u30c9\u30e1\u30a4\u30f3\u3092\u4f7f\u3046
\n\uff13\uff0e\uff18\u30c9\u30e1\u30a4\u30f3\u3068\u306f\u3001\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u306e\uff15\u30c9\u30e1\u30a4\u30f3\u3001\u30b0\u30ec\u30fc\u30c9\u30a2\u30c3\u30d7\u306e\uff13\u30c9\u30e1\u30a4\u30f3\u304b\u3089\u306a\u308b\u3002
\n    \u7279\u306bimprecision\u30c9\u30e1\u30a4\u30f3\u306f\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3068\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u8a55\u4fa1\u57fa\u6e96\u304c\u7570\u306a\u308b
\n\uff14\uff0e\u6700\u7d42\u7684\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u306f\u3001GRADE\u304c\u5b9a\u7fa9\u3059\u308b\uff14\u6bb5\u968e\uff08\u9ad8\u3001\u4e2d\u3001\u4f4e\u3001\u975e\u5e38\u306b\u4f4e\uff09\u306e\u3044\u305a\u308c\u304b\u3068\u3059\u308b
\n\uff15\uff0e\u5404\u30c9\u30e1\u30a4\u30f3\u306f\u4e92\u3044\u306b\u95a2\u9023\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u5358\u7d14\u306b\u52a0\u7b97\u3057\u3066\u5b9a\u91cf\u7684\u306b\u5224\u5b9a\u3057\u3066\u306f\u306a\u3089\u306a\u3044
\n********************************************************************<\/p>\n

<\/p>\n

#1\u306f\u3001\u500b\u3005\u306e\u7814\u7a76\u306b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u683c\u4ed8\u3051\u3092\u305b\u305a\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u4e2d\u5fc3\u306b\u8907\u6570\u306e\u7814\u7a76\u3092\u6a2a\u65ad\u7684\u306b\u7d71\u5408\u3059\u308b\u3001\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308a\u3001
#2\u306f\u3001\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u3068\u3057\u3066\u3001RCT\u306f\u300c\u9ad8\u300d\u304b\u3089\u30b9\u30bf\u30fc\u30c8\u3057\u3001\u89b3\u5bdf\u7814\u7a76\u306f\u300c\u4f4e\u300d\u304b\u3089\u30b9\u30bf\u30fc\u30c8\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n

<\/p>\n

#3\u306f\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002
\n\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u7d71\u8a08\u5b66\u7684\u306a\u6709\u610f\u5dee\u306e\u6709\u7121\u3092\u5224\u65ad\u57fa\u6e96\u306e\u4e00\u3064\u3068\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066\u306f\u3001\u7d71\u8a08\u5b66\u7684\u6709\u610f\u5dee\u3067\u306f\u306a\u304f\u3001\u201d\u6c7a\u65ad\u306e\u95be\u5024\u201d\u3092\u4f7f\u3063\u3066\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\uff08GRADE2\u72484.4-4.4.4\u7ae0\uff09\u3002\u3042\u308b\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u3064\u3044\u3066\u306e\u52b9\u679c\u306e\u4e0d\u7cbe\u78ba\u3055\uff08imprecision\uff09\u306e\u8a55\u4fa1\u306f\u3001\u4ed6\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u52b9\u679c\u306b\u95a2\u3059\u308b\u8a55\u4fa1\u306e\u5f71\u97ff\u3092\u53d7\u3051\u308b\u3068\u3044\u3046\u308f\u3051\u3067\u3059\uff08GRADE2\u7248p76-77\u53c2\u7167\uff09\u3002<\/p>\n

<\/p>\n

\u307e\u305f\u3001#5\u306b\u3064\u3044\u3066\u3082\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002
\n\u305f\u3068\u3048\u3070\u3001\u65e9\u671f\u7d42\u4e86\uff08early stopping\uff09\u306e\u8a66\u9a13\u3067\u306f\u3001\u5f53\u521d\u306e\u898b\u7a4d\u3082\u308a\u3088\u308a\u5c11\u306a\u3044\u30b5\u30f3\u30d7\u30eb\u30b5\u30a4\u30ba\u3068\u306a\u308a\u3001\u305d\u306e\u305f\u3081\u52b9\u679c\u63a8\u5b9a\u5024\u3082\u4e0d\u7cbe\u78ba\u306e\u3053\u3068\u304c\u591a\u3044\u308f\u3051\u3067\u3059\u304c\u3001\u3053\u306e\u5834\u5408\u3001\u30d0\u30a4\u30a2\u30b9\u306e\u30ea\u30b9\u30af\uff08RoB\uff09\u3068imprecision\u306e\u53cc\u65b9\u304c\u6df1\u523b\u3068\u5224\u65ad\u3055\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\uff12\u3064\u306e\u30c9\u30e1\u30a4\u30f3\u306b\u3088\u308b\u6df1\u523b\u3055\u304c\u3042\u308b\u3053\u3068\u304b\u3089\uff081+1=2\u306e\uff092\u6bb5\u968e\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u3068\u3059\u308b\u3053\u3068\u306b\u306f\u554f\u984c\u304c\u3042\u308a\u3001\u540c\u3058\u7406\u7531\u306b\u3088\u3063\u3066\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u30922\u56de\u5b9f\u65bd\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u308f\u3051\u3067\u3059\u3002<\/p>\n

\u975e\u4e00\u8cab\u6027\uff08\u7570\u8cea\u6027\uff09\u304c\u3042\u308b\u305f\u3081\u306b\u4e0d\u7cbe\u78ba\u3068\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u975e\u76f4\u63a5\u6027\u3068\u4e0d\u7cbe\u78ba\u3055\u306e\u554f\u984c\u304c\u3001\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u306b\u3088\u3063\u3066\u4e0d\u7cbe\u78ba\u3055\u304c\u89e3\u6d88\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002
\n\u3057\u305f\u304c\u3063\u3066GRADE\u306b\u3088\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u8a55\u4fa1\u306f\u3001\u4f55\u5ea6\u3082\u53cd\u5fa9\u3057\u3066\u30c1\u30a7\u30c3\u30af\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

<\/p>\n

\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u306e\u30c9\u30e1\u30a4\u30f3\u3070\u304b\u308a\u3067\u306f\u306a\u304f\u3001\u89b3\u5bdf\u7814\u7a76\u306b\u304a\u3051\u308b\u30b0\u30ec\u30fc\u30c9\u30a2\u30c3\u30d7\u306e\u8a55\u4fa1\u306b\u3064\u3044\u3066\u3082\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002
\n\u306a\u3093\u3089\u304b\u306e\u554f\u984c\u304c\u3042\u3063\u3066\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u3057\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u3001\u3082\u306f\u3084\u30b0\u30ec\u30fc\u30c9\u30a2\u30c3\u30d7\u306e\u5bfe\u8c61\u3068\u306f\u306a\u308a\u307e\u305b\u3093\u3002\u30b0\u30ec\u30fc\u30c9\u30a2\u30c3\u30d7\u3067\u304d\u308b\u5834\u5408\u3068\u306f\u3001\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u306e\uff15\u3064\u306e\u30c9\u30e1\u30a4\u30f3\u306b\u554f\u984c\u304c\u306a\u3044\u89b3\u5bdf\u7814\u7a76\u306b\u9650\u308a\u307e\u3059\u3002
\n\u89b3\u5bdf\u7814\u7a76\u300c\u4f4e\u300d\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u7dcf\u4f53\u304c\u3001\u30d0\u30a4\u30a2\u30b9\u306e\u30ea\u30b9\u30af(-1) + \u4e0d\u7cbe\u78ba\u3055(-1) + \u52b9\u679c\u304c\u975e\u5e38\u306b\u5927\u304d\u3044(+2) = 0 \u306a\u306e\u3067\u3001\u300c\u4f4e\u300d\u306e\u307e\u307e\u3068\u3044\u3046\u3053\u3068\u3067\u306f\u306a\u3044\u306e\u3067\u3059\u3002<\/p>\n\n\n
\n\u56fd\u5185\u306eGRADE\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\uff1a<\/b>
\n\u89b3\u5bdf\u7814\u7a76\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u8a55\u4fa1\u306e\u5224\u65ad\u30df\u30b9\u304c\u3001JCR\u8607\u751f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32015\uff08ILCOR CoSTAR\uff09\u3067\u898b\u3089\u308c\u3066\u3044\u307e\u3059\u3002
\n\u4f8b\u3001\uff08\u89b3\u5bdf\u7814\u7a76\uff09\u4f4e\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\uff1a\u30d0\u30a4\u30a2\u30b9\u306e\u30ea\u30b9\u30af\u306b\u3088\u308a\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u3001\u6cbb\u7642\u52b9\u679c\u306b\u3088\u308a\u30a2\u30c3\u30d7\u30b0\u30ec\u30fc\u30c9\n<\/td>\n<\/tr>\n<\/table>\n

<\/p>\n

\u6b21\u9031\u3088\u308a\u3001\u30c8\u30ea\u30d7\u30eb-X\u306b\u95a2\u3059\u308bSR\u306b\u304a\u3051\u308bGRADE\u306b\u3088\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u8a55\u4fa1\u3092\u7d39\u4ecb\u3057\u307e\u3059\u3002
\n\u63a1\u7528\u3055\u308c\u305f\u7814\u7a76\u306f\u300121\u4ef6\u3067\u3059<\/p>\n

\"tab-1_evidence<\/a>
\n
\u3001
\n 
<\/p>\n","protected":false},"excerpt":{"rendered":"

[GRADE-CPG\u89e3\u8aac\u8cc7\u6599-\u2469] \u201d\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\uff08Certainty of evidence\uff09\u201d\u3068\u3044\u3046\u7528\u8a9e\u306f\u3001\u5f93\u6765\u4f7f\u308f\u308c\u3066\u3044\u305f\u201d\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\uff08Quality of evidence\uff09\u201d\u3068\u540c\u3058\u610f\u5473\u3067\u3059\u3002 http […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[455,5],"tags":[],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/4230"}],"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=4230"}],"version-history":[{"count":33,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/4230\/revisions"}],"predecessor-version":[{"id":5657,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/4230\/revisions\/5657"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4230"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}