{"id":45,"date":"2007-11-22T21:42:29","date_gmt":"2007-11-22T12:42:29","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=45"},"modified":"2014-04-16T15:36:05","modified_gmt":"2014-04-16T06:36:05","slug":"%e3%83%a1%e3%82%bf%e3%82%a2%e3%83%8a%e3%83%aa%e3%82%b7%e3%82%b9%e3%81%a8%e3%82%a2%e3%82%a6%e3%83%88%e3%82%ab%e3%83%a0%e5%a0%b1%e5%91%8a%e3%83%90%e3%82%a4%e3%82%a2%e3%82%b9","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=45","title":{"rendered":"\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3068\u30a2\u30a6\u30c8\u30ab\u30e0\u5831\u544a\u30d0\u30a4\u30a2\u30b9"},"content":{"rendered":"<div>\n<p>GRADE\u30b7\u30b9\u30c6\u30e0\u306b\u304a\u3044\u3066\u306f\u3001RCTs\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u8a55\u4fa1\u306fhigh-quality\u3068\u3057\u3066\u30b9\u30bf\u30fc\u30c8\u3057\u307e\u3059\u304c\u3001rate-down\u306e\uff15\u9805\u76ee\u306e\u3072\u3068\u3064\u306b\u3001\u201d\u5831\u544a\uff08\u51fa\u7248\uff09\u30d0\u30a4\u30a2\u30b9\u201d\u306e\u5b58\u5728\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p>\u5831\u544a\u30d0\u30a4\u30a2\u30b9\u306e\u4e00\u3064\u3067\u3042\u308b\u3001<b>\u30a2\u30a6\u30c8\u30ab\u30e0\u5831\u544a\u30d0\u30a4\u30a2\u30b9\uff08outcome reporting bias\uff09<\/b>\u3084\u30b3\u30af\u30e9\u30f3\u30ec\u30d3\u30e5\u30fc\u306b\u304a\u3051\u308b\u554f\u984c\u306b\u3064\u3044\u3066\u3001\u540d\u53e4\u5c4b\u5927\u5b66\u306e\u53e4\u5ddd\u6559\u6388\u304c\u767a\u8868\u3057\u3066\u3044\u307e\u3059\uff08JAMA 2007; 297: 468-70\uff09\u3002<br \/>\n\u4ee5\u4e0b\u306f\u3001<a href=\"http:\/\/homepage3.nifty.com\/aihara\/grade-jp-1.pdf\">GRADE\u8ad6\u6587\uff08\uff11\uff09\uff1a\u3000<br \/>\nAihara M, Guyatt G\uff0cFalck-Ytter Y, et al. GRADE\u30b7\u30b9\u30c6\u30e0\uff1a\u30a8\u30d3\u30c7\u30f3\u30b9\u304b\u3089\u63a8\u5968\u3078(GRADE System: from evidence to recommendations). <\/a>\u304b\u3089\u306e\u629c\u7c8b\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;<br \/>\n<b>Cochrane\u3000\u30ec\u30d3\u30e5\u30fc\u306b\u304a\u3044\u3066\u3055\u3048\u3082\u3001\u540c\u5b9a\u3055\u308c\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306e\u7d04\u534a\u6570\u304c\u60a3\u8005\u306b\u3068\u3063\u3066\u91cd\u8981\u3068\u601d\u308f\u308c\u308b\u30a8\u30f3\u30c9\u30dd\u30a4\u30f3\u30c8\uff08\u30a2\u30a6\u30c8\u30ab\u30e0\uff09\u306e\u52b9\u679c\u63a8\u5b9a\u306b\u8ca2\u732e\u3067\u304d\u3066\u3044\u306a\u3044\u3002\u307e\u305f\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3067\u540c\u5b9a\u3055\u308c\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306e\u3046\u3061\u5b9f\u969b\u306b\u52b9\u679c\u63a8\u5b9a\u306b\u8ca2\u732e\u3067\u304d\u305f\u8a66\u9a13\u306e\u5360\u3081\u308b\u5272\u5408\u3068\u63a8\u5b9a\u52b9\u679c\u306b\u306f\u9006\u76f8\u95a2\u304c\u898b\u3089\u308c\u305f\u3053\u3068\u304b\u3089\u3001\u3053\u306e\u5272\u5408\u306e\u4f4e\u3044\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306f\u771f\u5b9f\u306e\u52b9\u679c\u3092\u904e\u5927\u8a55\u4fa1\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u3053\u308c\u3092outcome reporting bias\uff08\u30a2\u30a6\u30c8\u30ab\u30e0\u5831\u544a\u30d0\u30a4\u30a2\u30b9\uff09\u3068\u8a00\u3046\u304c\u3001\u4eca\u307e\u3067\u6ce8\u76ee\u3055\u308c\u3066\u304d\u305fstudy reporting bias\uff08\u7814\u7a76\u306e\u5831\u544a\u30d0\u30a4\u30a2\u30b9\/\u51fa\u7248\u30d0\u30a4\u30a2\u30b9\uff09\u306b\u52a0\u3048\u3066\u3001\u3053\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u5831\u544a\u30d0\u30a4\u30a2\u30b9\u306f\u975e\u5e38\u306b\u91cd\u8981\u3067\u3042\u308a\u3001\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/b><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;<\/p>\n<p><\/p>\n<p>\u95a2\u9023\u3057\u305f\u8a71\u984c\u3068\u3057\u3066\u3001\u6700\u8fd1\u3001<a href=\"http:\/\/www.bmj.com\/cgi\/content\/full\/bmj.39376.447211.BEv1\"><b>BMJ (16 November 2007)<\/b><\/a>\u3067\u30e1\u30bf\u89e3\u6790\u306b\u3064\u3044\u3066\u306e\u554f\u984c\u304c\u767a\u8868\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p><\/p>\n<p>\n<b>\u88fd\u85ac\u4f1a\u793e\u3068\u91d1\u92ad\u7684\u3064\u306a\u304c\u308a\u304c\u3042\u308b\u30e1\u30bf\u89e3\u6790\u306e\u7d50\u8ad6\u3092\u9d5c\u5451\u307f\u306b\u3057\u3066\u306f\u3044\u3051\u306a\u3044<\/b><br \/>\nFinancial ties and concordance between results and conclusions in meta-analyses: retrospective cohort study.<\/p>\n<p><\/p>\n<p>\u964d\u5727\u5264\u306e124\u306e\u30e1\u30bf\u89e3\u6790\u3092\u8a55\u4fa1\u3057\u305f\u7d50\u679c\u3001\u88fd\u85ac\u4f1a\u793e\u3068\u91d1\u92ad\u7684\u306b\u95a2\u9023\u304c\u3042\u308b\u30e1\u30bf\u89e3\u6790\u306f\u3001\u88fd\u85ac\u4f1a\u793e\u306b\u3068\u3063\u3066\u6709\u5229\u306a\u7d50\u679c\u3068\u306f\u306a\u3063\u3066\u3044\u306a\u3044\u304c\u3001\u88fd\u85ac\u4f1a\u793e\u306b\u6709\u5229\u306a\u7d50\u8ad6\u3068\u306a\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3053\u3068\u304c\u5206\u304b\u3063\u305f\u3002\u3064\u307e\u308a\u30a8\u30c7\u30a3\u30bf\u30fc\u3084\u30d4\u30a2\u30ec\u30d3\u30e5\u30a2\u30fc\u306f\u504f\u3063\u305f\u7d50\u8ad6\u306e\u30e1\u30bf\u89e3\u6790\u306e\u51fa\u7248\u3092\u9632\u3050\u4e8b\u304c\u3067\u304d\u3066\u3044\u306a\u3044\u3002<br \/>\n\u3053\u306e\u7d50\u679c\u3092\u53d7\u3051\u3066\u3001\u30aa\u30ea\u30b8\u30ca\u30eb\u30c7\u30fc\u30bf\u306f\u307e\u3068\u3082\u3060\u304c\u7d50\u8ad6\u3092\u9d5c\u5451\u307f\u306b\u3057\u3066\u306f\u3044\u3051\u306a\u3044\u3068\u30a8\u30c7\u30a3\u30c8\u30ea\u30a2\u30ea\u30b9\u30c8\u306f\u6307\u6458\u3002<\/p>\n<p><\/p>\n<p>\u7d50\u5c40\u306f\u3001\u81e8\u5e8a\u533b\u81ea\u3089\u304c\u3001\u81e8\u5e8a\u7814\u7a76\u8ad6\u6587\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3001\u3042\u308b\u3044\u306f\u30ec\u30d3\u30e5\u30fc\u8ad6\u6587\u3092\u6279\u5224\u7684\u541f\u5473\u3067\u304d\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u305d\u306e\u305f\u3081\u306b\u306f\u76f8\u5f53\u306a\u30b9\u30ad\u30eb\u304c\u8981\u6c42\u3055\u308c\u308b\u3068\u601d\u3044\u307e\u3059\u3002<br \/>\n<b>\u30b3\u30af\u30e9\u30f3\u30e9\u30a4\u30d6\u30e9\u30ea<\/b>\u3084<b>EBM guidelines<\/b>\u3067\u306f\u3001\u5358\u7d14\u304b\u3064\u5206\u304b\u308a\u3084\u3059\u3044\u8a55\u4fa1\u57fa\u6e96\u3092\u4f7f\u3063\u305f<b>GRADE\u30b7\u30b9\u30c6\u30e0<\/b>\u3092\u63a1\u7528\u3057\u3066\u3044\u307e\u3059\u304c\u3001<b>\u201d\u30a2\u30a6\u30c8\u30ab\u30e0\u5831\u544a\u30d0\u30a4\u30a2\u30b9\u201d\u306flimitations<\/b>\u306e\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u9805\u76ee\u306e\u4e00\u3064\u3067\u3001<b>\u51fa\u7248\u30d0\u30a4\u30a2\u30b9<\/b>\u3068\u306f\u5225\u306e\u8981\u56e0\u3068\u306a\u3063\u3066\u3044\u307e\u3059<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>GRADE\u30b7\u30b9\u30c6\u30e0\u306b\u304a\u3044\u3066\u306f\u3001RCTs\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u8a55\u4fa1\u306fhigh-quality\u3068\u3057\u3066\u30b9\u30bf\u30fc\u30c8\u3057\u307e\u3059\u304c\u3001rate-down\u306e\uff15\u9805\u76ee\u306e\u3072\u3068\u3064\u306b\u3001\u201d\u5831\u544a\uff08\u51fa\u7248\uff09\u30d0\u30a4\u30a2\u30b9\u201d\u306e\u5b58\u5728\u304c\u3042\u308a\u307e\u3059\u3002 \u5831\u544a\u30d0\u30a4\u30a2\u30b9\u306e\u4e00\u3064\u3067\u3042\u308b\u3001\u30a2\u30a6 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[55],"tags":[56],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/45"}],"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=45"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/45\/revisions"}],"predecessor-version":[{"id":637,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/45\/revisions\/637"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=45"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=45"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=45"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}