{"id":6,"date":"2007-05-09T11:04:06","date_gmt":"2007-05-09T02:04:06","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=6"},"modified":"2014-04-16T15:36:46","modified_gmt":"2014-04-16T06:36:46","slug":"grade%e3%82%b7%e3%82%b9%e3%83%86%e3%83%a0-1","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=6","title":{"rendered":"GRADE\u30b7\u30b9\u30c6\u30e0 -(1)"},"content":{"rendered":"<div>\n<p>\u524d\u56de\u306b\u3064\u3065\u3044\u3066\u3001<a href=\"http:\/\/homepage3.nifty.com\/aihara\/sakusaku\/GRADE.htm\" target=\"_blank\"><span style=\"color:#FF0000;\"><b>GRADE system<\/b><\/span><\/a>\u306e\u7d39\u4ecb\u3067\u3059\uff08\u672c\u30ea\u30f3\u30af\u5185\u5bb9\u306f\u3001\u76f8\u539f\u3068Falck-YtterYngve\u304c\u4f5c\u6210\u3057\u307e\u3057\u305f\uff09\u3002\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3084\u533b\u5b66\u7814\u7a76\u306e\u8a55\u4fa1\u65b9\u6cd5\u3068\u3057\u3066\u306eGRADE\u306b\u3064\u3044\u3066\u89e3\u8aac\u3059\u308b\u3068\u3068\u3068\u3082\u306b\u3001\u533b\u7642\u95a2\u4fc2\u8005\u304c\u76ee\u306e\u524d\u306e\u60a3\u8005\u306b\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u9069\u7528\u3059\u308b\u969b\u306e\u624b\u6bb5\u3068\u3057\u3066\u306e<b>GATE-frame<\/b>\u306b\u3064\u3044\u3066\u3082\u8aac\u660e\u3057\u3066\u3044\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002GRADE\u30b7\u30b9\u30c6\u30e0\u3082GATE \u30d5\u30ec\u30fc\u30e0\u3082\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u304b\u3089\u63a8\u5968\u3078\u3068\u3044\u3046EBM\u306e\u57fa\u672c\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u3042\u308a\u985e\u4f3c\u3057\u305f\u3082\u306e\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>Gordon Guyatt\u3089\u306e<a href=\"http:\/\/www.gradeworkinggroup.org\/\" target=\"_blank\"><span class=\"rd\">GRADE working group<\/span><\/a>\u304c\u958b\u767a\u3057\u305fGRADE\u30b7\u30b9\u30c6\u30e0\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u30ec\u30d9\u30eb\u3084\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3051\u308b\u63a8\u5968\u306e\u5f37\u3055\u3092\u8a55\u4fa1\u3059\u308b\u4e0a\u3067\u3001\u8ab0\u304c\u307f\u3066\u3082\u5224\u65ad\u904e\u7a0b\u304c\u308f\u304b\u308b\u3088\u3046\u306a\u3001\u900f\u660e\u6027\u306e\u9ad8\u3044\u30a2\u30d7\u30ed\u30fc\u30c1\u3068\u3044\u3046\u4e3b\u65e8\u3067\u3059\u304c\u3001\u3053\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u7d4c\u7def\u306b\u3064\u3044\u3066\u5c11\u3057\u7d39\u4ecb\u3057\u3088\u3046\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p>\u30a8\u30d3\u30c7\u30f3\u30b9\u3084\u63a8\u5968\u306e\u5f37\u3055\u306e\u30b0\u30ec\u30fc\u30c7\u30a3\u30f3\u30b0\u3068\u3057\u3066\u3001\u3053\u308c\u307e\u3067\u3055\u307e\u3056\u307e\u306a\u65b9\u6cd5\u304c\u3042\u308a\u6df7\u4e71\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u4e00\u822c\u7684\u304b\u3064\u308f\u304b\u308a\u3084\u3059\u3044\u65b9\u6cd5\u3092\u958b\u767a\u3059\u308b\u305f\u3081\u306b\u3001GRADE working group\u304c2000\u5e74\u306b\u8a2d\u7acb\u3055\u308c\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u3068\u3044\u3046\u57fa\u6e96\u3092\u4f5c\u6210\u3057\u305f\uff082004\u5e74\uff09\u3002<\/p>\n<p><\/p>\n<p><a href=\"http:\/\/www.cmaj.ca\/cgi\/content\/full\/169\/7\/677\" target=\"_blank\">Canadian Med Association<\/a>\u306eGRADE\u30b7\u30b9\u30c6\u30e0\u306b\u304a\u3051\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3068\u63a8\u5968\u5ea6\uff1a<br \/>\n<a href=\"http:\/\/aihara.la.coocan.jp\/s-CMAJ%282003%29.php\" onclick=\"window.open('http:\/\/aihara.la.coocan.jp\/s-CMAJ%282003%29.php','popup','width=640,height=536,scrollbars=no,resizable=no,toolbar=no,directories=no,location=no,menubar=no,status=no,left=0,top=0'); return false\" onkeypress=\"window.open('http:\/\/aihara.la.coocan.jp\/s-CMAJ%282003%29.php','popup','width=640,height=536,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\/s-CMAJ%282003%29-thumb.jpg\" width=\"200\" height=\"167\" alt=\"cma\" \/><\/a>\n<\/p>\n<p>\u5f53\u6642\u3001GRADE\u57fa\u6e96\u306evalidity\u30c1\u30a7\u30c3\u30af\u306e\u305f\u3081\u306b\u300112\u4ef6\u306e\u7814\u7a76\u3092\u5bfe\u8c61\uff08\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u306f48\u500b\uff09\u306b\u300017\u4eba\u3067\u8a55\u4fa1\u3057\u6bd4\u8f03\u3057\u3066\u307f\u305f\u3068\u3053\u308d\u3001quality \u8a55\u4fa1\u3060\u3051\u3067\u3082\u975e\u5e38\u306b\u3070\u3089\u3070\u3089\u3067\u3001\u6700\u7d42\u6c7a\u65ad\u3067\u306f\u03ba\u4fc2\u6570\u3067\u307f\u3066\u30820.27(SE=0.015)\u3068\u3044\u3046\u4f4e\u3044\u3082\u306e\u3060\u3063\u305f\u3002\u307e\u305f\u3001benefits \u3068harm, recommendations\u306b\u3064\u3044\u3066\u306f\u3000&#8221;poor agreement&#8221;\u3067\u3042\u3063\u305f\u3001\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3088\u308a\u5358\u7d14\u5316\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3060\u308d\u3046\u3068\u8003\u3048\u305f\u3088\u3046\u3067\u3059\u3002<br \/>\n\u3053\u306e\u7d50\u679c\u306e\u8ad6\u6587\uff08Atkins D, et al\uff09\u304c\u4ee5\u4e0b\u3067\u3001\u3044\u305a\u308c\u3082\u3000open acess\u53ef\u80fd\u3067\u3059\u3002<\/p>\n<p><br clear=\"all\" \/><\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>\n(1) Systems for grading the quality of evidence and the strength of  recommendations I: critical appraisal of existing approaches The GRADE Working Group.\u3000<a href=\"http:\/\/www.biomedcentral.com\/1472-6963\/4\/38\" target=\"_blank\">BMC Health Serv Res. 2004 Dec 22;4(1):38<\/a><\/p>\n<p><\/p>\n<p>\n(2) Systems for grading the quality of evidence and the strength of recommendations II: pilot study of a new system. <a href=\"http:\/\/www.biomedcentral.com\/1472-6963\/5\/25\" target=\"_blank\">BMC Health Serv Res. 2005 Mar 23;5(1):25. <\/a><br \/>\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n<p><\/p>\n<p>\u305d\u306e\u5f8c\u3001\u6539\u5909\u3057\u305f\u3082\u306e\u304c\u516c\u8868\u3068\u306a\u3063\u305f\u308f\u3051\u3067\u3059\u304c\u3001ACP-J club\u3068\u304b\u3001\u767a\u8868\u8005\u304cGuyatt \u3068\u3044\u3046\u3053\u3068\u3082\u3042\u3063\u305f\u3053\u3068\u304c\u7406\u7531\u306a\u306e\u304b\u5b9a\u304b\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u73fe\u6642\u70b9\u3067\u306f\u591a\u304f\u306e\u5b66\u4f1a\u3067\u63a1\u7528\u3055\u308c\u3066\u3044\u308b\uff08\u6539\u5909\u3082\u542b\u3081\u3066<b>(*)<\/b> \uff09\u3068\u3044\u3046\u72b6\u6cc1\u3067\u3001GRADE working group\u306eHP\u30ea\u30f3\u30af\u306e<a href=\"http:\/\/www.gradeworkinggroup.org\/society\/index.htm\" target=\"_blank\"><b>organizations<\/b><\/a>\u306b\u3042\u308b\u3088\u3046\u306b\u3001UpToDate, The cochrane collaboration\u306e\u307f\u306a\u3089\u305a\u3001\u30ab\u30ca\u30c0\u3001\u6b27\u5dde\u3001\u8a3a\u7642\u9818\u57df\u3068\u3057\u3066\u3082\u5faa\u74b0\u5668\u7cfb\u3084\u3000\u814e\u81d3\u3001\u5185\u5206\u6ccc\u3001\u611f\u67d3\u75c7\u306a\u3069\u5e45\u5e83\u3044\u9818\u57df\u3067\u666e\u53ca\u3057\u3064\u3064\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><\/p>\n<p><b>(*)<\/b> \u3042\u3048\u3066\u201d\u6539\u5909\u201d\u3068\u3057\u307e\u3057\u305f\u304c\u3001\u3000\u4f8b\u3048\u3070\u3001ACCP\uff08Amer College of Chest\u3000Physicians\uff09\u3068ATS\uff08Amer Thoracic Soc) \u3068\u3067\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u30ec\u30d9\u30eb\u306e\u5206\u985e\u304c\u82e5\u5e72\u7570\u306a\u3063\u3066\u304a\u308a\u3000\u524d\u8005\u3067\u306flow\u3068 very low\u3092\u4e00\u7dd2\u306b\u3057\u305f3\u6bb5\u968e\u8a55\u4fa1\u306b\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u7a0b\u5ea6\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>\nGRADE\u306e\u56fd\u969b\u7684\u306a\u666e\u53ca\u3092\u307f\u3066\u3001\u4eca\u5f8c\u65e5\u672c\u306f\u3001\u3069\u3046\u5bfe\u5fdc\u3057\u3066\u3044\u304f\u306e\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u524d\u56de\u306b\u3064\u3065\u3044\u3066\u3001GRADE system\u306e\u7d39\u4ecb\u3067\u3059\uff08\u672c\u30ea\u30f3\u30af\u5185\u5bb9\u306f\u3001\u76f8\u539f\u3068Falck-YtterYngve\u304c\u4f5c\u6210\u3057\u307e\u3057\u305f\uff09\u3002\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3084\u533b\u5b66\u7814\u7a76\u306e\u8a55\u4fa1\u65b9\u6cd5\u3068\u3057\u3066\u306eGRADE\u306b\u3064\u3044\u3066\u89e3\u8aac\u3059\u308b\u3068\u3068\u3068\u3082\u306b\u3001\u533b\u7642\u95a2\u4fc2\u8005\u304c\u76ee [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[439],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/6"}],"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=6"}],"version-history":[{"count":2,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/6\/revisions"}],"predecessor-version":[{"id":8601,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/6\/revisions\/8601"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}