{"id":8772,"date":"2017-05-26T09:47:11","date_gmt":"2017-05-26T00:47:11","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=8772"},"modified":"2017-06-21T11:08:58","modified_gmt":"2017-06-21T02:08:58","slug":"grade-%ef%bd%83%ef%bd%90%ef%bd%87%e3%81%ae%e5%9f%ba%e6%9c%ac%e3%83%bc%ef%bc%94%ef%bc%8e10%ef%bc%9acpg%e3%82%a8%e3%83%93%e3%83%87%e3%83%b3%e3%82%b9%e3%81%8b%e3%82%89%e6%8e%a8%e5%a5%a8%e3%81%b8","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=8772","title":{"rendered":"GRADE \uff23\uff30\uff27\u306e\u57fa\u672c\u30fc\uff14\uff0e10\uff1a[CPG]\u30a8\u30d3\u30c7\u30f3\u30b9\u304b\u3089\u63a8\u5968\u3078-\u2468\uff1a\u4fdd\u967a\u9069\u5fdc\uff08coverage decision\uff09"},"content":{"rendered":"

[GRADE-CPG\u89e3\u8aac\u8cc7\u6599-38]<\/p>\n

Evidence-to-Decision framework\u306b\u306f\u3001\u7570\u306a\u308b\u8996\u70b9\uff08\u305f\u3068\u3048\u3070\u3001\u500b\u4eba\u3001\u96c6\u56e3\uff09\u306b\u3088\u308a\u3001\u7570\u306a\u308b\u30bf\u30a4\u30d7\u306e\u63a8\u5968\u3084\u6c7a\u65ad\u306b\u5408\u308f\u305b\u3066\u7570\u306a\u308b\u30c6\u30f3\u30d7\u30ec\u30fc\u30c8\u304c\u8abf\u6574\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u30c6\u30f3\u30d7\u30ec\u30fc\u30c8\u304c\u3042\u308a\u3001\u305d\u306e\u4e2d\u306b\u306f\u30b3\u30b9\u30c8\u306b\u95a2\u9023\u3057\u305fcoverage decision<\/b>\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

<\/p>\n

\u2022clinical practice recommendations about preventive, therapeutic, or rehabilitative interventions;
\n\u2022decisions made on behalf of a population about which clinical interventions are paid for by a third party (coverage decisions);
\n\u2022clinical practice recommendations about tests used for diagnostic, screening, monitoring or other purposes (tests), when there is no direct evidence of the effects of the diagnostic intervention on patient outcomes resulting from management decisions based on the test results;
\n\u2022recommendations and decisions made on behalf of a populations about health system and public health interventions (options).<\/p>\n

<\/p>\n\n\n
\nCoverage decision<\/b> \u2013 This template is for groups of people who make decisions about which clinical interventions are paid for (covered) by health insurance, a publicly funded healthcare system or a health maintenance organization.
\n\uff08\u4fdd\u967a\u9069\u7528\u7bc4\u56f2\u306e\u6c7a\u5b9a:<\/b>
\u3053\u308c\u306f\u3001\u5065\u5eb7\u4fdd\u967a\u3001\u516c\u7684\u533b\u7642\u4fdd\u967a\u30b7\u30b9\u30c6\u30e0\u3001\u307e\u305f\u306f\u4fdd\u5065\u7dad\u6301\u6a5f\u69cb\u306b\u3088\u308b\u652f\u6255\u3044\uff08\u30ab\u30d0\u30fc\uff09\u306e\u5bfe\u8c61\u3068\u306a\u308b\u81e8\u5e8a\u7684\u4ecb\u5165\u306b\u3064\u3044\u3066\u306e\u6c7a\u65ad\u3092\u4e0b\u3059\u30b0\u30eb\u30fc\u30d7\u306e\u305f\u3081\u306e\u30c6\u30f3\u30d7\u30ec\u30fc\u30c8\u3067\u3059\u3002\uff09\n<\/td>\n<\/tr>\n<\/table>\n

<\/p>\n

GRADE working group\u304b\u3089\u6700\u8fd1\u767a\u8868\u3055\u308c\u305fCoverage decision\u306b\u95a2\u3059\u308bGRADE\u8ad6\u6587\u304c\u4ee5\u4e0b\u3067\u3059\u3002
\nEvidence to Coverage decision table\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n

Dahm P, et al. Stakeholders apply the GRADE evidence-to-decision framework to facilitate coverage decisions. J Clin Epidemiol. 2017 Apr 1. pii: S0895-4356(17)30335-9<\/a>.<\/p>\n

<\/p>\n

Coverage EtD\u306e\u8a55\u4fa1\u9805\u76ee\u306b\u3082\u3042\u308b\u3088\u3046\u306b\u3001\u4fdd\u967a\u9069\u5fdc\u306e\u7bc4\u56f2\u306b\u95a2\u3059\u308b\u63a8\u5968\u3092\u691c\u8a0e\u3059\u308b\u969b\u306b\u306f\u3001\u4ecb\u5165\u306b\u3088\u308b\u5358\u306a\u308b\u30b3\u30b9\u30c8\u5897\u52a0\u3060\u3051\u3067\u306a\u304f\u3001\u5897\u5206\u8cbb\u7528\u52b9\u679c\uff08ICER: incremental cost-effectiveness ratio\uff09<\/b>\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n

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

[GRADE-CPG\u89e3\u8aac\u8cc7\u6599-38] Evidence-to-Decision framework\u306b\u306f\u3001\u7570\u306a\u308b\u8996\u70b9\uff08\u305f\u3068\u3048\u3070\u3001\u500b\u4eba\u3001\u96c6\u56e3\uff09\u306b\u3088\u308a\u3001\u7570\u306a\u308b\u30bf\u30a4\u30d7\u306e\u63a8\u5968\u3084\u6c7a\u65ad\u306b\u5408\u308f\u305b\u3066\u7570\u306a\u308b\u30c6\u30f3\u30d7\u30ec\u30fc\u30c8\u304c\u8abf\u6574\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5177 […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[455,5,459],"tags":[],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/8772"}],"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=8772"}],"version-history":[{"count":10,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/8772\/revisions"}],"predecessor-version":[{"id":8862,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/8772\/revisions\/8862"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8772"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}