{"id":1849,"date":"2015-06-16T08:44:28","date_gmt":"2015-06-15T23:44:28","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=1849"},"modified":"2015-06-22T11:55:49","modified_gmt":"2015-06-22T02:55:49","slug":"%e6%95%b4%e5%90%88%e6%80%a7%e3%81%ab%e6%ac%a0%e3%81%91%e3%82%8b%e6%8e%a8%e5%a5%a8%ef%bc%88discordant-recommendation%ef%bc%89%ef%bc%9a%ef%bc%95%e3%81%a4%e3%81%ae%e6%9c%80%e9%81%a9%e5%88%86%e9%a1%9e","status":"publish","type":"post","link":"https:\/\/aihara.la.coocan.jp\/?p=1849","title":{"rendered":"\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\uff08discordant recommendation\uff09-(1)\uff1a\uff15\u3064\u306e\u6700\u9069\u5206\u985e"},"content":{"rendered":"

GRADE\u3067\u306f\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u304c\u671b\u307e\u3057\u3044\u5e30\u7d50\u3068\u671b\u307e\u3057\u304f\u306a\u3044\u5e30\u7d50\u306e\u30d0\u30e9\u30f3\u30b9\u306b\u3064\u3044\u3066\u78ba\u4fe1\u3092\u6301\u3066\u306a\u3044\u5834\u5408\uff08\u3064\u307e\u308a\u300c\u4f4e\u300d\u307e\u305f\u306f\u300c\u975e\u5e38\u306b\u4f4e\u300d\u306e\u78ba\u4fe1\u6027\u3092\u6b63\u5f53\u5316\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u3067\u3042\u308b\u5834\u5408\uff09\u306f\u5f37\u3044\u63a8\u5968\u3092\u63d0\u793a\u3059\u3079\u304d\u3067\u306a\u3044\u3068\u63d0\u5531\u3057\u3066\u3044\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u72b6\u6cc1\u306b\u3088\u3063\u3066\u306f\u52b9\u679c\u63a8\u5b9a\u5024\u306e\u78ba\u4fe1\u6027\u304c\u300c\u4f4e\u300d\u307e\u305f\u306f\u300c\u975e\u5e38\u306b\u4f4e\u300d\u3067\u3082\u5f37\u3044\u63a8\u5968\u304c\u6b63\u5f53\u5316\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u3001\u3053\u308c\u3089\u3092GRADE\u3067\u306f\u3001\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\uff08discordant recommendation\uff09<\/strong><\/span>\u3068\u5b9a\u7fa9\u3057\u3066\u3044\u307e\u3059\u3002
\n\uff08GRADE\u6559\u79d1\u66f8 140-141p<\/strong>\u3092\u53c2\u7167\uff09<\/p>\n

\n<\/p>\n

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<\/p>\n

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 <\/p>\n\n\n\n\n\n\n\n\n\n
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\u5229\u76ca<\/b><\/td>\n\u5bb3<\/b><\/td>\n<\/tr>\n
\uff11\uff0e\u81f4\u6b7b\u7684\u306a\u72b6\u6cc1\u3067\u3042\u308b\u3002<\/td>\n\u300c\u4f4e\u300d\u307e\u305f\u306f\u300c\u975e\u5e38\u306b\u4f4e\u300d\u306e\u78ba\u4fe1\u6027<\/td>\n\u975e\u91cd\u8981\uff08\u300c\u975e\u5e38\u306b\u4f4e\u300d \uff5e \u300c\u9ad8\u300d\uff09<\/td>\n\u4ecb\u5165\u306b\u3088\u308a\u3001\u81f4\u6b7b\u7684\u306a\u72b6\u6cc1\u306b\u304a\u3044\u3066\u6b7b\u4ea1\u7387\u304c\u4f4e\u4e0b\u3059\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002
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\n\u76f8\u5f53\u306a\u5bb3\u304c\u5b9f\u8a3c\u6e08\u307f\u3067\u3042\u308b\u3002<\/td>\n		\u4e0d\u78ba\u5b9f\u306a\u5229\u76ca\u3088\u308a\u3082\u3001\u78ba\u4fe1\u306e\u3042\u308b\u6709\u5bb3\u4e8b\u8c61\u306b\u306f\u308b\u304b\u306b\u9ad8\u3044\u4fa1\u5024\u304c\u7f6e\u304b\u308c\u3066\u3044\u308b\u3002<\/td>\n<\/tr>\n
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\uff08\u53c2\u8003\u6587\u732e1\u3088\u308a\uff09<\/p>\n

 <\/p>\n

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\u53c2\u8003\u6587\u732e
\n1\uff1aAlexander PE, et al: World Health Organization strong recommendations based on low-quality evidence (study quality) are frequent and often inconsistent with GRADE guidance.J Clin Epidemiol. 2014 Dec 19. pii: S0895-4356(14)00417-X. doi: 10.1016\/j.jclinepi.2014.10.011<\/a><\/p>\n

2\uff1aAlexander PE, et al. World Health Organization recommendations are often strong based on low confidence in effect estimates http:\/\/dx.doi.org\/10.1016\/j.jclinepi.2013.09.020<\/a><\/p>\n

 <\/p>\n

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