{"id":227,"date":"2012-09-26T08:49:32","date_gmt":"2012-09-25T23:49:32","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=227"},"modified":"2014-04-16T15:33:08","modified_gmt":"2014-04-16T06:33:08","slug":"%e5%9b%bd%e5%86%85%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%e5%b0%82%e9%96%80%e5%ae%b6%e3%81%aegrade%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e8%80%83%e3%81%88%e6%96%b9%ef%bc%8d4","status":"publish","type":"post","link":"https:\/\/aihara.la.coocan.jp\/?p=227","title":{"rendered":"\u56fd\u5185\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5c02\u9580\u5bb6\u306eGRADE\u306b\u5bfe\u3059\u308b\u8003\u3048\u65b9\uff0d(4)"},"content":{"rendered":"
\n

\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u305f\u3081\u306eGRADE\u30b7\u30b9\u30c6\u30e0<\/b>\u306b\u95a2\u3057\u3066\u3001\u56fd\u5185\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5c02\u9580\u5bb6\u306f\u3069\u306e\u3088\u3046\u306b\u8003\u3048\u3066\u304d\u305f\u306e\u304b\u30fb\u30fb\u30fb\u3002<\/p>\n

\n\u300c\u4eca\u5f8c\u306eEBM\u666e\u53ca\u4fc3\u9032\u306b\u5411\u3051\u305f\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u5f79\u5272\u3068\u53ef\u80fd\u6027\u306b\u95a2\u3059\u308b\u7814\u7a76\u300d \u5e73\u621023\u5e74\u5ea6\u539a\u751f\u52b4\u50cd\u7701\u79d1\u5b66\u7814\u7a76\u8cbb\u88dc\u52a9\u91d1\u3000\u5730\u57df\u533b\u7642\u57fa\u76e4\u958b\u767a\u63a8\u9032\u7814\u7a76\u4e8b\u696d\u5831\u544a\u66f8\uff08\u7814\u7a76\u4ee3\u8868\u3000\u4e2d\u5c71\u5065\u592b\uff09\uff082011\u5e743\u6708\uff09\u30fb\u30fb\u30fb\u30fb\u672c\u696d\u7e3e\u96c6\u306b\u304a\u3044\u3066\u3001GRADE\u306b\u95a2\u3059\u308b\uff13\u4ef6\u306e\u8ad6\u6587\u3084\u8cc7\u6599\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n

————————————————————————–
\n\u25a0-\uff11\uff1a
\n\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u30eb\u30fc\u30eb\u306e\uff11\u3064\u3067\u3042\u308bGRADE\u30b7\u30b9\u30c6\u30e0\u306b\u3064\u3044\u3066\uff1aEBM\u306e\u5b9f\u8df5\u306b\u5f79\u7acb\u3064\u8cc7\u6599\u3068\u3059\u308b\u8996\u70b9\u3088\u308a<\/b> \uff08\u6771\u6d77\u5e02\u6c11\u75c5\u9662\u5206\u9662\u3000\u6b6f\u79d1\u53e3\u8154\u5916\u79d1\u3001\u6e6f\u6d45\u79c0\u9053\uff09 \u696d\u7e3e\u96c6pp114-126 <\/p>\n

\u7814\u7a76\u8981\u65e8
\nEBM\u306b\u3088\u308b\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4f5c\u6210\u30fb\u5229\u7528\u304c\u671b\u307e\u308c\u3066\u3044\u308b\u304c\u3001\u305d\u3082\u305d\u3082EBM\u3084\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u5bfe\u3059\u308b\u8aa4\u89e3\u304c\u591a\u3044\u306e\u3082\u4e8b\u5b9f\u3067\u3042\u308b\u3002\u305d\u3053\u3067\u3001EBM\u3068\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u6b63\u3057\u304f\u89e3\u8aac\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u305d\u306e\u305f\u3081\u306b\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u30eb\u30fc\u30eb\u306e\u4e00\u3064\u3067\u3042\u308bGRADE\u30b7\u30b9\u30c6\u30e0\u304c\u5fc5\u8981\u306a\u7406\u7531\u3092\u3001EBM\u306e\u5b9f\u8df5\u306b\u5f79\u7acb\u3064\u8cc7\u6599\u3068\u3059\u308b\u8996\u70b9\u3088\u308a\u8003\u5bdf\u3057\u305f\u3002<\/p>\n

<\/p>\n

\u25a0-\uff12\uff1a
\nGRADE\u30b7\u30b9\u30c6\u30e0\u3092\u65e5\u672c\u306e\u533b\u7642\u306b\u53d6\u308a\u5165\u308c\u308b<\/b>.\uff08\u6e6f\u6d45\u79c0\u9053\uff09\u3000\u696d\u7e3e\u96c6pp206-219
\n\u5e73\u6210\uff12\uff12\u5e74\u5ea6\u7b2c\uff11\u56de\u516c\u958b\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0\uff08\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff1a\u65b0\u305f\u306a\u8ab2\u984c\u3068\u53ef\u80fd\u6027\u3092\u8003\u3048\u308b\u3001 2011\u5e74\uff12\u304c\u6708\uff11\uff13\u65e5\u8cc7\u6599\uff09<\/p>\n

<\/p>\n

\n\u25a0-\uff13\uff1a
\n\u30a8\u30d3\u30c7\u30f3\u30b9\u304b\u3089\u63a8\u5968\u3092\u4f5c\u6210\u3059\u308b\u305f\u3081\u306b\u30fc\u3000GRADE\u30b7\u30b9\u30c6\u30e0\u306e\u767a\u5c55\u306b\u5411\u3051\u3066<\/b>
\n\"gg\"<\/a>\n<\/p>\n


<\/p>\n

 <\/div>\n
\n

Gordon Guyatt\u6c0f\u3078\u306e\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc \u696d\u7e3e\u96c6pp178-183 \uff08\u4e0b\u8a18\u30ea\u30f3\u30af\u5185\u5bb9\u3068\u540c\u3058\uff09
\nTHERAPEUTIC RESEARCH vol.32 no.5 2011\u63b2\u8f09<\/a>
\n\u8fd1\u5e74\uff0c\u308f\u304c\u56fd\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3082Evidence-based Medicine\uff08EBM\uff09\u306e\u6982\u5ff5\u304c\u5c0e\u5165\u3055\u308c\uff0c\u63a8\u5968\u4f5c\u6210\u306e\u30d7\u30ed\u30bb\u30b9\u306b\u30af\u30ea\u30cb\u30ab\u30eb\uff65\u30af\u30a8\u30b9\u30c1\u30e7\u30f3\u3084\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306a\u3069\u306eEBM\u7684\u624b\u6cd5\u304c\u7528\u3044\u3089\u308c\u3064\u3064\u3042\u308b\u3002\u6d77\u5916\u3067\u306f\u3055\u3089\u306b\uff0c\u63a8\u5968\u4f5c\u6210\u306e\u4e00\u9023\u306e\u30d7\u30ed\u30bb\u30b9\u3092\u6a19\u6e96\u5316\u3057\uff0c\u305d\u306e\u6a19\u6e96\u30d7\u30ed\u30bb\u30b9\u3092\u591a\u304f\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u30b0\u30eb\u30fc\u30d7\u3067\u5171\u6709\u3059\u308b\uff0c\u3068\u3044\u3046\u53d6\u308a\u7d44\u307f\u304c\u9032\u3093\u3067\u3044\u308b\u3002\u6a19\u6e96\u30d7\u30ed\u30bb\u30b9\u666e\u53ca\u306e\u305f\u3081\u306b\u958b\u767a\u3055\u308c\u305fGRADE\u30b7\u30b9\u30c6\u30e0\u306f\uff0c\u3059\u3067\u306b50\u7d44\u7e54\u306b\u652f\u6301\u3055\u308c\u5229\u7528\u3055\u308c\u308b\u306b\u81f3\u3063\u305f\u3002\u3053\u3053\u3067\u306f\uff0cGRADE\u30ef\u30fc\u30ad\u30f3\u30b0\u30b0\u30eb\u30fc\u30d7\u306e\u4e2d\u5fc3\u4eba\u7269\u3067\u3042\u308b\uff0cGordon H. Guyatt\u6c0f\u306bGRADE\u30b7\u30b9\u30c6\u30e0\u306e\u73fe\u72b6\u306b\u3064\u3044\u3066\u805e\u3044\u305f\u3002
\n\uff08\u30a4\u30f3\u30bf\u30d3\u30e5\u30a2\u30fc: \u7c73\u56fd\u533b\u7642\u30e9\u30a4\u30bf\u30fcMary Mosley)<\/p>\n<\/div>\n

<\/p>\n

\u4e2d\u5c71\u7814\u7a76\u73ed\u9577\uff1a [\u7814\u7a76\u7d50\u679c\u306e\u4e00\u90e8\u3088\u308a]
\n\u8fd1\u5e74\u65b0\u3057\u3044\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u6cd5\u3068\u3057\u3066\u63d0\u6848\u3055\u308c\u305fGRADE\u6cd5\u3092\u691c\u8a3c\u3002\u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u30ec\u30d9\u30eb\u3068\u72ec\u7acb\u3057\u305f\u63a8\u5968\u5ea6\u306e\u6c7a\u5b9a\u306f\u81e8\u5e8a\u73fe\u5834\u306e\u5b9f\u60c5\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\u304c\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d3\u30e5\u30fc\u306e\u4f5c\u696d\u91cf\u304c\u591a\u304f\u3001\u81e8\u5e8a\u75ab\u5b66\u7684\u77e5\u8b58\u3092\u6301\u3064\u4eba\u6750\u304c\u76f8\u5f53\u6570\u5fc5\u8981\u3068\u3055\u308c\u308b\u70b9\u304c\u5c0e\u5165\u306b\u969b\u3057\u3066\u8ab2\u984c\u3067\u3042\u308d\u3046\u30022011\u5e74\uff11\u6708\u306b\u540c\u30b0\u30eb\u30fc\u30d7\u306e\u4e2d\u5fc3\u3067\u3042\u308bG.Guyatt\u306b\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3092\u5b9f\u65bd\u3057\u305f\u3002
\n———————————————————————–<\/p>\n

\u76f8\u539f\u30b3\u30e1\u30f3\u30c8\uff1a
\n\u4e2d\u5c71\u5148\u751f\u304c\u3054\u6307\u6458\u306e\u3088\u3046\u306b\u3001\u78ba\u304b\u306b\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3092\u5b9f\u65bd\u3067\u304d\u3066RevMan\u3084GRADEpro\u3092\u64cd\u4f5c\u3067\u304d\u308b\u30b9\u30bf\u30c3\u30d5\u3084\u7d71\u8a08\u5b66\u8005\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u5c02\u9580\u5bb6\u3001\u81e8\u5e8a\u533b\u3001\u5229\u5bb3\u95a2\u4fc2\u8005\u3001\u30a8\u30f3\u30c9\u30e6\u30fc\u30b6\u30fc\u3067\u3042\u308b\u60a3\u8005\u3001\u666e\u53ca\u306e\u305f\u3081\u306e\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u30fb\u30b7\u30b9\u30c6\u30e0\u62c5\u5f53\u8005\u306a\u3069\u306e\u53c2\u753b\u304c\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306b\u304a\u3044\u3066\u306f\u5fc5\u9808\u3067\u3057\u3087\u3046\u3002Guidelines for WHO guidelines (GWG) 2003\u306b\u304a\u3044\u3066\u306f\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u30b0\u30eb\u30fc\u30d7\u306f\uff18\uff5e12\u540d\u306b\u3088\u308b\u69cb\u6210\u3067\u3059\u3002
\n\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u305f\u3081\u306eGRADE\u30b7\u30b9\u30c6\u30e0<\/a> p148-151 , \u300c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30d1\u30cd\u30eb\u306e\u7de8\u6210\u300d\n<\/p>\n

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