{"id":71,"date":"2008-02-02T21:55:24","date_gmt":"2008-02-02T12:55:24","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=71"},"modified":"2014-04-16T15:35:26","modified_gmt":"2014-04-16T06:35:26","slug":"%e3%82%bf%e3%83%9f%e3%83%95%e3%83%abpros-and-cons-4%ef%bc%88%e6%88%90%e4%ba%ba%ef%bc%89","status":"publish","type":"post","link":"https:\/\/aihara.la.coocan.jp\/?p=71","title":{"rendered":"\u30bf\u30df\u30d5\u30ebpros and cons-4\uff08\u6210\u4eba\uff09"},"content":{"rendered":"<div>\n<p>\u30bf\u30df\u30d5\u30eb\u306e\u52b9\u679c\u3084\u526f\u4f5c\u7528\u306b\u3064\u3044\u3066\u3001\u5c0f\u5150\u3068\u540c\u69d8\u306b\u5927\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3001\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u3042\u308b\u89b3\u5bdf\u7814\u7a76\u3001\u305d\u306e\u4ed6\u306a\u3069\u3092\u691c\u7d22\u3057\u307e\u3057\u305f\u3002<br \/>\n\u5c0f\u5150\u3067\u306e\u56fd\u5185\u5916\u81e8\u5e8a\u8a66\u9a13\u3068\u540c\u69d8\u306b\u3001\u6210\u4eba\u3067\u306e\u81e8\u5e8a\u8a66\u9a13\u6210\u7e3e\u306f\u3001\u30bf\u30df\u30d5\u30eb\uff08\u4e2d\u5916\u88fd\u85ac\u793e\u3001\u4f7f\u7528\u4e0a\u306e\u6ce8\u610f\u6539\u8a02\u6848\u5185\u3001\u3042\u308b\u3044\u306f\u793e\u5185\u8cc7\u6599\u3001Roche\u793e\u8cc7\u6599\uff082008\u5e741\u6708\uff09\u3001Cochrane\u30e9\u30a4\u30d6\u30e9\u30ea\u30fc\u306a\u3069\u306e\u30c7\u30fc\u30bf\u3092\u5229\u7528\u3057\u307e\u3057\u305f\u3002<\/p>\n<p><\/p>\n<p><b>\u25a0outcome-2\uff1a\u6210\u4eba\u3067\u306e\u5614\u5410<\/b><br \/>\n\u6d77\u5916\u8a66\u9a13\u306eRCT\u3067\u306f\u3001\u201d\u6cbb\u7642\u201d\u8a66\u9a13\uff08Phase-III\uff09 WV15676,-15671,-15730, \u9ad8\u9f62\u8005\uff08WV-15707, 15819, 15812\uff09,  \u201d\u4e88\u9632\u201d\u8a66\u9a13\u306e\u300115673\/697, -15799, 15825\u304c\u3042\u308a\u3001\u4e2d\u5916\u88fd\u85acRoche\u793e\u516c\u958b\u8cc7\u6599\u3001Cochane\u30e9\u30a4\u30d6\u30e9\u30ea, \u56fd\u5185\u8a66\u9a13\u306eJV15823\uff082000\uff09\u304c\u3042\u3063\u305f\u3002<\/p>\n<p><\/p>\n<p>\u201d\u6cbb\u7642\u201d\u3068\u201d\u4e88\u9632\u201d\u8a66\u9a13\u306e\u7d71\u5408\u7d50\u679c\uff08DerSimonian-Laird method\uff09\u3067\u3001<b>RR = 2.8 (95%CI= 193\uff5e4.05)<\/b>\u3067\u3042\u308a\u3001\u5747\u8cea\u6027\u306f\u68c4\u5374\u3055\u308c\u305a\uff08p=0.38)\u3001\u6709\u610f\u6027\u691c\u5b9a\u3067\u306f\u3001p&lt;0.0001\u3002<br \/>\n\u5f93\u3063\u3066\u3001<b>\u6210\u4eba\u306b\u304a\u3044\u3066\u306f\u3001\u6cbb\u7642\u3067\u3082\u4e88\u9632\u3067\u3082\u3001\u5614\u5410\u306b\u95a2\u3057\u3066\u306f\u3001\u30bf\u30df\u30d5\u30eb\u306e\u76f8\u5bfe\u5371\u967a\u306f\u7d04\uff12\uff5e\uff13\u3067\u3042\u308b\u3002<\/b><\/p>\n<p><\/p>\n<p>\u25a0\u672c\u7d50\u679c\u3092\u3001GRADEprofiler\u3067\u306f\u306a\u304f\u3001<a href=\"http:\/\/ims.cochrane.org\/revman\"><b>Cochrane RevMan5<\/b><\/a>\u3067\u8868\u793a\u3057\u305f\u3082\u306e\u304c\u4ee5\u4e0b\u3067\u3059\u3002<br \/>\nRevMan\u306f\u5358\u306b\u5165\u529b\u65b9\u6cd5\u304c\u7570\u306a\u308b\u3060\u3051\u3067\u3001\u5c11\u3057\u6163\u308c\u308b\u3068\u30a8\u30af\u30bb\u30eb\u3068\u540c\u69d8\u3067\u96e3\u3057\u3044\u3082\u306e\u3067\u306f\u306a\u304f\u3001Funnel plot\u3084\u7a2e\u3005\u306e\u56f3\u8868\u793a\u304c\u53ef\u80fd\u3067\u3059\u3002\u4e00\u756a\u306e\u554f\u984c\u306f\u3001\u5f53\u7136\u306a\u304c\u3089\u3001\u300c\u3069\u3093\u306a\u7814\u7a76\u3092\u63a1\u7528\u3059\u308b\u304b\u300d\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p><b>RevMan<\/b><br \/>\n<a href=\"http:\/\/aihara.la.coocan.jp\/tamiflu-emesis.php\" onclick=\"window.open('http:\/\/aihara.la.coocan.jp\/tamiflu-emesis.php','popup','width=1234,height=428,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\/tamiflu-emesis-thumb.jpg\" width=\"200\" height=\"69\" alt=\"revman\" \/><\/a><\/p>\n<p><br clear=\"all\" \/><\/p>\n<p>\n\u5c0f\u5150\u3068\u6210\u4eba\u306b\u95a2\u3059\u308b\uff15\u4ef6\u306e\uff32\uff23\uff34\u8a66\u9a13\u306e\u7d71\u5408\u3067\u306f\u3001\u56f3\u306e\u3088\u3046\u306b\uff08\u30e9\u30f3\u30c0\u30e0\u52b9\u679c\u30e2\u30c7\u30eb\uff09\u3001<b>RR= 2.13 (95%CI= 1.5-3.0)<\/b>\u3001 heterogeity Tau=0.06, chi^2= 6.9 (p=0.14), I2=42%\u3002<\/p>\n<p><\/p>\n<p>\u5f93\u3063\u3066\u3001<b>\u6210\u4eba\uff0813\u6b73\u4ee5\u4e0a\uff09\u3067\u306f\u3001\u56fd\u5185\u8a66\u9a13\u3092\u542b\u3081\u3066\u3082\u30bf\u30df\u30d5\u30eb\u6295\u4e0e\u3067\u5614\u5410\u304c\u591a\u304f\u3001\u5c0f\u5150\u4f8b\u3068\u4e00\u7dd2\u306b\u3057\u3066\u3082\u3001\u30bf\u30df\u30d5\u30eb\u6cbb\u7642\u3068\u4e88\u9632\u3044\u305a\u308c\u3067\u3082\u3001\u7d71\u8a08\u7684\u306b\u6709\u610f\u3067\u3042\u308b\u3002<\/b><\/p>\n<p><\/p>\n<p><b>\u7814\u7a76\u6570\u30fb\u30a4\u30d9\u30f3\u30c8\u6570\u304b\u3089\u3001GRADE\u57fa\u6e96\u306f\u3001high\u2192\u201d\u4e00\u6bb5\u968e\u30c0\u30a6\u30f3\u201d\u306e\u3001Evidece level= moderate\u3068\u3057\u307e\u3057\u305f\u305f\u3002<\/b><br \/>\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p><\/p>\n<p>\u25a0\u6ce8\uff1a<br \/>\n<b>(1)<\/b> \u56fd\u5185\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u306a\u3044\u8a66\u9a13\u3001JV16284\u3067\u306f\u3001\u30bf\u30df\u30d5\u30eb\u6295\u4e0e\uff085\u65e5\u9593\uff09\u7d42\u4e86\u5f8c2\u65e5\u4ee5\u5185\u306b\u6709\u5bb3\u4e8b\u8c61\u304c\u3001ITT\u89e3\u6790\u306767%\uff0847\/70\u4f8b\uff09\u3067\u3001\u672c\u5264\u3068\u306e\u95a2\u9023\u6027\u304c\u5426\u5b9a\u3067\u304d\u306a\u3044\u4e8b\u8c61\u304c50\uff05\u3042\u308a\u307e\u3057\u305f\u3002\u5614\u5410\u306f\u300122\u4f8b\uff0831%\uff09\u3068\u6700\u591a\u3067\u3042\u308a\u3001\u305d\u306e\u5927\u90e8\u5206\u306f\uff11\uff5e2\u65e5\u76ee\u306b\u767a\u73fe\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n<p><\/p>\n<p>\n<b>(2)<\/b> \u539a\u751f\u52b4\u50cd\u7814\u7a76\u73ed\uff08\u6a2a\u7530\uff09\u306e\u5e73\u621017\u5e74\u5831\u544a\u3067\u3082\u3001\u80c3\u8178\u969c\u5bb3\u3092\u306f\u3058\u3081\u3068\u3057\u305f\u526f\u4f5c\u7528\u767a\u73fe\u306f\u3001\u7b2c\u4e00\u3042\u308b\u3044\u306f\u7b2c2\u75c5\u65e5\u306b90\uff05\u304c\u96c6\u4e2d\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u3001\u6628\u5e74\u767a\u8868\u3055\u308c\u305f1\u4e07\u4eba\u306e\u30c7\u30fc\u30bf\u304b\u3089\u3082\u985e\u4f3c\u306e\u3082\u306e\u3067\u3059\u304c\u3001\u5614\u5410\u3068\u4e0b\u75e2\u304c\u4e00\u62ec\u8abf\u67fb\u3068\u3057\u3066\u304a\u308a\u3001\u5614\u5410\u306e\u307f\u306e\u8a73\u7d30\u30c7\u30fc\u30bf\u306f\u8abf\u67fb\u6210\u7e3e\u8868\u304b\u3089\u3082\u89e3\u6790\u4e0d\u53ef\u80fd\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>\u3053\u308c\u3089\u306e\u30c7\u30fc\u30bf\u306f\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u3063\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\u3068\u3057\u3066\u306f\u3001<b>\u201d\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u201d\u3001\u201dlimitations\u201d\u3001\u3042\u308b\u3044\u306f&#8221;imprecise&#8221;<\/b>\u306a\u3069\u304b\u3089\u3001\u5f53\u8a72\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u305f\u3081\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u3057\u3066\u306f\u63a1\u7528\u3067\u304d\u306a\u3044\u3082\u306e\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u85ac\u5264\u6295\u4e0e\u306e2\u65e5\u4ee5\u5185\u306b\u6709\u5bb3\u4f5c\u7528\u304c\u591a\u767a\u3057\u3066\u3044\u308b\u3053\u3068\u304b\u3089\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u3001\u3042\u308b\u3044\u306f\u30b3\u30af\u30e9\u30f3risk of bias\u57fa\u6e96\u304chigh\u3067\u3042\u308b\u3053\u3068\u304b\u3089\u3082\u3001<b>Further research is very likely to have an important impact on our confidence<\/b>\u3067\u3042\u308a\u3001\u3088\u308a\u8cea\u306e\u9ad8\u3044\u7814\u7a76\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>\u4e00\u90e8\u306e\u30b0\u30eb\u30fc\u30d7\u304c\u5b9f\u65bd\u3057\u3066\u3044\u308b\u3088\u3046\u306a\u3001\u672c\u7814\u7a76\u306e\u30c7\u30fc\u30bf\u304b\u3089\u4e00\u90e8\u3092\u629c\u304d\u51fa\u3057\u3066\u30002&#215;2\u89e3\u6790\u3001\u3042\u308b\u3044\u306f\u3000\u30cf\u30b6\u30fc\u30c9\u6bd4\u306a\u3069\u3092\u7b97\u51fa\u3059\u308b\u3053\u3068\u306f\u3001\u3042\u307e\u308a\u9069\u5207\u3067\u306f\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u3002 <\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u30bf\u30df\u30d5\u30eb\u306e\u52b9\u679c\u3084\u526f\u4f5c\u7528\u306b\u3064\u3044\u3066\u3001\u5c0f\u5150\u3068\u540c\u69d8\u306b\u5927\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3001\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u3042\u308b\u89b3\u5bdf\u7814\u7a76\u3001\u305d\u306e\u4ed6\u306a\u3069\u3092\u691c\u7d22\u3057\u307e\u3057\u305f\u3002 \u5c0f\u5150\u3067\u306e\u56fd\u5185\u5916\u81e8\u5e8a\u8a66\u9a13\u3068\u540c\u69d8\u306b\u3001\u6210\u4eba\u3067\u306e\u81e8\u5e8a\u8a66\u9a13\u6210\u7e3e\u306f\u3001\u30bf\u30df\u30d5\u30eb\uff08\u4e2d\u5916\u88fd\u85ac\u793e\u3001\u4f7f\u7528\u4e0a [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[13],"tags":[87,92,93],"_links":{"self":[{"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/71"}],"collection":[{"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=71"}],"version-history":[{"count":1,"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/71\/revisions"}],"predecessor-version":[{"id":611,"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/71\/revisions\/611"}],"wp:attachment":[{"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=71"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=71"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=71"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}