{"id":429,"date":"2019-04-24T14:00:29","date_gmt":"2019-04-24T05:00:29","guid":{"rendered":"https:\/\/info.zanet.biz\/?p=429"},"modified":"2019-04-24T16:15:30","modified_gmt":"2019-04-24T07:15:30","slug":"comparative-effectiveness-research-cer%e6%af%94%e8%bc%83%e5%8a%b9%e6%9e%9c%e7%a0%94%e7%a9%b6","status":"publish","type":"post","link":"https:\/\/info.zanet.biz\/?p=429","title":{"rendered":"Comparative Effectiveness Research (CER)\u6bd4\u8f03\u52b9\u679c\u7814\u7a76"},"content":{"rendered":"\n

2009\u5e741\u670815\u65e5\u3001\u5f53\u6642\u306e\u30aa\u30d0\u30de\u5927\u7d71\u9818\u304c\u4e00\u822c\u6559\u66f8\u6f14\u8aac\u306e\u4e2d\u3067\u3001CER \u6bd4\u8f03\u52b9\u679c\u7814\u7a76\u306e\u63a8\u9032\u306b\u3064\u3044\u3066\u8ff0\u3079\u300111\u5104\u30c9\u30eb\u306e\u4e88\u7b97\u304c\u3064\u3051\u3089\u308c\u3001\u305d\u306e\u5f8c\u306e\u533b\u5b66\u7814\u7a76\u3001\u533b\u7642\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u3002Institute of Medicine (IOM<\/a>, \u73feNational Academy of Medicine, NAM)\u306eCER\u306e\u5b9a\u7fa9\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n

“The generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition, or to improve the delivery of care. The purpose of CER is to assist consumers, clinicians, purchasers, and policy makers to make informed decisions that will improve health care at both the individual and population levels.”<\/p>\n\n\n\n

\u201c\u6bd4\u8f03\u52b9\u679c\u7814\u7a76CER\u306f\u81e8\u5e8a\u72b6\u614b\u306e\u4e88\u9632\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u3001\u30e2\u30cb\u30bf\u30fc\u306e\u305f\u3081\u3042\u308b\u3044\u306f\u30b1\u30a2\u306e\u4f9b\u7d66\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306e\u65b9\u6cd5\u306e\u9078\u629e\u80a2\u306e\u76ca\u3068\u5bb3\u3092\u6bd4\u8f03\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong>\u306e\u751f\u6210\u3068\u7d71\u5408\u3092\u884c\u3046\u3053\u3068\u3067\u3042\u308b\u3002CER\u306e\u76ee\u7684\u306f\u500b\u4eba\u304a\u3088\u3073\u96c6\u56e3\u306e\u4e21\u65b9\u3067\u3001\u6d88\u8cbb\u8005\u3001\u81e8\u5e8a\u5bb6\u3001\u8cfc\u5165\u8005\u3068\u653f\u7b56\u6c7a\u5b9a\u8005\u304c\u3001\u30d8\u30eb\u30b9\u30b1\u30a2\u3092\u6539\u5584\u3059\u308b\u3067\u3042\u308d\u3046\u3001\u60c5\u5831\u3092\u4e0e\u3048\u3089\u308c\u305f\u4e0a\u3067\u306e\u6c7a\u65ad\u3092\u652f\u63f4\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002\u201d<\/p>\n\n\n\n

\u3055\u3089\u306b\u3001CER\u306e6\u3064\u306e\u7279\u5fb4\u3068\u3057\u3066\u4ee5\u4e0b\u306e\u9805\u76ee\u304c\u3042\u3052\u3089\u308c\u3066\u3044\u308b\u3002
1\uff0e\u76ee\u7684\u306f\u7279\u5b9a\u306e\u81e8\u5e8a\u6c7a\u65ad\u306b\u60c5\u5831<\/strong>\u3092\u3042\u305f\u3048\u308b\u3053\u3068\u3002
2\uff0e\u305d\u308c\u305e\u308c\u304c\u6700\u5584\u306e\u533b\u7642\u3068\u306a\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u5c11\u306a\u304f\u3068\u30822\u3064\u306e\u4ecb\u5165\u306e\u9078\u629e\u80a2\u3092\u6bd4\u8f03\u3059\u308b\u3053\u3068\u3002
3\uff0e\u7fa4\uff08population\uff09\u304a\u3088\u3073\u4e9c\u7fa4\u30ec\u30d9\u30eb\u3067\u60a3\u8005\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u53d6\u308a\u6271\u3044\u8a18\u8ff0\u3059\u308b\u3053\u3068\u3002
4\uff0e\u76ca\u3060\u3051\u3067\u306a\u304f\u5bb3\u3092\u542b\u3080\u60a3\u8005\u306b\u3068\u3063\u3066\u91cd\u8981\u306a\u30a2\u30a6\u30c8\u30ab\u30e0<\/strong>\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u3002
5\uff0e\u5bfe\u8c61\u3068\u306a\u308b\u6c7a\u65ad\u306b\u9069\u5207\u306a\u7814\u7a76\u624b\u6cd5\u304a\u3088\u3073\u30c7\u30fc\u30bf\u30bd\u30fc\u30b9\u3092\u7528\u3044\u308b\u3053\u3068\u3002
6\uff0e\u4ecb\u5165\u304c\u7528\u3044\u3089\u308c\u308b\u3067\u3042\u308d\u3046\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306b\u53ef\u80fd\u306a\u9650\u308a\u8fd1\u3044\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3067\u884c\u308f\u308c\u308b\u3002<\/p>\n\n\n\n

\u5b9a\u7fa9\u304a\u3088\u3073\u3053\u308c\u3089\u306e\u9805\u76ee\u304b\u3089CER\u306b\u95a2\u3059\u308b\u30ad\u30fc\u30ef\u30fc\u30c9\u3092\u3042\u3052\u308b\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3067\u3057\u3087\u3046\u3002
\u2460Effectiveness\u3059\u306a\u308f\u3061\u5b9f\u81e8\u5e8a\u306b\u304a\u3051\u308b\u52b9\u679c<\/strong>\u3001\u2461\u60a3\u8005\u4e2d\u5fc3\u30a2\u30a6\u30c8\u30ab\u30e0\u3001\u2462\u76ca\u3068\u5bb3\u306e\u8a55\u4fa1\u3001\u2463\u6c7a\u65ad\u652f\u63f4\u3001\u2464\u9078\u629e\u80a2\u306e\u6bd4\u8f03\u3001\u2465\u3059\u3079\u3066\u306e\u30b9\u30c6\u30fc\u30af\u30db\u30eb\u30c0\u30fc\u306e\u6700\u5927\u9650\u306e\u53c2\u52a0\u30fb\u8ca2\u732e\u304a\u3088\u3073\u7d50\u679c\u306e\u6d3b\u7528\u3001\u2466\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u751f\u6210\u3068\u7d71\u5408\uff08\u4e00\u6b21\u7814\u7a76\u3068\u4e8c\u6b21\u7814\u7a76\u3067\u3042\u308b\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\/\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\uff09<\/p>\n\n\n\n

PubMed Special Queries: Directory of Topic-Specific PubMed Queries<\/a>\u306b\u306fComparative Effectiveness Research<\/a>\u306e\u691c\u7d22\u5f0f\u304c\u7528\u610f\u3055\u308c\u3066\u304a\u308a\u3001Research Category\u3068\u3057\u3066\u3001
\u3000\u3007Randomized controlled trials,
\u3000\u3007Observational Studies (cohort, administrative\u3000data,\u3000registries,\u3000and\u3000electronic\u3000health\u3000records),\u3000
\u3000\u3007Systematic\u3000Reviews,\u3000Simulations,\u3000Models\u3001
Selected Topics\u3068\u3057\u3066\u3001
\u3000\u3007Health Disparities,
\u3000\u3007Costs and Cost Analysis,\u3000
\u3000\u3007Comparative Effectiveness Research as Subject
\u304c\u691c\u7d22\u8a9e\u53e5\u3068\u7d44\u307f\u5408\u308f\u305b\u3066PubMed\u691c\u7d22\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u3044\u305a\u308c\u304b\u4e00\u3064\u3042\u308b\u3044\u306f\u3059\u3079\u3066\u3092\u9078\u629e\u3057\u3066\u691c\u7d22\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

Randomized controlled trials\u3067\u306frandomized controlled trial[pt]\u3088\u308a\u3082\u3088\u308a\u591a\u304f\u306e\u6587\u732e\u304c\u5f15\u304d\u51fa\u3055\u308c\u3001\u4e00\u65b9Cochrane\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306e\u30d5\u30a3\u30eb\u30bf\u30fc\u3088\u308a\u3082\u5c11\u306a\u3044\u6587\u732e\u304c\u5f15\u304d\u51fa\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

Comparative Effectiveness Research as Subject\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3068\u6570\u306f\u5c11\u306a\u3044\u3067\u3059\u304c\u3001\u81e8\u5e8a\u3078\u306e\u30a4\u30f3\u30d1\u30af\u30c8\u304c\u3042\u308a\u305d\u3046\u306a\u8ad6\u6587\u304c\u5f15\u304d\u51fa\u3055\u308c\u3066\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u305f\u3068\u3048\u3070\u3001acute appendicitis\u3067\u691c\u7d22\u3057\u305f\u3068\u3053\u308d\u300128\u4ef6\u306e\u8ad6\u6587\u304c\u5f15\u304d\u51fa\u3055\u308c\u307e\u3057\u305f\u304c\u3001\u305d\u306e\u4e2d\u306e2\u756a\u76ee\u306e\u8ad6\u6587\u306f\u3001Ehlers AP, Davidson GH, Deeney K, Talan DA, Flum DR, Lavallee DC: Methods for Incorporating Stakeholder Engagement into Clinical Trial Design. EGEMS (Wash DC) 2017;5:4. PMID: 29930955<\/a>\u3067\u3001CER\u306e\u8003\u3048\u65b9\u3001Patient-centered outcome\u306e\u91cd\u8996\u3001\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u7b56\u5b9a\u306e\u6bb5\u968e\u304b\u3089\u3001\u60a3\u8005\u3055\u3093\u3092\u542b\u3080\u5229\u5bb3\u95a2\u4fc2\u8005\u306e\u53c2\u52a0\u3092\u6c42\u3081\u308b\u306a\u3069\u3001\u81e8\u5e8a\u7814\u7a76\u306b\u304a\u3051\u308b\u65b0\u3057\u3044\u8a66\u307f\u304c\u8ffd\u53ca\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

2009\u5e741\u670815\u65e5\u3001\u5f53\u6642\u306e\u30aa\u30d0\u30de\u5927\u7d71\u9818\u304c\u4e00\u822c\u6559\u66f8\u6f14\u8aac\u306e\u4e2d\u3067\u3001CER \u6bd4\u8f03\u52b9\u679c\u7814\u7a76\u306e\u63a8\u9032\u306b\u3064\u3044\u3066\u8ff0\u3079\u300111\u5104\u30c9\u30eb\u306e\u4e88\u7b97\u304c\u3064\u3051\u3089\u308c\u3001\u305d\u306e\u5f8c\u306e\u533b\u5b66\u7814\u7a76\u3001\u533b\u7642\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u3002Institute of Me … “Comparative Effectiveness Research (CER)\u6bd4\u8f03\u52b9\u679c\u7814\u7a76” \u306e<\/span>\u7d9a\u304d\u3092\u8aad\u3080<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,23],"tags":[],"class_list":["post-429","post","type-post","status-publish","format-standard","hentry","category-essay","category-literature-search"],"_links":{"self":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/429","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=429"}],"version-history":[{"count":2,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/429\/revisions"}],"predecessor-version":[{"id":432,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/429\/revisions\/432"}],"wp:attachment":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=429"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=429"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}