{"id":607,"date":"2019-08-07T12:42:52","date_gmt":"2019-08-07T03:42:52","guid":{"rendered":"https:\/\/info.zanet.biz\/?p=607"},"modified":"2019-08-10T13:18:13","modified_gmt":"2019-08-10T04:18:13","slug":"%e6%af%94%e8%bc%83%e5%8a%b9%e6%9e%9c%e7%a0%94%e7%a9%b6cer%e3%81%a8%e8%a8%ba%e7%99%82%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%e4%bd%9c%e6%88%90","status":"publish","type":"post","link":"https:\/\/info.zanet.biz\/?p=607","title":{"rendered":"\u6bd4\u8f03\u52b9\u679c\u7814\u7a76CER\u3068\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210"},"content":{"rendered":"\n<p>\u6bd4\u8f03\u52b9\u679c\u7814\u7a76Comparative Effectiveness Research (CER)\u306eNAM National Academy of Medicine (\u65e7IOM Institute of Medicine)\u306e\u5b9a\u7fa9\u306f\u3001\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\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\u3067\u3059\u3002\u4ee5\u524d\u306e<a href=\"\/index.php?p=429\">\u6295\u7a3f<\/a>\u3067\u8ff0\u3079\u305f\u3068\u304a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4e00\u65b9\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306eMinds\u306e\u5b9a\u7fa9\u306f\u3001WHO\u3084GRADE Working group\u3068\u540c\u3058\u3067\u3059\u304c\u3001\u201d\u8a3a\u7642\u4e0a\u306e\u91cd\u8981\u5ea6\u306e\u9ad8\u3044\u533b\u7642\u884c\u70ba\u306b\u3064\u3044\u3066\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3068\u305d\u306e\u7dcf\u4f53\u8a55\u4fa1\u3001\u76ca\u3068\u5bb3\u306e\u30d0\u30e9\u30f3\u30b9\u306a\u3069\u3092\u8003\u91cf\u3057\u3066\u3001\u60a3\u8005\u3068\u533b\u7642\u8005\u306e\u610f\u601d\u6c7a\u5b9a\u3092\u652f\u63f4\u3059\u308b\u305f\u3081\u306b\u6700\u9069\u3068\u8003\u3048\u3089\u308c\u308b\u63a8\u5968\u3092\u63d0\u793a\u3059\u308b\u6587\u66f8\u201d\u3067\u3059\u3002\uff08Minds\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u30de\u30cb\u30e5\u30a2\u30eb<a href=\"https:\/\/minds.jcqhc.or.jp\/s\/guidance_2017\">2017<\/a>\u300d\uff09<\/p>\n\n\n\n<p>CER\u306f\u4e00\u6b21\u7814\u7a76\u3060\u3051\u3067\u306a\u304f\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u7d71\u5408\u3082\u542b\u307e\u308c\u307e\u3059\u3002\u3064\u307e\u308a\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\/\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3082CER\u306b\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002CER\u306e\u76ee\u7684\u306e\u3072\u3068\u3064\u306f\u201d\u500b\u4eba\u304a\u3088\u3073\u96c6\u56e3\u306e\u4e21\u65b9\u3067\u3001&#8230;\u60c5\u5831\u3092\u4e0e\u3048\u3089\u308c\u305f\u4e0a\u3067\u306e\u6c7a\u65ad\u3092\u652f\u63f4\u3059\u308b\u3053\u3068\u201d\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u3053\u306b\u306f\u201d\u63a8\u5968\u201d\u3068\u3044\u3046\u8a00\u8449\u306f\u51fa\u3066\u304d\u307e\u305b\u3093\u304c\u3001\u201d\u6c7a\u65ad\u3092\u652f\u63f4\u3059\u308b\u201d\u3001\u3064\u307e\u308a\u201d\u610f\u601d\u6c7a\u5b9a\u3092\u652f\u63f4\u3059\u308b\u201d\u3053\u3068\u304c\u76ee\u7684\u3067\u3042\u308b\u3053\u3068\u304c\u660e\u78ba\u306b\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3072\u3068\u3064\u306e\u30af\u30ea\u30cb\u30ab\u30eb\u30af\u30a8\u30b9\u30c1\u30e7\u30f3\u3092\u53d6\u308a\u4e0a\u3052\u3066\u307f\u308b\u3068\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306b\u304a\u3051\u308b\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u307e\u3067\u306e\u904e\u7a0b\u3092\u3072\u3068\u3064\u306eCER\u3068\u547c\u3076\u3053\u3068\u306b\u306f\u3042\u307e\u308a\u7570\u8ad6\u306f\u306a\u3044\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3044\u307e\u3059\uff0a\u3002\u307e\u305f\u3001\u60a3\u8005\u3055\u3093\u306e\u53c2\u52a0\u3068\u3044\u3046\u70b9\u3067\u3082CER\u3068\u5171\u901a\u70b9\u304c\u3042\u308a\u307e\u3059\u3002\u63a8\u5968\u4f5c\u6210\u306e\u904e\u7a0b\u3082\u79d1\u5b66\u7684\u306b\u9032\u3081\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u306e\u3067\u3042\u308c\u3070\u3001\u63a8\u5968\u3082\u542b\u3081\u3066\u3072\u3068\u3064\u306eCER\u3067\u3042\u308b\u3068\u8a00\u3063\u3066\u3044\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\u3002\u3053\u306e\u3088\u3046\u306a\u8003\u3048\u3092\u8a8d\u3081\u308b\u306e\u3067\u3042\u308c\u3070\u3001\u201d\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306fCER\u3092\u884c\u3046\u3053\u3068\u3067\u3042\u308b\u201d\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306b\u53c2\u52a0\u3055\u308c\u5c3d\u529b\u3055\u308c\u305f\u65b9\u306e\u5b66\u554f\u7684\u696d\u7e3e\u3068\u3057\u3066\u53d6\u308a\u6271\u3046\u3079\u304d\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\/\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306e\u8ad6\u6587\u3068\u3057\u3066\u767a\u8868\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u6c7a\u65ad\u5206\u6790\u306a\u3069\u3082\u542b\u3081\u305f\u63a8\u5968\u307e\u3067\u306e\u904e\u7a0b\u3092CER\u306e\u8ad6\u6587\u3068\u3057\u3066\u767a\u8868\u3059\u308b\u3053\u3068\u3092\u4eca\u5f8c\u63a8\u9032\u3059\u3079\u304d\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\u3002\u305d\u3046\u3059\u308b\u3053\u3068\u3067\u3001\u63a8\u5968\u4f5c\u6210\u306e\u904e\u7a0b\u3082\u542b\u3081\u3066\u3001\u30d4\u30a2\u30ec\u30d3\u30e5\u30fc\u3092\u53d7\u3051\u305f\u3046\u3048\u3067\u3001\u51fa\u7248\u3055\u308c\u3001\u305d\u308c\u3089\u306e\u84c4\u7a4d\u3092\u675f\u306d\u308b\u5f62\u3067\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u4f5c\u6210\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u6587\u732e\uff1a&#8212;&#8212;&#8211;<br>Asche CV ed.: Applying Comparative Effectiveness Data to Medical Decision Making: A Practical Guide. 2016, Adis (Springer\u00a0International Publishing Switzerland) \u3053\u306e\u672c\u306b\u306fCER\u306e\u5b9a\u7fa9\u306b\u3064\u3044\u3066\u3001IOM\u3060\u3051\u3067\u306a\u304f\u3001NIH\u3001AHRQ\u3001<a href=\"http:\/\/www.pcori.org\/research-results\/research-methodology\/pcori-methodology-standards\">PCORI<\/a>\u3001Federal Coordinating Council for Comparative Effectiveness Research\u306e\u5b9a\u7fa9\u3082\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002 <\/p>\n\n\n\n<p>\uff0a\u3082\u3068\u3082\u3068IOM\u306f2011\u5e74\u306e\u6642\u70b9\u3067\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306e\u5b9a\u7fa9\u306e\u306a\u304b\u3067\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306f&#8221;scientific investigation&#8221;\u79d1\u5b66\u7684\u7814\u7a76\u3067\u3042\u308b\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002  \u201dA systematic review is a scientific investigation that focuses on a specific question and uses explicit, preplanned scientific methods to identify, select, assess, and summarize the findings of individual, relevant studies. \u201d (Clinical Practice Guidelines We Can Trust,<a href=\"http:\/\/www.nationalacademies.org\/hmd\/Reports\/2011\/Clinical-Practice-Guidelines-We-Can-Trust.aspx\"> 2011<\/a>) \u307e\u305f\u3001\u591a\u304f\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\/\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306e\u8ad6\u6587\u304c\u3055\u307e\u3056\u306a\u30b8\u30e3\u30fc\u30ca\u30eb\u306b\u767a\u8868\u3055\u308c\u3066\u3044\u3066\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\/\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306f\u5b66\u554f\u7684\u306a\u6d3b\u52d5\u306e\u6210\u679c\u3067\u3042\u308b\u3053\u3068\u306b\u3064\u3044\u3066\u306f\u7570\u8ad6\u306f\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u3001CER\u306e\u6761\u4ef6\u306b\u3042\u3048\u3070\u3001CER\u3068\u3057\u3066\u3082\u6210\u7acb\u3057\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6bd4\u8f03\u52b9\u679c\u7814\u7a76Comparative Effectiveness Research (CER)\u306eNAM National Academy of Medicine (\u65e7IOM Institute of Medicine)\u306e\u5b9a &hellip; <a href=\"https:\/\/info.zanet.biz\/?p=607\" class=\"more-link\"><span class=\"screen-reader-text\">&#8220;\u6bd4\u8f03\u52b9\u679c\u7814\u7a76CER\u3068\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210&#8221; \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":[5,8,2],"tags":[],"class_list":["post-607","post","type-post","status-publish","format-standard","hentry","category-cpg","category-essay","category-sr"],"_links":{"self":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/607","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=607"}],"version-history":[{"count":5,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/607\/revisions"}],"predecessor-version":[{"id":613,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/607\/revisions\/613"}],"wp:attachment":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=607"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=607"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}