{"id":1127,"date":"2021-09-13T09:29:11","date_gmt":"2021-09-13T00:29:11","guid":{"rendered":"https:\/\/yobou.work\/?p=1127"},"modified":"2023-08-19T13:45:40","modified_gmt":"2023-08-19T04:45:40","slug":"%e3%82%a8%e3%83%93%e3%83%87%e3%83%b3%e3%82%b9%e3%81%a3%e3%81%a6%e3%81%aa%e3%81%ab%ef%bc%9f%e3%82%86%e3%82%8b%e3%81%a3%e3%81%a8%e3%83%bb%e3%81%ae%e3%82%93%e3%81%b3%e3%82%8a%e8%a7%a3%e8%aa%ac%e3%81%97","status":"publish","type":"post","link":"https:\/\/yobou.work\/?p=1127","title":{"rendered":"\u3010\u8003\u5bdf\u3011\u300cEBM \u79d1\u5b66\u7684\u6839\u62e0\u306b\u57fa\u3065\u3044\u305f\u533b\u7642\u300d\u300cEvidence \u30a8\u30d3\u30c7\u30f3\u30b9\u300d\u300cEvidence Level \u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\u300d\u3063\u3066\u306a\u3093\u3060\u308d\u3046\uff1f"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter size-large wp-image-1128\" src=\"https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/P1010781.jpg?resize=665%2C499\" alt=\"\" width=\"665\" height=\"499\" srcset=\"https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/P1010781.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/P1010781.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/P1010781.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/P1010781.jpg?resize=1536%2C1152&amp;ssl=1 1536w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/P1010781.jpg?resize=660%2C495&amp;ssl=1 660w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/P1010781.jpg?w=1920&amp;ssl=1 1920w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/P1010781.jpg?w=1330 1330w\" sizes=\"(max-width: 665px) 100vw, 665px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u3000Evidence\u3068\u306f\u300c\u8a3c\u62e0\u300d\u3084\u300c\u6839\u62e0\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\uff0e\u533b\u7642\u30fb\u4fdd\u5065\u5206\u91ce\u3067\u306f\u300cEvidence Based Medicine\u300d\u3068\u547c\u3070\u308c\uff0c\u65e5\u672c\u8a9e\u3067\u306f\u300c\u79d1\u5b66\u7684\u6839\u62e0\u306b\u57fa\u3065\u3044\u305f\u533b\u7642\u300d\u3068\u8a33\u3055\u308c\u3066\u3044\u307e\u3059\uff0e\u300cEBM\u300d\u3068\u7565\u3057\u3066\u66f8\u3044\u305f\u308a\u547c\u3093\u3060\u308a\u3057\u307e\u3059\uff0e\u300cEvidence Based Medicine\u300d\u306f1991\u5e74\u306b\u30ab\u30ca\u30c0\u306eGordon Guyatt\u6559\u6388\u304c\u63d0\u5531\u3057\u305f\u3082\u306e\u306e\u7565\u3067\uff0c\u73fe\u5728\u3067\u306f\u5e83\u304f\u652f\u6301\u3055\u308c\u3066\u3044\u307e\u3059\uff0e<\/p>\n<p>\u3000\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u306e\u611f\u67d3\u62e1\u5927\u304c\u8d77\u3053\u308a\uff0c\u4e00\u822c\u306e\u65b9\u304b\u3089\u3082\u305f\u307e\u306b\u300cEvidence\u300d\u3068\u805e\u304f\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\uff0e\u306a\u3093\u3068\u306a\u304f\u306e\u611f\u899a\u306a\u306e\u3067\u3059\u304c\uff0c\u65e5\u672c\u4eba\u306e\u6b6f\u79d1\u533b\u306f\u300cEvidence\u300d\u3092\u8aa4\u89e3\u3057\u3066\u3044\u305f\u308a\uff0c\u300cEvidence Level\u300d\u307e\u3067\u306f\u6c17\u306b\u3055\u308c\u3066\u3044\u306a\u3044\u5148\u751f\u304c\u591a\u3044\u3088\u3046\u306b\u611f\u3058\u3066\u3044\u307e\u3059\uff0e\u4eca\u56de\u306f\u305d\u306e\u3042\u305f\u308a\u3092\u3088\u304f\u8003\u3048\u3066\u307f\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff0e<\/p>\n<p>\u3000\u300cEvidence Level\u300d\u306f\u4ee5\u4e0b\u306e\u30d4\u30e9\u30df\u30c3\u30c9\u3067\u8868\u73fe\u3055\u308c\u308b\u3088\u3046\u306a\u30d2\u30a8\u30e9\u30eb\u30ad\u30fc\u3092\u6301\u3063\u3066\u3044\u307e\u3059\uff0e\u4eca\u56de\u306f\u79d1\u5b66\u7814\u7a76\u306e\u57fa\u790e\u306e\u90e8\u5206\u300cEvidence\u300d\u300cEvidence level\u300d\u3068\u304b\u300cEvidence based medical pyramid\u300d\u305d\u306e\u3042\u305f\u308a\u3092\u306e\u3093\u3073\u308a\u3068\u308f\u304b\u308a\u3084\u3059\u304f\u8003\u3048\u3066\u307f\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff0e\u4eca\u56de\uff0c\u7528\u8a9e\u306b\u3064\u3044\u3066\u306f\u53b3\u5bc6\u306b\u8a33\u3057\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u304f\uff0c\u81e8\u5e8a\u5bb6\u306e\u5148\u751f\u3084\u6b6f\u79d1\u885b\u751f\u58eb\u3055\u3093\u306b\u3082\u8aad\u3093\u3067\u3082\u3089\u3048\u308b\u3088\u3046\u306b\u5e73\u6613\u306a\u7528\u8a9e\u306b\u7f6e\u304d\u63db\u3048\u3066\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u306e\u3067\uff0c\u305c\u3072\u304a\u4ed8\u304d\u5408\u3044\u304f\u3060\u3055\u3044\uff0e<\/p>\n<p>&nbsp;<\/p>\n<h2>\uff11\uff0eEvidence based medical pyramid\u3068\u306f\u306a\u306b\u304b<\/h2>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"aligncenter size-full wp-image-1132\" src=\"https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/ebm-1.jpg?resize=665%2C458\" alt=\"\" width=\"665\" height=\"458\" srcset=\"https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/ebm-1.jpg?w=789&amp;ssl=1 789w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/ebm-1.jpg?resize=300%2C206&amp;ssl=1 300w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/ebm-1.jpg?resize=768%2C529&amp;ssl=1 768w, https:\/\/i0.wp.com\/yobou.work\/wp-content\/uploads\/2021\/09\/ebm-1.jpg?resize=660%2C454&amp;ssl=1 660w\" sizes=\"(max-width: 665px) 100vw, 665px\" \/><\/p>\n<p>\u3000\u4e0a\u306e\u56f3\u306f\u6240\u8b02\u300cEvidence based medical pyramid\u300d(\u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u30d4\u30e9\u30df\u30c3\u30c9)\u3067\u3059\uff0e\u90e8\u5206\u7684\u306b\u5165\u308c\u66ff\u3048\u3066\u3042\u308b\u3082\u306e\u3082\u898b\u3089\u308c\u307e\u3059\uff0e\u52d8\u9055\u3044\u3055\u308c\u3084\u3059\u3044\u306e\u3067\u3059\u304c\uff0c\u3053\u306e\u30d4\u30e9\u30df\u30c3\u30c9\u306f\u4e0a\u306b\u884c\u3051\u3070\u8cea\u304c\u9ad8\u3044Evidence\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u304c\uff0c\u4e0b\u3060\u304b\u3089\u5358\u7d14\u306b\u8cea\u304c\u60aa\u3044\u3068\u3044\u3046\u3088\u3046\u306a\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\uff0e\u7814\u7a76\u306e\u5f79\u5272\u304c\u9055\u3046\u306e\u3067\uff0c\u4e00\u7dd2\u306b\u3057\u3066\u3057\u307e\u3046\u3053\u3068\u306b\u9055\u548c\u611f\u3092\u611f\u3058\u308b\u65b9\u3082\u3044\u308b\u3068\u601d\u3044\u307e\u3059\uff0e\u305d\u308c\u306f\u9593\u9055\u3044\u3067\u306f\u3042\u308a\u307e\u305b\u3093\uff0e\u7d30\u304b\u3044\u3053\u3068\u306f\u629c\u304d\u306b\u3057\u3066\u6a21\u5f0f\u56f3\u3068\u3057\u3066\u773a\u3081\u306a\u304c\u3089\uff0c\u305d\u308c\u305e\u308c\u4e00\u3064\u4e00\u3064\u3092\u308f\u304b\u308a\u3084\u3059\u304f\u7814\u7a76\u306e\u4f8b\u3092\u51fa\u3057\u306a\u304c\u3089\uff0c\u7c21\u5358\u306b\u8aac\u660e\u3057\u3066\u307f\u3088\u3046\u3068\u601d\u3044\u307e\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<p><strong>(1) In vitro(test tube) research \/ \u57fa\u790e\u7814\u7a76(\u8a66\u9a13\u7ba1)\u306e\u7814\u7a76<\/strong><\/p>\n<p>\u3000\u533b\u7642\u306e\u4e2d\u3067\u306f\u518d\u4e0b\u4f4d\u306b\u5b58\u5728\u3059\u308b\u306e\u304c\u57fa\u790e\u7814\u7a76\u3067\u3059\uff0e\u3057\u304b\u3057\uff0c\u3053\u306e\u57fa\u790e\u7814\u7a76\u304c\u306a\u3051\u308c\u3070\u305d\u306e\u5f8c\u306e\u5275\u85ac\u306a\u3069\u306e\u81e8\u5e8a\u5fdc\u7528\u306f\u3042\u308a\u307e\u305b\u3093\uff0epyramid\u3067\u306f\u518d\u4e0b\u4f4d\u306b\u4f4d\u7f6e\u3057\u307e\u3059\u304c\uff0c\u5168\u3066\u306e\u7814\u7a76\u306e\u57fa\u790e(\u30d9\u30fc\u30b9)\u3068\u306a\u308b\u3082\u306e\u3068\u8003\u3048\u305f\u65b9\u304c\u3088\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\uff0eEvidence\u3068\u3057\u3066\u306f\u6700\u4e0b\u4f4d\u306b\u5b58\u5728\u3059\u308b\u7814\u7a76\u3067\u3059\u304c\uff0c\u79d1\u5b66\u306e\u767a\u5c55\u306b\u306f\u6b20\u304b\u305b\u306a\u3044\u975e\u5e38\u306b\u5927\u5207\u306a\u7814\u7a76\u3067\u3059\uff0e\u307c\u304f\u306f\u57fa\u790e\u7814\u7a76\u306e\u5148\u751f\u65b9\u3092\u5c0a\u656c\u3057\u3066\u3044\u307e\u3059\uff0e\u57fa\u790e\u7814\u7a76\u306f\u4f55\u5343\u56de\uff0c\u4f55\u4e07\u56de\u3082\u5b9f\u9a13\u3092\u7e70\u308a\u8fd4\u3057\u3066\u751f\u307f\u51fa\u3055\u308c\u308b\u6c57\u3068\u6d99\u306e\u7d50\u6676\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3059\uff0e<\/p>\n<p><strong>(2) Animal research \/ \u52d5\u7269\u5b9f\u9a13<\/strong><\/p>\n<p>\u3000\u52d5\u7269\u5b9f\u9a13\u3068\u3044\u3046\u3068\u611f\u60c5\u7684\u306b\u300c\u304b\u308f\u3044\u305d\u3046\u300d\u3060\u3068\u304b\u300c\u3084\u3081\u308b\u3079\u304d\u300d\u3060\u3068\u304b\u306e\u610f\u898b\u304c\u307f\u3089\u308c\u307e\u3059\uff0e\u79d1\u5b66\u306f\u611f\u60c5\u8ad6\u3092\u629c\u304d\u306b\u8003\u3048\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3057\uff0c\u52d5\u7269\u5b9f\u9a13\u304c\u306a\u3051\u308c\u3070\u73fe\u5728\u306e\u533b\u5b66\u306e\u767a\u5c55\u306f\u3042\u308a\u307e\u305b\u3093\uff0e\u6211\u304c\u56fd\u306e\u5b9f\u9a13\u52d5\u7269\u4fdd\u8b77\u95a2\u9023\u6cd5\u306f1973\u5e74\u300c\u52d5\u7269\u306e\u4fdd\u8b77\u53ca\u3073\u7ba1\u7406\u306b\u95a2\u3059\u308b\u6cd5\u5f8b\u300d\u304c\u5236\u5b9a\u3055\u308c\uff0c1999\u5e74\uff0c2005\u5e74\u306b\u6539\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\uff0e\u73fe\u5728\u306e\u52d5\u7269\u5b9f\u9a13\u306f\u52d5\u7269\u611b\u8b77\u7684\u306a\u89b3\u70b9\u304b\u3089\u52d5\u7269\u306e\u82e6\u75db\u7b49\u306b\u5341\u5206\u306b\u914d\u616e\u3055\u308c\u3066\u3044\u307e\u3059\uff0e\u8cb4\u91cd\u306a\u30c7\u30fc\u30bf\u3092\u53d6\u5f97\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u306e\u3067\uff0c\u533b\u5b66\u306b\u9650\u3089\u305a\u79d1\u5b66\u306e\u767a\u5c55\u306b\u306f\u5fc5\u8981\u4e0d\u53ef\u6b20\u3068\u8003\u3048\u3066\u3044\u307e\u3059\uff0e\u57fa\u790e\u7814\u7a76\u3068\u30bb\u30c3\u30c8\u3067\u7814\u7a76\u306e\u57fa\u790e\u3092\u306a\u3059\u975e\u5e38\u306b\u91cd\u8981\u6027\u306e\u9ad8\u3044\u3082\u306e\u3067\u3059\uff0e<\/p>\n<p><strong>(3) Ideas, Editorials, Opinions \/ \u5c02\u9580\u5bb6\u306e\u610f\u898b<\/strong><\/p>\n<p>\u3000\u5c02\u9580\u5bb6\u306e\u610f\u898b\u306f\u3053\u3053\u306b\u4f4d\u7f6e\u3057\u3066\u3044\u307e\u3059\uff0e\u300c\u30c6\u30ec\u30d3\u3067\u3007\u3007\u5148\u751f\u304c\u3053\u3046\u8a00\u3063\u3066\u3044\u305f\u300d\u3084\u300c\u5c02\u9580\u5bb6\u304cYoutube\/Twitter\u3067\u914d\u4fe1\u3057\u3066\u3044\u305f\u300d\u306a\u3069\u3082\u3053\u308c\u306b\u8a72\u5f53\u3059\u308b\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\uff0e\u3082\u3061\u308d\u3093\u5c02\u9580\u5bb6\u306f\u5c02\u9580\u5bb6\u3068\u3057\u3066\u5f97\u3089\u308c\u305f\u77e5\u8b58\u30fb\u6280\u8853\u3092\u57fa\u306b\u7d39\u4ecb\u3057\u3066\u3044\u308b\u3068\u601d\u3046\u306e\u3067\u3059\u304c\uff0c\u4e00\u90e8\u9593\u9055\u3063\u305f\u60c5\u5831\u3084\u6975\u7aef\u306a\u610f\u898b\u306a\u3069\u304c\u307f\u3089\u308c\u307e\u3059\uff0e\u6700\u8fd1\u306f\u3060\u3044\u3076\u307e\u3057\u306b\u306a\u3063\u305f\u3088\u3046\u306b\u601d\u3044\u307e\u3059\u304c\uff0cEvidence\u3092\u7d39\u4ecb\u3057\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u304f\u300cEvidence\u3092\u3082\u3068\u306b\u79c1\u306f\u3053\u3046\u8003\u3048\u3066\u3044\u308b\u300d\u3068\u3044\u3046\u611f\u3058\u306b\u306a\u3063\u3066\u3044\u308b\u3088\u3046\u306b\u601d\u308f\u308c\u307e\u3059\uff0e<\/p>\n<p>\u3000\u6b6f\u79d1\u533b\u5e2b\u3082\u3042\u308b\u610f\u5473\u4e00\u822c\u306e\u65b9\u3005\u304b\u3089\u898b\u308b\u3068\u533b\u7642\u5c02\u9580\u8077\u3067\u3042\u308a\uff0c\u5c02\u9580\u5bb6\u306b\u5165\u308b\u308f\u3051\u3067\u3059\uff0e\u3057\u304b\u3057\uff0c\u69d8\u3005\u306a\u5a92\u4f53\u3092\u773a\u3081\u3066\u3044\u308b\u3068\u660e\u3089\u304b\u306b\u9593\u9055\u3063\u3066\u3044\u308b\u60c5\u5831\u306b\u57fa\u3065\u304f\u898b\u89e3\u304c\u7d39\u4ecb\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u306b\u6115\u7136\u3068\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff0e\u6b6f\u79d1\u533b\u5e2b\u304c\u30d5\u30c3\u5316\u7269\u914d\u5408\u6b6f\u78e8\u5264\u306f\u5371\u967a\u3060\u3068\u8a00\u3063\u3066\u3044\u305f\u308a\uff0c\u5c02\u9580\u5916\u3067\u3042\u308b\u65b0\u578b\u30b3\u30ed\u30ca\u611f\u67d3\u75c7\u3084\u30ef\u30af\u30c1\u30f3\u306b\u3064\u3044\u3066\u8a00\u53ca\u3057\u3066\u3044\u305f\u308a\u3057\u307e\u3059\uff0e\u79d1\u5b66\u306e\u5c02\u9580\u5bb6\u3068\u3057\u3066\u8cac\u4efb\u3042\u308b\u884c\u52d5\u3092\u53d6\u3063\u3066\u6b32\u3057\u3044\u306a\u3041\u3068\u611f\u3058\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3059\uff0e<\/p>\n<p><strong>(4) Case Reports \/ \u75c7\u4f8b\u5831\u544a<\/strong><\/p>\n<p>\u3000\u300c\u00d7\u00d7\u306b\u5bfe\u3057\u3007\u3007\u6cbb\u7642\u3057\u305f\u4e00\u4f8b\u300d\u300c\u25b3\u25b3\u306b\u5bfe\u3057\u3066\u6cbb\u7642\u306b\u96e3\u6e0b\u3057\u305f\u75c7\u4f8b\u300d\u3068\u3044\u3046\u3088\u3046\u306a\u75c7\u4f8b\u5831\u544a\u306b\u306f\u307b\u3068\u3093\u3069\u4fa1\u5024\u304c\u3042\u308a\u307e\u305b\u3093\uff0e\u56fd\u5185\u306e\u96d1\u8a8c\u306b\u306f\u3044\u307e\u3060\u306b\u75c7\u4f8b\u5831\u544a\u304c\u63b2\u8f09\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\uff0cImpact Factor(\u5b66\u8853\u96d1\u8a8c\u306e\u5f71\u97ff\u529b\u3092\u6570\u5024\u3067\u793a\u3057\u305f\u3082\u306e)\u306e\u9ad8\u3044\u96d1\u8a8c\u306b\u75c7\u4f8b\u5831\u544a\u304c\u63b2\u8f09\u3055\u308c\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\uff0e\u73fe\u5834\u3067\u306f\uff0c\u75c7\u4f8b\u5831\u544a\u306f\u7814\u4fee\u533b\u306e\u5148\u751f\u306b\u7d4c\u9a13\u3057\u3066\u3082\u3089\u304a\u3046\u3068\u3044\u3046\u3088\u3046\u306a\u611f\u3058\u3067\u3059\uff0e\u3082\u3061\u308d\u3093\uff0c\u81e8\u5e8a\u7814\u7a76\u306f\u75c7\u4f8b\u306e\u7a4d\u307f\u91cd\u306d\u3067\u3059\u306e\u3067\uff0c\u75c7\u4f8b\u306f\u5927\u5207\u3067\u3059\u304c\u75c7\u4f8b\u5831\u544a\u306e\u91cd\u8981\u5ea6\u306f\u9ad8\u304f\u3042\u308a\u307e\u305b\u3093\uff0e<\/p>\n<p><strong>(5) Case Series \/ \u75c7\u4f8b\u96c6\u7a4d\u7814\u7a76<\/strong><\/p>\n<p>\u3000\u75c7\u4f8b\u3092\u3042\u308b\u7a0b\u5ea6\u96c6\u7a4d\u3057\uff0c\u30b7\u30ea\u30fc\u30ba\u3068\u3057\u3066\u4f5c\u6210\u3055\u308c\u305f\u7814\u7a76\u3067\u3059\uff0e\u5bfe\u7167\u7fa4\u3092\u8a2d\u5b9a\u305b\u305a\u306b\u884c\u3044\u307e\u3059\uff0e\u4f8b\u3048\u3070\uff0c\u820c\u304c\u3093\u306b\u5bfe\u3059\u308b\u653e\u5c04\u7dda\u7642\u6cd5\u3092\u4f55\u540d\u304b\u306e\u60a3\u8005\u3055\u3093\u306b\u5b9f\u65bd\u3057\u3066\uff0c\u305d\u306e\u60a3\u8005\u3055\u3093\u305f\u3061\u3092\u89b3\u5bdf\u3059\u308b\u3088\u3046\u306a\u7814\u7a76\u3067\u3059\uff0e\u5bfe\u7167\u7fa4\u304c\u8a2d\u5b9a\u3055\u308c\u3066\u3044\u306a\u3044\u305f\u3081\uff0c\u5f97\u3089\u308c\u306a\u3044\u7d50\u679c\u304c\u591a\u3044\u7814\u7a76\u3067\u3059\uff0e\u4ed6\u306e\u5206\u6790\u75ab\u5b66\u8abf\u67fb\u3088\u308a\u3082\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\u304c\u4f4e\u304f\uff0c\u4fe1\u983c\u6027\u306b\u6b20\u3051\u308b\u305f\u3081\uff0c\u73fe\u5728\u3067\u306f\u307b\u3068\u3093\u3069\u884c\u308f\u308c\u306a\u3044\u7814\u7a76\u624b\u6cd5\u3067\u3059\uff0e<\/p>\n<p><strong>(6) Case\u00a0 Control Studies \/ \u75c7\u4f8b\u5bfe\u7167\u7814\u7a76<\/strong><\/p>\n<p>\u3000\u75c5\u6c17\u306e\u539f\u56e0\u3092\u904e\u53bb\u306b\u3055\u304b\u306e\u307c\u308a\u8abf\u67fb\u3059\u308b\u7814\u7a76\u306e\u3053\u3068\u3067\u3059\u3002\u60a3\u8005\u3068\u5bfe\u7167\u7fa4(\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb)\u3092\u8a2d\u5b9a\u3057\u6bd4\u8f03\u3057\u307e\u3059\uff0e\u4f8b\u3048\u3070\u30fb\u30fb\u30fb\u6771\u4eac\u90fd\u306e\u820c\u304c\u3093\u306b\u7f79\u60a3\u3057\u3066\u3044\u308b40\uff5e50\u4ee3\u3068\uff0c\u5bfe\u7167\u7fa4\u3068\u3057\u3066\u820c\u304c\u3093\u306b\u7f79\u60a3\u3057\u3066\u3044\u306a\u304440\uff5e50\u6b73\u4ee3\u3092\u9078\u3073\uff0c\u751f\u6d3b\u80cc\u666f\u3084\u6027\u5225\uff0c\u98f2\u9152\u3084\u55ab\u7159\u306a\u3069\u820c\u304c\u3093\u306b\u7f79\u308b\u56e0\u679c\u95a2\u4fc2\u3092\u30aa\u30c3\u30ba\u6bd4\u3067\u6c42\u3081\u307e\u3059\uff0e\u75c7\u4f8b\u5bfe\u7167\u7814\u7a76\u3067\u306f\u53b3\u5bc6\u306b\u306f\u30ea\u30b9\u30af\u3092\u6c42\u3081\u308b\u3053\u3068\u304c\u51fa\u6765\u307e\u305b\u3093\uff0e<\/p>\n<p><strong>(7) Cohort Studies \/ \u30b3\u30db\u30fc\u30c8\u7814\u7a76<\/strong><\/p>\n<p>\u3000\u820c\u304c\u3093\u306e\u7814\u7a76\u306e\u4f8b\u3067\u4f8b\u3048\u308b\u3068\uff0c\u56e0\u679c\u95a2\u4fc2\u3092\u7591\u3046\u300c\u55ab\u7159\u300d\u3068\u300c\u820c\u304c\u3093\u300d\u306e\u95a2\u4fc2\u6027\u3092\u8abf\u67fb\u3059\u308b\u3082\u306e\u3067\u3059\uff0e\u75c7\u4f8b\u5bfe\u7167\u7814\u7a76\u306f\u66b4\u9732\u7fa4\u3068\u975e\u66b4\u9732\u7fa4\u3092\u8003\u616e\u306b\u5165\u308c\u305a\uff0c\u820c\u304c\u3093\u3068\u3044\u3046\u300c\u75be\u75c5\u306e\u6709\u7121\u300d\u3067\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066\u306e\u56e0\u679c\u95a2\u4fc2\u3092\u6c42\u3081\u308b\u3082\u306e\u3067\u3057\u305f\uff0e\u3057\u304b\u3057\uff0c\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306e\u5834\u5408\uff0c\u55ab\u7159\u8005\u3068\u975e\u55ab\u7159\u8005\u306b\u5206\u3051\u3066\u820c\u304c\u3093\u306b\u306a\u3063\u305f\u304b\u3068\u3044\u3046\u300c\u66b4\u9732\u306e\u6709\u7121\u300d\u304b\u3089\u30ea\u30b9\u30af\u306e\u56e0\u679c\u95a2\u4fc2\u3092\u6c42\u3081\u308b\u3082\u306e\u3067\u3059\uff0e\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306f\u76f8\u5bfe\u5371\u967a\u5ea6\u3067\u6c42\u3081\uff0c\u75c7\u4f8b\u5bfe\u7167\u7814\u7a76\u3068\u7570\u306a\u308a\u6b63\u78ba\u306b\u30ea\u30b9\u30af\u3092\u6c42\u3081\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\uff0e\u6b63\u78ba\u6027\u3084\u30ea\u30b9\u30af\u306e\u5224\u5b9a\u3068\u3044\u3046\u70b9\u3067\u306f\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306e\u307b\u3046\u304c\u4e0a\u56de\u308a\u307e\u3059\u304c\uff0c\u65b0\u578b\u30b3\u30ed\u30ca\u611f\u67d3\u75c7\u306e\u3088\u3046\u306b\u5e83\u304f\u611f\u67d3\u62e1\u5927\u3057\u3066\u3057\u307e\u3063\u305f\u611f\u67d3\u75c7\u306e\u3088\u3046\u306a\u5834\u9762\u306f\u75c7\u4f8b\u5bfe\u8c61\u7814\u7a76\u306e\u307b\u3046\u304c\u9069\u3057\u3066\u3044\u307e\u3059\uff0e<\/p>\n<p><strong>(8) RCT \/ \u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13(\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13)<\/strong><\/p>\n<p>\u3000\u820c\u304c\u3093\u306e\u7814\u7a76\u3067\u4f8b\u3048\u308b\u3068\uff0c\u820c\u304c\u3093\u306b\u5bfe\u3059\u308b\u624b\u8853\u7642\u6cd5\u3068\u653e\u5c04\u7dda\u7642\u6cd5\u3092\u30e9\u30f3\u30c0\u30e0\u306b\u5272\u308a\u632f\u3063\u306610\u5e74\u5f8c\u306b\u3069\u3061\u3089\u306e\u6cbb\u7642\u6210\u7e3e\u304c\u512a\u308c\u3066\u3044\u305f\u304b\u3092\u8abf\u67fb\u3059\u308b\u7814\u7a76\u3067\u3059\uff0e\u4fe1\u983c\u6027\u3092\u9ad8\u3081\u308b\u305f\u3081\u306b\u591a\u65bd\u8a2d\u3067\u884c\u308f\u308c\u308b\u3053\u3068\u3082\u591a\u3044\u7814\u7a76\u3067\u3059\uff0eRCT\u306f\u6cbb\u7642\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u7b49\uff0c\u6cbb\u7642\u306e\u65b9\u6cd5\u30fb\u65b9\u91dd\u3092\u6c7a\u3081\u308b\u5927\u5207\u306a\u7814\u7a76\u624b\u6cd5\u3067\u3059\uff0e<\/p>\n<p><strong>(9) Systematic Reviews and Meta-analyses\/\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\uff0c\u30e1\u30bf\u30fb\u30a2\u30ca\u30ea\u30b7\u30b9<\/strong><\/p>\n<p>\u3000\u30d4\u30e9\u30df\u30c3\u30c9\u306e\u9802\u70b9\u306b\u3042\u308b\u306e\u304c\u3053\u306e\u7814\u7a76\u65b9\u6cd5\u3067\u3059\uff0e\u3064\u307e\u308aEBM\u3092\u5b9f\u8df5\u3059\u308b\u969b\u306b\u6700\u3082\u6709\u529b\u306a\u7814\u7a76\u304c\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\uff0c\u30e1\u30bf\u30fb\u30a2\u30ca\u30ea\u30b7\u30b9\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\uff0e\u81a8\u5927\u306a\u91cf\u306e\u8cea\u306e\u9ad8\u3044\u7814\u7a76\u3060\u3051\u3092\u96c6\u3081\u69d8\u3005\u306a\u89d2\u5ea6\u304b\u3089\u691c\u8a3c\u3092\u5b9f\u65bd\u3057\u305f\u3082\u306e\u3067\uff0c\u533b\u5b66\u5206\u91ce\u3060\u3068\u6709\u540d\u306a\u3082\u306e\u306bCochrane\u5171\u540c\u8a08\u753b\u306e<a href=\"https:\/\/www.cochranelibrary.com\/\">\u300cThe Cochrane Library\u300d<\/a>\u304c\u3042\u308a\u307e\u3059\uff0eCochrane\u5171\u540c\u8a08\u753b\u306f\u30a4\u30ae\u30ea\u30b9\u306e\u533b\u5e2b\u3067\u75ab\u5b66\u8005\u3067\u3082\u3042\u3063\u305fArchiebald Cochrane\u304c\u63d0\u5531\u3057\u305f\u3082\u306e\u3067\u3059\uff0e<\/p>\n<p>\u3000\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306e\u30e1\u30ea\u30c3\u30c8\u3068\u3057\u3066\u306f\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u8cea\u306e\u826f\u3044\u7d50\u679c\u3092\u5f97\u308b\u3053\u3068\u304c\u51fa\u6765\u307e\u3059\u304c\uff0c\u30c7\u30e1\u30ea\u30c3\u30c8\u3068\u3057\u3066\u306f\u3042\u308b\u7a0b\u5ea6\u7814\u7a76\u304c\u51fa\u3066\u304b\u3089\u958b\u59cb\u3055\u308c\u308b\u7814\u7a76\u624b\u6cd5\u306e\u305f\u3081\uff0c\u6700\u65b0\u306e\u7814\u7a76\u7d50\u679c\u306f\u5f97\u3089\u308c\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\uff0e\u307e\u305f\uff0c\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306b\u634f\u9020\u3055\u308c\u305f\u8ad6\u6587\u306a\u3069\u306e\u4e0d\u6b63\u306a\u8ad6\u6587\u304c\u542b\u307e\u308c\uff0c\u5f8c\u7a0b\u64a4\u56de\u3055\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u3082\u8d77\u3053\u3063\u3066\u3044\u307e\u3059\uff0e\u73fe\u5728\u767a\u8868\u3055\u308c\u3066\u3044\u308b\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u304c\u7d76\u5bfe\u7684\u306a\u3082\u306e\u3067\u306f\u306a\u3044\u3053\u3068\u306b\u3082\u7559\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<p>\u3000Evidence based medical pyramid(\u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u30d4\u30e9\u30df\u30c3\u30c9)\u306b\u57fa\u3065\u3044\u3066\uff0c\u5e73\u6613\u306a\u8a00\u8449\u306b\u7f6e\u304d\u63db\u3048\u3066\u305d\u308c\u305e\u308c\u306e\u7814\u7a76\u5185\u5bb9\u3092\u3054\u7d39\u4ecb\u3057\u3066\u307f\u307e\u3057\u305f\uff0e\u3082\u306e\u3059\u3054\u304f\u304b\u307f\u7815\u3044\u3066\u3044\u307e\u3059\u306e\u3067\uff0c\u75ab\u5b66\u30fb\u7d71\u8a08\u5b66\u3092\u3054\u5c02\u9580\u3068\u3057\u3066\u3044\u308b\u5148\u751f\u65b9\u304b\u3089\u53f1\u3089\u308c\u3066\u3057\u307e\u3046\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u30fb\u30fb\uff0e\u7814\u7a76\u306e\u624b\u6cd5\u305d\u308c\u305e\u308c\u306b\u30e1\u30ea\u30c3\u30c8\u30fb\u30c7\u30e1\u30ea\u30c3\u30c8\u304c\u3042\u308a\uff0c\u5358\u7d14\u306a\u3082\u306e\u3067\u306f\u306a\u3044\u3053\u3068\u3092\u7406\u89e3\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3068\u601d\u3044\u307e\u3059\uff0e\u57fa\u790e\u7814\u7a76\u306f\u6700\u4e0b\u4f4d\u306b\u4f4d\u7f6e\u3057\u3066\u3044\u307e\u3059\u304c\u91cd\u8981\u6027\u3084\u4fe1\u983c\u6027\u304c\u4f4e\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u306f\u306a\u304f\uff0c\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306f\u975e\u5e38\u306b\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u7814\u7a76\u624b\u6cd5\u3067\u306f\u3042\u308a\u307e\u3059\u304c\uff0c\u7d76\u5bfe\u7684\u306a\u3082\u306e\u3067\u306f\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306a\u306e\u3067\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<h2>\uff12\uff0eEBM\u304b\u3089SDM(Shared Decision Making)\u3078<\/h2>\n<p>\u3000\u3088\u304f\u300c\u30c7\u30fc\u30bf\u3067\u3053\u3046\u306a\u3063\u3066\u3044\u308b\u300d\u300c\u30a8\u30d3\u30c7\u30f3\u30b9\u3067\u306f\u3053\u3046\u306a\u3063\u3066\u3044\u308b\u300d\u3068\u3053\u308c\u304cEBM\u306b\u5247\u3063\u305f\u533b\u7642\u306a\u306e\u3060\u3068\uff0e\u60a3\u8005\u306a\u3069\u306e\u610f\u898b\u3092\u5426\u5b9a\u3059\u308b\u3088\u3046\u306a\u5834\u9762\u304c\u898b\u3089\u308c\u307e\u3059\uff0e\u3057\u304b\u3057\uff0c2017\u5e74\uff0cEBM\u306e\u63d0\u5531\u8005\u3067\u3042\u308bGuyatt\u304cLancet\u306b\u300cEBM\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u3060\u3051\u3067\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u300d\u3068\u8ff0\u3079\u300c\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u3084\u601d\u8003\u306a\u3069\uff0c\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u304c\u5fc5\u8981\u3067\u3042\u308b\u300d\u3068\u3057\u3066\u3044\u307e\u3059<sup>1)<\/sup>\uff0e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u91cd\u8981\u6027\u306f\u7591\u3046\u3079\u304f\u3082\u3042\u308a\u307e\u305b\u3093\u304c\uff0c\u305d\u308c\u3060\u3051\u3067EBM(\u6839\u62e0\u306b\u57fa\u3065\u304f\u533b\u7642)\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u305a\uff0c\u60a3\u8005\u3068\u306e\u5171\u540c\u610f\u601d\u6c7a\u5b9a(SDM)\u304c\u5fc5\u8981\u3067\u3042\u308b\u3068\u3057\u3066\u3044\u307e\u3059\uff0e<\/p>\n<p>\u3000\u60a3\u8005\u306e\u610f\u601d\u306b\u95a2\u4fc2\u306a\u304f\u6cbb\u7642\u65b9\u91dd\u3092\u9032\u3081\u3066\u3057\u307e\u3046\u3088\u3046\u306a\u30d1\u30bf\u30fc\u30ca\u30ea\u30ba\u30e0\u3067\u3082\u306a\u304f\uff0c\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u632f\u308a\u304b\u3056\u3059\u306e\u3067\u306f\u306a\u304f\uff0c\u533b\u7642\u306e\u73fe\u5834\u3067\u306f\u60a3\u8005\u3055\u3093\u306e\u610f\u601d\u3092\u5c0a\u91cd\u3057\uff0c\u533b\u7642\u30c1\u30fc\u30e0\u306e\u4e2d\u306b\u60a3\u8005\u3055\u3093\u3082\u5165\u3063\u3066\u3082\u3089\u3044\uff0c\u4e00\u7dd2\u306b\u8003\u3048\uff0c\u75c5\u3068\u95d8\u3046\u5fc5\u8981\u304c\u3042\u308b\u3068\u8003\u3048\u3066\u3044\u307e\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>\uff13\uff0eEvidence\/\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u306f\uff0c\u7a4d\u307f\u91cd\u306d\u3089\u308c\u308b\u3079\u304d\u300c\u4fe1\u983c\u300d\u3067\u3042\u308b\uff0e<\/strong><\/h2>\n<p style=\"text-align: left;\">\u3000\uff11\u500b\u8ad6\u6587\u304c\u51fa\u3066\u3044\u308c\u3070\u305d\u308c\u3092\u300c\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u300d\u3068\u8a00\u3063\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u5148\u751f\u304c\u3044\u307e\u3059\u304c\uff0c\u305d\u308c\u306f\u8ad6\u6587\uff1dEvidence\u3068\u8aa4\u89e3\u3057\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u306e\u3060\u3068\u601d\u3044\u307e\u3059\uff0e\u8907\u6570\u306e\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u8ad6\u6587\u304c\u3044\u304f\u3064\u3082\u7a4d\u307f\u91cd\u306a\u3063\u3066\u300c\u8a3c\u62e0\u300d\u3084\u300c\u6839\u62e0\u300d\u3064\u307e\u308a\u300c\u30a8\u30d3\u30c7\u30f3\u30b9\u300d\u304c\u5f62\u6210\u3055\u308c\u308b\u3068\u8003\u3048\u3066\u3044\u307e\u3059\uff0e\u500b\u4eba\u7684\u306b\u306f\u305d\u308c\u3089\u306b\u52a0\u3048\u3066\u300c\u6642\u306e\u6d17\u793c\u3092\u53d7\u3051\u305f<sup>\u203b<\/sup>\u300d\u4fa1\u5024\u306e\u3042\u308b\u8ad6\u6587\u3092\u512a\u5148\u3057\u3066\u8aad\u3080\u3079\u304d\u3060\u3068\u601d\u3063\u3066\u3044\u307e\u3059(\u305f\u3060\u53e4\u3059\u304e\u308b\u3082\u306e\u306f\u79d1\u5b66\u8ad6\u6587\u3068\u3057\u3066\u306e\u4fa1\u5024\u304c\u8584\u304f\uff0c\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u5c06\u6765\u7684\u306b\u5426\u5b9a\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b)\uff0e\u6642\u4ee3\u3092\u8d85\u3048\u3066\u3082\u652f\u6301\u3055\u308c\u308b\u8ad6\u6587\uff0c\u6b6f\u79d1\u95a2\u4fc2\u3067\u4f8b\u3048\u308b\u306e\u3067\u3042\u308c\u3070\u4e00\u9023\u306eJan Lindhe\u5148\u751f\u3084Per Axelsson\u5148\u751f\u306e\u8ad6\u6587\u306f\u4fa1\u5024\u306e\u9ad8\u3044\u3082\u306e\u3068\u8003\u3048\u3066\u3044\u307e\u3059\uff0e<\/p>\n<p style=\"text-align: right;\">\n\u203b\u6751\u4e0a\u6625\u6a39\u300c\u30ce\u30eb\u30a6\u30a7\u30fc\u306e\u68ee\u300d\u306e\u4e00\u7bc0<\/p>\n<p>\u3000\u521d\u3081\u3066\u30b9\u30a6\u30a7\u30fc\u30c7\u30f3 \u30de\u30eb\u30e1\u5927\u5b66\u3092\u8a2a\u554f\u3057\u305f\u969b\uff0c\u4e88\u9632\u6b6f\u79d1\u5b66\u306e\u6700\u9ad8\u5cf0\u3068\u3044\u3046\u3053\u3068\u3082\u3042\u3063\u3066\uff0c\u305d\u3053\u306b\u306f\u6700\u65b0\u306e\u8a3a\u67fb\u30fb\u6cbb\u7642\u6a5f\u5668\u3084\u85ac\u5264\u304c\u63c3\u3063\u3066\u3044\u308b\u3082\u306e\u3068\u601d\u3044\u3053\u3093\u3067\u3044\u305f\u306e\u3067\u3059\uff0e\u3057\u304b\u3057\uff0c\u5b9f\u969b\u306f\u9055\u3044\u307e\u3057\u305f\uff0e\u65e5\u672c\u3067\u898b\u304b\u3051\u308b\u3088\u3046\u306a\u65b0\u3057\u3044\u6a5f\u5668\u3084\u85ac\u5264\u306f\u305d\u3053\u306b\u306f\u306a\u304f\uff0c\u300c\u65e7\u5f0f\u3067\u306f\u306a\u3044\u3051\u308c\u3069\u30fb\u30fb\u30fb\u300d\u3068\u3044\u3046\u3088\u3046\u306a\u3082\u306e\u304c\u4e26\u3093\u3067\u3044\u305f\u306e\u3067\u3059\uff0e\u300c\u30b9\u30a6\u30a7\u30fc\u30c7\u30f3\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u30c0\u30a4\u30a2\u30b0\u30ce\u30c7\u30f3\u30c8\u306f\u5e83\u304f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u304b\uff1f\u300d\u3068\u30c0\u30f3\u5148\u751f\u306b\u4f3a\u3063\u305f\u3068\u3053\u308d\u300c\u307e\u3060\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u5c11\u306a\u3044\u304b\u3089\u63a1\u7528\u3057\u3066\u3044\u306a\u3044\u3088\u300d\u3068\u7b54\u3048\u305f\u306e\u3067\u3059\uff0e\u3054\u5b58\u77e5\u306e\u901a\u308a\uff0c\u30c0\u30a4\u30a2\u30b0\u30ce\u30c7\u30f3\u30c8\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u6bd4\u8f03\u7684\u591a\u304f\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\uff0e\u3057\u304b\u3057\uff0c\u305d\u308c\u3067\u3082\u300c\u307e\u3060\u8db3\u308a\u306a\u3044\u300d\u3068\u5224\u65ad\u3055\u308c\u3066\u3044\u305f\u306e\u3067\u3059\uff0e\u3042\u3041\uff0c\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u306f\u300c\u4fe1\u983c\u300d\u3064\u307e\u308a\u305d\u308c\u3089\u306f\u300c\u84c4\u7a4d\u300d\u3055\u308c\u308b\u3082\u306e\u3067\u3042\u3063\u3066\uff0c\u3042\u308c\u3070\u3088\u3044\u3068\u3044\u3046\u5358\u7d14\u306a\u3082\u306e\u3067\u306f\u306a\u3044\u306e\u3060\u306a\u3068\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u305f\u306e\u3067\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>\uff14\uff0e\u53c2\u8003\u6587\u732e<\/h2>\n<p>1)Djulbegovic B, Guyatt GH. Progress in evidence-based medicine: a quarter century on. Lancet. 2017 Jul 22;390(10092):415-423.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>\u304a\u3059\u3059\u3081<\/h2>\n<p>&nbsp;<\/p>\n<p>Evidence based medicine\u3092\u77e5\u308a\u305f\u3044\u65b9\u306f\u3053\u3061\u3089<\/p>\n<p><!-- START MoshimoAffiliateEasyLink --><\/p>\n<p><script 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