{"id":23762,"date":"2026-01-26T21:00:29","date_gmt":"2026-01-26T12:00:29","guid":{"rendered":"https:\/\/www.seimei-in.com\/wp02\/?p=23762"},"modified":"2026-01-25T14:34:19","modified_gmt":"2026-01-25T05:34:19","slug":"practice-based-evidence-3","status":"publish","type":"post","link":"https:\/\/www.seimei-in.com\/wp02\/practice-based-evidence-3\/","title":{"rendered":"Practice based Evidence\uff1a\u5b9f\u8df5(\u81e8\u5e8a)\u306b\u57fa\u3065\u304f\u533b\u7642\u2462"},"content":{"rendered":"

 <\/p>\n

\u6e05\u660e\u9662\u3067\u306f\u73fe\u5728\u3001\u6c42\u4eba\u52df\u96c6\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/strong><\/span><\/p>\n

\u52df\u96c6\u5185\u5bb9\u306e\u8a73\u7d30\u306f\u3053\u3061\u3089<\/a>\u3002<\/strong><\/span><\/p>\n

 <\/p>\n

 <\/p>\n

**********************************************************************************************<\/p>\n

\"\"<\/a>\u00a0 \u00a0 \u00a0\u00a0\"\u306b\u307b\u3093\u30d6\u30ed\u30b0\u6751<\/a><\/p>\n

\u3000\u3000\u2191\u2191\u2191\u3000\u3000\u3000 \u3000\u3000\u3000\u3000\u2191\u2191\u2191
\n\u3053\u3061\u3089\u3092\u30011\u65e51\u56de\u30af\u30ea\u30c3\u30af\u306b\u662f\u975e\u3054\u5354\u529b\u4e0b\u3055\u3044\uff01<m(__)m><\/p>\n

\u30af\u30ea\u30c3\u30af\u3057\u3066\u3044\u305f\u3060\u304f\u3068\u3001\u30e9\u30f3\u30ad\u30f3\u30b0\u30dd\u30a4\u30f3\u30c8\u304c\u4e0a\u304c\u308a\u307e\u3059\uff01\uff01
\n*********************************************************************************************<\/p>\n

 <\/p>\n

 <\/p>\n

\u00a0<\/div>\n
\u00a0<\/div>\n
\u3053\u3093\u3070\u3093\u306f\u3000\u8b1d\u6577\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3064\u3044\u306b\u51ac\u5c06\u8ecd\u304c\u672c\u6c17\u3092\u51fa\u3057\u3066\u304d\u3066\u3044\u307e\u3059\u306d\u3002<\/div>\n
\u5317\u6d77\u9053\u3084\u6771\u5317\u3001\u65e5\u672c\u6d77\u6cbf\u3044\u306b\u304a\u4f4f\u3044\u306e\u65b9\u306b\u3057\u3066\u307f\u305f\u3089\u3001<\/div>\n
\u6771\u4eac\u306e1\u6708\u4f55\u305e\u304b\u308f\u3044\u3044\u3082\u306e\u306a\u306e\u3060\u3068\u601d\u3044\u307e\u3059\u304c\u3001<\/div>\n
\u8033\u3068\u9f3b\u5148\u304c\u8d64\u304f\u306a\u308b\u3088\u3046\u306a\u3053\u306e\u5bd2\u3055\u3001<\/div>\n
\u79c1\u3068\u3057\u3066\u306f\u3001\u51ac\u3089\u3057\u304f\u3066\u3044\u3044\u306d\uff01\u3068<\/div>\n
\u80a9\u3092\u3059\u304f\u3081\u3001\u624b\u3092\u3055\u3059\u308a\u306a\u304c\u3089\u3082\u5c11\u3057\u5b89\u5fc3\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u305d\u308c\u3067\u3082\u65e5\u5dee\u3057\u306f\u6696\u304b\u3044\u3002<\/div>\n
\u5730\u4e2d\u3067\u306f\u3001\u304d\u3063\u3068\u6625\u306b\u5411\u3051\u3066\u306e\u4e0b\u6e96\u5099\u304c\u7740\u3005\u3068\u9032\u3081\u3089\u308c\u3066\u3044\u308b\u306e\u304b\u306a\u2026<\/div>\n
\u305d\u3093\u306a\u601d\u3044\u3067\u3001\u900f\u304d\u901a\u308b\u3088\u3046\u306a\u7a7a\u3092\u898b\u4e0a\u3052\u3066\u6b69\u3044\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3055\u3066\u3001Practice based Evidence\uff1a\u5b9f\u8df5(\u81e8\u5e8a)\u306b\u57fa\u3065\u304f\u533b\u7642\u306b\u3064\u3044\u3066\u306e\u521d\u51fa\u8ad6\u6587\u3092\u8aad\u3093\u3067\u3044\u307e\u3059\u3002<\/div>\n
\u3053\u306e\u8ad6\u6587\u3067\u306f\u3001RCT\u306e\u8ab2\u984c\u3092\u6574\u7406\u3057\u3001\u5b9f\u8df5\u306b\u57fa\u3065\u304f\u533b\u7642\u306b\u3064\u3044\u3066\u691c\u8a0e\u3057\u3066\u304a\u308a\u3001<\/div>\n
\u4eca\u65e5\u306fRCT\u306e\u8ab2\u984c\u3068\u3057\u3066\u306e2\u70b9\u76ee\u3092\u898b\u3066\u3044\u304d\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u00a0<\/div>\n
RCT\u3067\u306f\u3001\u7d14\u7c8b\u306a\u4ecb\u5165(\u6cbb\u7642)\u52b9\u679c\uff08\uff1d\u4ecb\u5165\u4ee5\u5916\u306e\u5f71\u97ff\u3092\u6392\u9664\u3057\u305f\u3082\u306e\uff09\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u8a2d\u8a08\u3055\u308c\u3066\u3044\u308b\u305f\u3081\u3001<\/div>\n
\u6cbb\u7642\u5185\u5bb9\u3084\u56de\u6570\u3001\u6642\u9593\u3001\u624b\u9806\u3092\u7d30\u304b\u304f\u6c7a\u3081\u3066\u5b9f\u65bd\u3057\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u305d\u306e\u7d50\u679c\u3001\u60a3\u8005\u3055\u3093\u4e00\u4eba\u4e00\u4eba\u306e\u500b\u5225\u6027\u3084\u3001<\/div>\n
\u81e8\u5e8a\u5bb6\u306e\u88c1\u91cf\u306f\u5236\u9650\u3055\u308c\u3001<\/div>\n
\u5b9f\u969b\u306e\u8a3a\u5bdf\u3068\u306f\u7570\u306a\u308b\u72b6\u6cc1\u304c\u4f5c\u308a\u51fa\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u3053\u306e\u8ad6\u6587\u3067\u306f\u3001\u3053\u308c\u3092\u300c\u4eba\u5de5\u7684\u306a\u74b0\u5883\u300d\u3068\u8868\u73fe\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u00a0<\/div>\n
\u00a0<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u00a0<\/div>\n
RCT\u3067\u306f\u3001\u6c7a\u3081\u3089\u308c\u305f\u306e\u6cbb\u7642\uff08\u4ecb\u5165\uff09\u304c\u3001<\/div>\n
\u6c7a\u3081\u3089\u308c\u305f\u3068\u304a\u308a\u306b\u3001\u4e00\u8cab\u3057\u3066\u5b9f\u884c\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u524d\u63d0\u3068\u306a\u308a\u307e\u3059\u3002<\/div>\n
\u3057\u304b\u3057\u3001\u5b9f\u969b\u306e\u7814\u7a76\u3067\u306f\u3001\u60a3\u8005\u3055\u3093\u304c\u9014\u4e2d\u3067\u6cbb\u7642\u3092\u3084\u3081\u3066\u3057\u307e\u3063\u305f\u308a\u3001<\/div>\n
\u5225\u304c\u6cbb\u7642\u306b\u306a\u3063\u305f\u308a\u3059\u308b\u3053\u3068\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u00a0<\/div>\n
\u305d\u306e\u3088\u3046\u306a\u5834\u5408\u306b\u7528\u3044\u3089\u308c\u308b\u306e\u304c\u3001ITT\uff08Intention-to-Treat\uff09\u3068\u3044\u3046\u89e3\u6790\u65b9\u6cd5\u3067\u3059\u3002<\/div>\n
\u3053\u308c\u306f\u3001\u6cbb\u7642\u3092\u9014\u4e2d\u3067\u3084\u3081\u3066\u3057\u307e\u3063\u305f\u308a\u3001\u7570\u306a\u308b\u6cbb\u7642\u306b\u5909\u3048\u3066\u3057\u307e\u3063\u305f\u5834\u5408\u306b\u3082\u3001<\/div>\n
\u305d\u308c\u3089\u306e\u4eba\u3092\u9664\u5916\u305b\u305a\u306b<\/div>\n
\u300c\u6700\u521d\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u30b0\u30eb\u30fc\u30d7\u306b\u5c5e\u3059\u308b\u4eba\u300d\u3068\u3057\u3066\u3001\u89e3\u6790\u3092\u884c\u3044\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u00a0<\/div>\n
\u306a\u305c\u306a\u3089\u3001\u3082\u3057\u3082\u7814\u7a76\u3092\u9014\u4e2d\u3067\u3084\u3081\u305f\u308a\u3001\u5225\u306e\u6cbb\u7642\u6cd5\u306b\u5909\u3048\u305f\u4eba\u3092\u9664\u3044\u3066\u3057\u307e\u3046\u3068\u3001<\/div>\n
\u6b8b\u3063\u305f\u4eba\u3005\uff08\u7814\u7a76\u5bfe\u8c61\u3068\u3057\u3066\u6700\u5f8c\u307e\u3067\u9069\u683c\u3060\u3063\u305f\u4eba\uff09\u306f\u3001<\/div>\n
\u7814\u7a76\u3092\u7d9a\u3051\u3066\u304f\u308c\u308b\u771f\u9762\u76ee\u306a\u4eba\uff08\u6027\u683c\u3084\u751f\u6d3b\u7fd2\u6163\u7b49)\u3084\u3001<\/div>\n
\u540c\u3058\u4ecb\u5165\u3092\u7d9a\u3051\u3089\u308c\u308b\u7a0b\u5ea6\u306e\u6bd4\u8f03\u7684\u4f53\u8abf\u306e\u826f\u3044\u4eba\u3001<\/div>\n
\u526f\u4f5c\u7528\u306e\u51fa\u306a\u304b\u3063\u305f\u4eba\u306e\u307f\u3068\u306a\u308a\u3001<\/div>\n
\u6bd4\u8f03\u3059\u308b2\u3064\u306e\u7fa4\u306e\u30d0\u30e9\u30f3\u30b9\u304c\u5d29\u308c\u3066\u3057\u307e\u3046\uff08\u30e9\u30f3\u30c0\u30e0\u5316\u304c\u5d29\u58ca\u3057\u3066\u3057\u307e\u3046\uff01\uff09\u305f\u3081\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
ITT\u3092\u7528\u3044\u308c\u3070\u3001\u5f53\u521d\u306e\u30e9\u30f3\u30c0\u30e0\u5316\uff08\u7fa4\u9593\u306e\u504f\u308a\u304c\u5c11\u306a\u3044\u72b6\u614b\uff09\u306f\u4fdd\u305f\u308c\u3001<\/div>\n
\u5404\u7fa4\u3092\u69cb\u6210\u3059\u308b\u4eba\u306e\u7279\u5fb4\u306f\u3001\u73fe\u5b9f\u4e16\u754c\u306b\u3088\u308a\u8fd1\u3044\u72b6\u614b\u3068\u8a00\u3048\u307e\u3059\u3002<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u00a0<\/div>\n
\u3057\u304b\u3057\u4e00\u65b9\u3067\u3001\u5b9f\u969b\u306f\u3001\u7814\u7a76\u5bfe\u8c61\u3068\u306a\u3063\u3066\u3044\u308b\u6cbb\u7642\u3092\u53d7\u3051\u306a\u304b\u3063\u305f\u4eba\u3082\u542b\u307e\u308c\u308b\u305f\u3081\u3001<\/div>\n
\u300c\u7814\u7a76\u5bfe\u8c61\u3067\u3042\u308b\u6cbb\u7642\uff08\u4ecb\u5165\uff09\u81ea\u4f53\u306e\u52b9\u679c\u300d\u306f\u3001\u898b\u3048\u306b\u304f\u304f\u306a\u308a\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u00a0<\/div>\n
\u3064\u307e\u308a\u3001RCT\u3067\u306f\u53b3\u5bc6\u306a\u3055\u3092\u8ffd\u6c42\u3059\u308b\u3068\u3001\u4eba\u5de5\u7684\u306a\u74b0\u5883\u3067\u306e\u691c\u8a0e\u3068\u306a\u308a\u3001<\/div>\n
ITT\u3092\u7528\u3044\u3066\u73fe\u5b9f\u306b\u72b6\u614b\u3092\u8fd1\u3065\u3051\u308b\u3068\u3001\u7814\u7a76\u672c\u6765\u306e\u76ee\u7684\u3067\u3042\u3063\u305f\u6cbb\u7642\u52b9\u679c\u306e\u691c\u8a0e\u305d\u306e\u3082\u306e\u306f\u3001\u6b63\u78ba\u306b\u6349\u3048\u306b\u304f\u304f\u306a\u3063\u3066\u3057\u307e\u3046\u2026<\/div>\n
\u3053\u306e\u8ad6\u6587\u3067\u306f\u3053\u306e\u30b8\u30ec\u30f3\u30de\u3092\u6307\u6458\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u5e38\u306b\u5909\u5316\u3057\u7d9a\u3051\u3066\u3044\u308b\u73fe\u5b9f\u793e\u4f1a\u306b\u304a\u3044\u3066\u3001<\/div>\n
\u751f\u304d\u3066\u3044\u308b\u591a\u69d8\u306a\u4eba\u3092\u5bfe\u8c61\u306b\u7814\u7a76\u3092\u3059\u308b\u3053\u3068\u306f\u3001<\/div>\n
\u672c\u5f53\u306b\u96e3\u3057\u3044\u3053\u3068\u3060\u306a\u3068\u6539\u3081\u3066\u611f\u3058\u307e\u3059\u306d\u3002<\/div>\n<\/div>\n
\u3067\u3082\u3001\u533b\u7642\u304c\u5b89\u5168\u3067\u3042\u308b\u7a0b\u5ea6\u306e\u52b9\u679c\u3092\u4e00\u5b9a\u306b\u767a\u63ee\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u6a21\u7d22\u304c\u5fc5\u8981\u3002<\/div>\n
\u6765\u9031\u3082\u7d9a\u304d\u3092\u898b\u3066\u3044\u304d\u307e\u3059\uff01<\/div>\n
\n
\u00a0<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\uff08\u53c2\u8003\u6587\u732e\uff09<\/div>\n
Horn SD, Gassaway J. Practice-based evidence study design for comparative effectiveness research. Med Care. 2007 Oct;45(10 Supl 2):S50-7. doi: 10.1097\/MLR.0b013e318070c07b. PMID: 17909384.<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n

\u8aad\u8005\u306e\u7686\u69d8\u30011\u65e51\u56de\u3001\u3053\u3061\u3089\u3092\u305d\u308c\u305e\u308c\uff11\u30af\u30ea\u30c3\u30af\u304a\u9858\u3044\u3057\u307e\u3059\uff01\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\"\"<\/a>\u00a0\u00a0\u00a0\"\u306b\u307b\u3093\u30d6\u30ed\u30b0\u6751<\/a><\/p>\n

 <\/p>\n

 <\/p>\n

\u300c\u30a8\u30ad\u30c6\u30f3\u300d\u6e05\u660e\u9662\u30b5\u30a4\u30c8<\/a><\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u6e05\u660e\u9662\u30aa\u30d5\u30a3\u30b7\u30e3\u30eb\u30db\u30fc\u30e0\u30da\u30fc\u30b8\uff08PC\uff09<\/a><\/strong><\/p>\n

 <\/p>\n

\n\u6e05\u660e\u9662\u9662\u9577\u306e\u30d6\u30ed\u30b0\u3000\u300c\u6700\u9ad8\u306e\u937c\u7078\u306e\u8ffd\u6c42\u300d<\/a><\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

RCT\u306e\u8ab2\u984c\uff08\u73fe\u5b9f\u3068\u7406\u60f3\u306e\u30d0\u30e9\u30f3\u30b9\uff09<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"RCT\u306e\u8ab2\u984c\uff08\u73fe\u5b9f\u3068\u7406\u60f3\u306e\u30d0\u30e9\u30f3\u30b9\uff09","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[6138],"tags":[6142,297,94],"class_list":["post-23762","post","type-post","status-publish","format-standard","hentry","category-6138","tag-practice-based-evidence","tag-rct","tag-94"],"acf":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/posts\/23762","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/comments?post=23762"}],"version-history":[{"count":2,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/posts\/23762\/revisions"}],"predecessor-version":[{"id":23767,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/posts\/23762\/revisions\/23767"}],"wp:attachment":[{"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/media?parent=23762"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/categories?post=23762"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/tags?post=23762"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}