{"id":1265,"date":"2017-02-08T11:19:33","date_gmt":"2017-02-08T02:19:33","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1265"},"modified":"2017-02-08T11:19:33","modified_gmt":"2017-02-08T02:19:33","slug":"%e3%80%90ebm%e3%81%ae%e5%ad%a6%e3%81%b3%e3%80%91%e5%8d%98%e7%b4%94%e3%83%98%e3%83%ab%e3%83%9a%e3%82%b9%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e6%97%a9%e6%9c%9f%e9%ab%98%e7%94%a8%e9%87%8f%e7%9f%ad","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1265","title":{"rendered":"\u3010EBM\u306e\u5b66\u3073\u3011\u5358\u7d14\u30d8\u30eb\u30da\u30b9\u306b\u5bfe\u3059\u308b\u65e9\u671f\u9ad8\u7528\u91cf\u77ed\u671f\u9593\u30d1\u30e9\u30b7\u30af\u30ed\u30d4\u30eb\u7642\u6cd5"},"content":{"rendered":"<p><strong>STEP1\u3000\u81e8\u5e8a\u60a3\u8005\u306b\u5373\u3057\u305fPI(E)CO<\/strong><br \/>\n\u3010\u8a55\u4fa1\u3092\u884c\u3063\u305f\u65e5\u4ed8\u3011<br \/>\n\u30002017\u5e742\u67081\u65e5<br \/>\n\u3010\u81e8\u5e8a\u72b6\u6cc1\u306e\u30b5\u30de\u30ea\u30fc\u3011<br \/>\n\u3000\uff11\u5e74\u306b\uff11\uff10\u56de\u7a0b\u5ea6\u3001\u81c0\u90e8\u306e\u5358\u7d14\u75b1\u75b9\u3092\u7e70\u308a\u8fd4\u3057\u3066\u3044\u308b\uff17\uff15\u6b73\u5973\u6027\u30022\u9031\u9593\u524d\u306b\u3082\u81c0\u90e8\u30d8\u30eb\u30da\u30b9\u3092\u767a\u75c7\u3057\u3001\u30d0\u30eb\u30c8\u30ec\u30c3\u30af\u30b91000mg\/day \u52062\u30005\u65e5\u9593\u306e\u5185\u670d\u52a0\u7642\u3092\u884c\u3063\u305f\u3002\u518d\u3073\u6c34\u75b1\u304c\u51fa\u73fe\u3057\u305f\u305f\u3081\u53d7\u8a3a\u3002\u81c0\u90e8\u306b\u306f\u6c34\u75b12\u3064\u3042\u308a\u3002<br \/>\n\u3000\u3053\u308c\u307e\u3067\u306f\u6bce\u56de\u30d0\u30eb\u30c8\u30ec\u30c3\u30af\u30b91000mg\/day \u52062\u30005\u65e5\u9593\u3067\u6cbb\u7642\u3055\u308c\u3066\u3044\u308b\u3002<br \/>\n\u3000\u65e2\u5f80\uff1a\u6162\u6027C\u578b\u809d\u708e\u6297\u30a6\u30a4\u30eb\u30b9\u7642\u6cd5\u5f8c\u3001\uff13\u65e5\u524d\u306b\u80ba\u817a\u764c\u7591\u3044\u3068\u544a\u77e5<\/p>\n<p>\u3000\u3000P\uff1b\u5358\u7d14\u75b1\u75b9\u3092\u7e70\u308a\u8fd4\u3057\u3066\u3044\u308b\u9ad8\u9f62\u5973\u6027\u306b\u304a\u3044\u3066<br \/>\n\u3000\u3000I(E)\uff1b\u30d0\u30eb\u30c8\u30ec\u30c3\u30af\u30b9\u306e\u5185\u670d\u52a0\u7642\u3000\u306f<br \/>\n\u3000\u3000C\uff1b\u7d4c\u904e\u89b3\u5bdf\u3000or\u3000\u5916\u7528\u85ac\u52a0\u7642\u3000\u3068\u6bd4\u8f03\u3057\u3066<br \/>\n\u3000\u3000O\uff1a\u76ae\u75b9\u306e\u6cbb\u7652\u3092\u65e9\u3081\u308b\u304b<\/p>\n<p><strong>STEP2\u3000\u691c\u7d22\u3057\u3066\u898b\u3064\u3051\u305f\u6587\u732e\u306e\u540d\u524d<\/strong><br \/>\n\u3000\u691c\u7d22\u3057\u305f\u30a8\u30f3\u30b8\u30f3\uff1bUpToDate\u00ae<br \/>\n\u3000Treatment of herpes simplex virus type 1 infection in immunocompetent patients<br \/>\n\u3010\u898b\u3064\u3051\u305f\u8ad6\u6587\u3011<br \/>\nSpotswood LS, et al. High-dose, short-duration, early valacyclovir therapy for episodic treatment of cold sores: results of two randomized placebo-controlled, multicenter studies. Antimicrobial Agents and Chemotherapy, Mar. 2003, p1072\u20131080.<\/p>\n<p><strong>STEP3\uff1b\u8ad6\u6587\u306e\u8a55\u4fa1<br \/>\nSTEP3-1.\u8ad6\u6587\u306ePECO\u306f\u60a3\u8005\u306ePECO\u3068\u5408\u81f4\u3059\u308b\u304b\uff1f<\/strong><br \/>\n\u3000P\uff1b12\u6b73\u4ee5\u4e0a\u306e\u3001\uff11\u5e74\u306b\uff13\u56de\u4ee5\u4e0a\u53e3\u5507\u30d8\u30eb\u30da\u30b9\u3092\u7e70\u308a\u8fd4\u3057\u3066\u3044\u308b\u60a3\u8005\u306b\u304a\u3044\u3066<br \/>\n\u3000I(E)\uff1b\u65e9\u671f\u306bvalacyclovir \uff1ca: 2g\/day 1\u65e5\u9593\uff1e\u307e\u305f\u306f\uff1cb: 2g\/day 1\u65e5\u9593\uff0b1g\/day 1\u65e5\u9593\uff1e\u3067\u52a0\u7642\u3057\u305f\u7fa4\u306f<br \/>\n\u3000C\uff1b\u30d7\u30e9\u30bb\u30dc\u3092\u5185\u670d\u3057\u305f\u7fa4\u3000\u3068\u6bd4\u8f03\u3057\u3066<br \/>\n\u3000O\uff1b\u76ae\u75b9\u306e\u6d88\u5931\u304c\u65e9\u307e\u3063\u305f\u304b \/ \u76ae\u75b9\u306e\u51fa\u73fe\u3092\u4e88\u9632\u30fb\u6291\u5236\u3067\u304d\u305f\u304b<br \/>\n\u2192\u60a3\u8005\u306ePECO\u3068\u3000(\u5408\u81f4\u3059\u308b\u3000\u30fb\u3000<span style=\"text-decoration: underline;\"><strong>\u591a\u5c11\u7570\u306a\u308b\u304cOK<\/strong><\/span>\u3000\u30fb\u3000\u5927\u304d\u304f\u7570\u306a\u308b\u305f\u3081\u4e0d\u9069\u5207)<\/p>\n<p>STEP3-2\u3000\u8ad6\u6587\u306e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u306e\u8a55\u4fa1\uff1b\u5185\u7684\u59a5\u5f53\u6027\u306e\u8a55\u4fa1<br \/>\n\u2460\u7814\u7a76\u65b9\u6cd5\u304cRCT\u306b\u306a\u3063\u3066\u3044\u308b\u304b\uff1f\u96a0\u853d\u5316\u3068\u76f2\u691c\u5316\u306f\u3055\u308c\u3066\u3044\u308b\u304b\uff1f<br \/>\n\u3000\u2192\u30e9\u30f3\u30c0\u30e0\u5272\u308a\u4ed8\u3051\u304c\u3000\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044<br \/>\n\u3000\u2192\u96a0\u853d\u5316\u304c\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\u30fb\u3000\u4e0d\u660e \uff09<br \/>\n\u3000\u2192\u76f2\u691c\u5316\u304c\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u4e00\u90e8\u3055\u308c\u3066\u3044\u308b\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\u30fb\u8a18\u8f09\u306a\u3057\u3000\uff09<br \/>\n\u5b9f\u969b\u306eTable\u3067\u4ecb\u5165\u7fa4\u3068\u5bfe\u7167\u7fa4\u306f\u540c\u3058\u3088\u3046\u306a\u96c6\u56e3\u306b\u306a\u3063\u3066\u3044\u308b\u304b\uff1f<br \/>\n\u3000\u2192\u4eba\u7a2e\u30fb\u6027\u5225\u306e\u5272\u5408\u306f\u540c\u7b49\u3002\u5e74\u9f62\u30fb\u518d\u767a\u983b\u5ea6\u306e\u4e2d\u592e\u5024\u306f\u540c\u7b49\u3002\u3057\u304b\u3057\u30ea\u30b9\u30af\u56e0\u5b50\u306b\u95a2\u3057\u3066\u306f\u5168\u304f\u4e0d\u660e\u3002\u9664\u5916\u57fa\u6e96\u306f\u3001HIV\u611f\u67d3\u306a\u3069\u306e\u514d\u75ab\u4f4e\u4e0b\u5bbf\u4e3b\u3001<br \/>\n\u3000 \u814e\u969c\u5bb3\u3002\u62c5\u764c\u60a3\u8005\u306a\u3069\u306f\u4e0d\u660e\u3002<br \/>\n\u2461 \u89e3\u6790\u65b9\u6cd5\u306fITT(intention to treat)\u304b\uff1f<br \/>\n\u3000\u2192ITT\u304c\uff08 <span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3055\u308c\u3066\u3044\u306a\u3044 \uff09<\/p>\n<p><strong>STEP3-3\u3000\u8ad6\u6587\u3067\u898b\u3044\u3060\u3055\u308c\u305f\u7d50\u679c\u306e\u8a55\u4fa1<\/strong><br \/>\nOutcome\u306b\u3064\u3044\u3066\u3001\u4ee5\u4e0b\u306e\u5024\u3092\u78ba\u8a8d\u3059\u308b<br \/>\n\u3010\u2460 \u6cbb\u7642\u52b9\u679c\u306e\u6709\u7121\uff1b P\u5024\u3092\u78ba\u8a8d\u3059\u308b\u30111-day therapy \/ 2-day therapy<br \/>\n\u76ae\u75b9\u306e\u6d88\u5931\u304c\u65e9\u307e\u3063\u305f\u304b\uff1astudy1: 0.001 \/ 0.009\u3000study2: \u3000\u76ae\u75b9\u306e\u51fa\u73fe\u3092\u4e88\u9632\u3067\u304d\u305f\u304b\uff1astudy1: 0.096 \/ 0.061\u3000study2:<\/p>\n<p>\u3010\u2461\u6cbb\u7642\u52b9\u679c\u306e\u5927\u304d\u3055\uff1b\u6bd4\u306e\u6307\u6a19\u3068\u5dee\u306e\u6307\u6a19\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u30fb\u76ae\u75b9\u306e\u6d88\u5931\u304c\u65e9\u307e\u3063\u305f\u304b\uff08\u6709\u610f\u5dee\u3042\u308a\uff09<br \/>\n\u3000\u3000study1: -1.0\u65e5(median)\u3001-1.1\u65e5(mean) \/-0.5\u65e5(median)\u3001-0.7\u65e5(mean)<br \/>\n\u3000\u3000study2: -0.5\u65e5(median)\u3001-1.0\u65e5(mean) \/-0.5\u65e5(median)\u3001-0.8\u65e5(mean)<br \/>\n\u3000\u305f\u3060\u3057\u3001\u76ae\u75b9\u6d88\u5931\u306e\u6642\u671f\u304c\u308f\u304b\u3089\u306a\u304b\u3063\u305f\u75c7\u4f8b\u306f\u300c15.0\u65e5\u300d\u3067\u8a08\u7b97\u3055\u308c\u3066\u3044\u308b\u3002\u76ae\u75b9\u6d88\u5931\u306e\u6642\u671f\u304c\u308f\u304b\u3089\u306a\u304b\u3063\u305f\u75c7\u4f8b\u304c\u3001\u5404\u7fa4\u3067\u4f55\u4eba\u3044\u305f\u304b\u306f\u793a\u3055\u308c\u3066\u3044\u306a\u3044\u3002<br \/>\n\u30fb\u76ae\u75b9\u306e\u51fa\u73fe\u3092\u4e88\u9632\u3067\u304d\u305f\u304b\uff08\u6709\u610f\u5dee\u306a\u3057\uff09<br \/>\n\u3000\u3000study1: 6.4%(-1.8 to 14.5) \/ 8.5%(0.2 to 16.7)<br \/>\n\u3000\u3000study2: 8.0%(-0.1 to 16.0) \/ 8.0%(0.3 to 15.8)<br \/>\n\u30fbOR\u3092\u78ba\u8a8d\u3059\u308b:\u76ae\u75b9\u306e\u51fa\u73fe\u3092\u4e88\u9632\u3067\u304d\u305f\u304b\uff08\u6709\u610f\u5dee\u306a\u3057\uff09<br \/>\n\u3000\u3000study1: 1.32(0.95 to 1.84) \/ 1.38(0.98 to 1.94)<br \/>\n\u3000\u3000study2: 1.39(0.99 to 1.95) \/ 1.41(1.02 to 1.94)<br \/>\n\u30fbARR(NNT)\u3092\u8a08\u7b97\u3059\u308b\u76ae\u75b9\u306e\u51fa\u73fe\u3092\u4e88\u9632\u3067\u304d\u305f\u304b\uff08\u6709\u610f\u5dee\u306a\u3057\uff09<br \/>\n\u3000\u3000study1: 0.064(16) \/ 0.085%(12)<br \/>\n\u3000\u3000study2: 0.08(13) \/ 0.08%(13)<\/p>\n<p>\u3010\u2462\u6cbb\u7642\u52b9\u679c\u306e\u3086\u3089\u304e\uff1b\u4fe1\u983c\u533a\u9593\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u3000\u2461\u306e\uff08\uff09\u306b\u8a18\u8f09<\/p>\n<p><strong>STEP4\u3000\u60a3\u8005\u3078\u306e\u9069\u7528<\/strong><br \/>\n\u3010\u2460\u8ad6\u6587\u306e\u60a3\u8005\u3068\u3001\u76ee\u306e\u524d\u306e\u60a3\u8005\u304c\u3001\u7d50\u679c\u304c\u9069\u7528\u3067\u304d\u306a\u3044\u307b\u3069\u7570\u306a\u3063\u3066\u3044\u306a\u3044\u304b\uff1f\u3011<br \/>\n\u3000\u62c5\u764c\u60a3\u8005\u3067\u3042\u308b\u3053\u3068\u300175\u6b73\u3067\u3042\u308a\u5bfe\u8c61\u306e\u4e2d\u3067\u3082\u6700\u9ad8\u9f62\u30af\u30e9\u30b9\u3067\u3042\u308b\u3053\u3068\u3001\u3059\u3067\u306b\u6c34\u75b1\u3092\u5f62\u6210\u3057\u3066\u3044\u308b\u3053\u3068\u3001\u81c0\u90e8\u30d8\u30eb\u30da\u30b9\u306fHSV-1\u3067\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u304b\u3089\u3001\u7d50\u679c\u306f\u9069\u5fdc\u3067\u304d\u306a\u3044\u3002<\/p>\n<p>\u30fb\u5185\u7684\u59a5\u5f53\u6027\u306e\u554f\u984c\u70b9\u306f\uff1f<br \/>\n\u3000Subject\u306e\u8a73\u7d30\uff08\u30ea\u30b9\u30af\u56e0\u5b50\u306a\u3069\uff09\u304c\u4e0d\u660e\u3067\u3042\u308b\u3053\u3068\u3001result\u306e\u6cbb\u7652\u671f\u9593\u306e\u7b97\u5b9a\u65b9\u6cd5\u306b\u7591\u554f\u304c\u6b8b\u308b\u3053\u3068\u304b\u3089\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u6709\u610f\u5dee\u306f\u9d5c\u5451\u307f\u306b\u306f\u3067\u304d\u306a\u3044\u3002<\/p>\n<p>\u3010\u2461\u6cbb\u7642\u305d\u306e\u3082\u306e\u306f\u5fe0\u5b9f\u306b\u5b9f\u884c\u53ef\u80fd\u304b\uff1f\u3011<br \/>\n\u3000\u5e2f\u72b6\u75b1\u75b9\u306a\u3089\u53ef\u80fd\u306a\u6295\u85ac\u91cf\u3002\u6295\u85ac\u671f\u9593\u306f\u554f\u984c\u306a\u3044\u3002<br \/>\n\u3000\u305f\u3060\u3057\u3001\u524d\u99c6\u75c7\u72b6\u306e\u6bb5\u968e\u3067\u306e\u53d7\u8a3a\u306f\u7a00\u3067\u3042\u308a\u3001\u6cbb\u7642\u958b\u59cb\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u306f\u5b9f\u73fe\u56f0\u96e3\u3002<br \/>\n\u3000\u8ad6\u6587\u306e\u3088\u3046\u306b\u3001\u524d\u99c6\u75c7\u72b6\u304c\u3042\u308b\u60a3\u8005\u306b\u4e8b\u524d\u306b\u6e21\u3057\u3066\u304a\u304f\u3053\u3068\u306f\u53ef\u80fd\u3002<\/p>\n<p>\u3010\u2462\u91cd\u8981\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u30b3\u30b9\u30c8\u3084\u5bb3\u3092\u542b\u3081\u3066\u5168\u3066\u8a55\u4fa1\u3055\u308c\u305f\u304b\uff1f\u3011<br \/>\n\u3000Subject\u306e\u8a73\u7d30\u304c\u4e0d\u660e\u3067\u3042\u308b\u3053\u3068\u3001result\u306e\u6cbb\u7652\u671f\u9593\u306e\u7b97\u5b9a\u65b9\u6cd5\u306b\u7591\u554f\u304c\u6b8b\u308b\u3053\u3068\u304b\u3089\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u6709\u610f\u5dee\u306f\u9d5c\u5451\u307f\u306b\u306f\u3067\u304d\u306a\u3044\u3002<br \/>\n\u3000\u307e\u305f\u3001\u526f\u4f5c\u7528\u3068\u3057\u3066\u3001\u982d\u75db\u304c\u500d\u5897\u3057\u3066\u3044\u308b\u306e\u306f\u78ba\u304b\u3002<br \/>\n\u3000\u30b3\u30b9\u30c8\uff1a1\u9320188.8~405.6\u5186\u30021-day: 755.2~1622.4\u5186\u30022-day: 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\/>\n2017\u5e742\u67088\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>STEP1\u3000\u81e8\u5e8a\u60a3\u8005\u306b\u5373\u3057\u305fPI(E)CO \u3010\u8a55\u4fa1\u3092\u884c\u3063\u305f\u65e5\u4ed8\u3011 \u30002017\u5e742\u67081\u65e5 \u3010\u81e8\u5e8a\u72b6\u6cc1\u306e\u30b5\u30de\u30ea\u30fc\u3011 \u3000\uff11\u5e74\u306b\uff11\uff10\u56de\u7a0b\u5ea6\u3001\u81c0\u90e8\u306e\u5358\u7d14\u75b1\u75b9\u3092\u7e70\u308a\u8fd4\u3057\u3066\u3044\u308b\uff17\uff15\u6b73\u5973\u6027\u30022\u9031\u9593\u524d\u306b\u3082\u81c0\u90e8\u30d8\u30eb\u30da\u30b9\u3092\u767a\u75c7\u3057\u3001\u30d0\u30eb\u30c8\u30ec\u30c3\u30af &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1265\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u3010EBM\u306e\u5b66\u3073\u3011\u5358\u7d14\u30d8\u30eb\u30da\u30b9\u306b\u5bfe\u3059\u308b\u65e9\u671f\u9ad8\u7528\u91cf\u77ed\u671f\u9593\u30d1\u30e9\u30b7\u30af\u30ed\u30d4\u30eb\u7642\u6cd5<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-1265","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1265"}],"version-history":[{"count":5,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1265\/revisions"}],"predecessor-version":[{"id":1270,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1265\/revisions\/1270"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1265"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1265"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}