{"id":135,"date":"2014-06-18T13:21:10","date_gmt":"2014-06-18T04:21:10","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=135"},"modified":"2015-08-06T13:22:55","modified_gmt":"2015-08-06T04:22:55","slug":"%e3%83%98%e3%83%ab%e3%82%b9%e3%83%a1%e3%83%b3%e3%83%86%e3%83%8a%e3%83%b3%e3%82%b9%e3%81%af%e5%bf%85%e8%a6%81%e3%81%8b%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=135","title":{"rendered":"\u30d8\u30eb\u30b9\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u306f\u5fc5\u8981\u304b\uff1f"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nLasse T Krogsb\u00f8ll, Karsten Juhl J\u00f8rgensen, Christian Gr\u00f8nh\u00f8j Larsen et al.General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis.BMJ 2012;345:e7191<\/p>\n

\u2015\u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\u2015
\n2014\u5e746\u6708\u306eBMJ\u306e\u3001\u300cEffect of screening and lifestyle counselling on incidence of ischaemic heart disease in general population: Inter99 randomized trial\u300d\u3068\u3044\u3046\u7814\u7a76\u3067\u306f\u3001\u300c\u4e00\u822c\u5e02\u6c11\u306b\u5bfe\u3059\u308b\u57fa\u672c\u7684\u306a\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3084\u751f\u6d3b\u6307\u5c0e\u306f\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u4e88\u9632\u306b\u304a\u3044\u3066\u4f55\u306e\u52b9\u679c\u3082\u306a\u304b\u3063\u305f\u300d\u3068\u7d50\u8ad6\u3065\u3051\u3089\u308c\u305f\u3002\u5bb6\u5ead\u533b\u306f\u3001\u98a8\u90aa\u3067\u6765\u9662\u3057\u305f\u60a3\u8005\u306b\u3082\u3001\u7981\u7159\u306e\u53d6\u308a\u7d44\u307f\u3092\u3059\u3059\u3081\u305f\u308a\u3001\u9ad8\u8840\u5727\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3092\u884c\u306a\u3063\u305f\u308a\u3057\u3066\u751f\u6d3b\u4ecb\u5165\u3059\u308b\u5834\u9762\u304c\u591a\u3044\u304c\u3001\u3053\u3046\u3057\u305f\u884c\u70ba\u81ea\u4f53\u306e\u610f\u7fa9\u3092\u8003\u3048\u308b\u6642\u671f\u306b\u6765\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u4eca\u56de\u3001\u8840\u5727\u6e2c\u5b9a\u3084\u8840\u6db2\u691c\u67fb\u3068\u3044\u3063\u305f\u3001\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306b\u3064\u3044\u3066\u5426\u5b9a\u7684\u306a\u898b\u89e3\u3092\u793a\u3059\u30b3\u30af\u30e9\u30f3\u30fb\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30fb\u30ec\u30d3\u30e5\u30fc\u3092\u628a\u63e1\u3057\u3001\u6539\u3081\u3066\u30d8\u30eb\u30b9\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u3001\u5065\u5eb7\u5897\u9032\u306b\u3064\u3044\u3066\u6df1\u3081\u308b\u6a5f\u4f1a\u306b\u3057\u305f\u3044\u3068\u8003\u3048\u305f\u305f\u3081\u3002<\/p>\n

\u2015\u8981\u7d04\u2015
\n\u3010\u76ee\u7684\u3011
\n\u4e3b\u306b\u3001\u4ee3\u7406\u30a2\u30a6\u30c8\u30ab\u30e0\u3088\u308a\u3082\u3001\u5408\u4f75\u75c7\u767a\u75c7\u7387\u3084\u6b7b\u4ea1\u7387\u306b\u6ce8\u76ee\u3057\u3066\u3001\u4e00\u822c\u7684\u306a\u6210\u4eba\u306b\u5bfe\u3059\u308b\u5065\u5eb7\u30c1\u30a7\u30c3\u30af\uff08table3\u53c2\u7167\uff1a\u8840\u5727\u6e2c\u5b9a\u3001\u8840\u6db2\u691c\u67fb\u3001\u5fc3\u96fb\u56f3\u691c\u67fb\u306a\u3069\uff09\u306e\u52b9\u679c\u3068\u5f0a\u5bb3\u3092\u8a55\u4fa1\u3059\u308b\u3002
\nPICO
\nP\uff1a\u9ad8\u9f62\u8005\u3092\u9664\u304f\u6210\u4eba\uff08\u7279\u306b\u75c5\u6c17\u3084\u30ea\u30b9\u30af\u8981\u56e0\u3067\u9078\u5225\u3057\u3066\u3044\u306a\u3044\uff09
\nI\uff1a\u5065\u5eb7\u30c1\u30a7\u30c3\u30af\u3057\u305f\u7fa4
\nC\uff1a\u5065\u5eb7\u30c1\u30a7\u30c3\u30af\u3057\u306a\u304b\u3063\u305f\u7fa4
\nO\uff1a\u6b7b\u4ea1\u7387\u3001\u5408\u4f75\u75c7\u3067\u9055\u3044\u304c\u3042\u308b\u304b\t<\/p>\n

\u3010\u65b9\u6cd5\u3011
\n\u30fb\u30c7\u30b6\u30a4\u30f3
\n\u3000\u30b3\u30af\u30e9\u30f3\u30fb\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30fb\u30ec\u30d3\u30e5\u30fc\u3068\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3067\u3042\u308b\u3002\u6b7b\u4ea1\u7387\u306b\u3064\u3044\u3066\u306f\u3001\u5909\u91cf\u52b9\u679c\u30e2\u30c7\u30eb\u3092\u7528\u3044\u3066\u89e3\u6790\u3057\u3001\u4ed6\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u3064\u3044\u3066\u306f\u3001\u8cea\u7684\u7d71\u5408\u3092\u884c\u306a\u3063\u305f\u3002
\n\u30fb\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9
\nMEDLINE\u3000EMBASE\u3000CENTRAL\u3001CINAHL, EPOC register, ClinicalTrials.gov, and WHO ICTRP, supplemented by manual searches of reference lists of included studies, citation tracking (Web of Knowledge), and contacts with trialists
\n\u30fb\u30c7\u30fc\u30bf\u62bd\u51fa
\n2\u4eba\u306e\u89b3\u5bdf\u8005\u304c\u72ec\u7acb\u3057\u3066\u3001\u9069\u5fdc\u3001\u62bd\u51fa\u3055\u308c\u305f\u30c7\u30fc\u30bf\u3001\u30d0\u30a4\u30a2\u30b9\u30ea\u30b9\u30af\u3092\u8a55\u4fa1\u3057\u305f\u3002\u5fc5\u8981\u6642\u306b\u306f\u8457\u8005\u306b\u3082\u9023\u7d61\u3092\u3068\u3063\u305f\u3002<\/p>\n

\u3010\u7d50\u679c\u3011
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\"140618\"<\/a><\/p>\n

\u3010\u7d50\u8ad6\u3011
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\u2015\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u2015
\n\u81ea\u8eab\u306e\u30d7\u30e9\u30af\u30c6\u30a3\u30b9\u3068\u3057\u3066\u3001\u7c73\u56fd\u4e88\u9632\u533b\u5b66\u5c02\u9580\u59d4\u54e1\u4f1a\uff08USPSTF\uff09\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u9805\u76ee\u3092\u53c2\u8003\u306b\u3001\u5065\u5eb7\u5897\u9032\u3092\u8003\u3048\u308b\u3053\u3068\u304c\u591a\u3044\u3002\u4eca\u56de\u306e\u8ad6\u6587\u3067\u306f\u3001\u30d8\u30eb\u30b9\u30c1\u30a7\u30c3\u30af\u3092\u3055\u308c\u305f\u6642\u671f\u304c1970\u5e74\u4ee3\u3067\u3042\u308a\u6642\u4ee3\u9045\u308c\u3067\u3042\u3063\u305f\u308a\u3001\u4ecb\u5165\u65b9\u6cd5\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u8a2d\u5b9a\u304c\u30d0\u30e9\u30d0\u30e9\u3067\u30d5\u30a9\u30ed\u30fc\u671f\u9593\u3082\u77ed\u3044\u3068\u3044\u3046\u70b9\u304b\u3089\u3001\u73fe\u5728\u3068\u30de\u30c3\u30c1\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u3082\u3042\u308a\u9650\u754c\u3082\u3042\u308b\u3002\u305f\u3060\u3001\u5168\u4f53\u3068\u3057\u3066\u3001\u30d8\u30eb\u30b9\u30c1\u30a7\u30c3\u30af\u3092\u884c\u3063\u305f\u5834\u5408\u306b\u3001\u3042\u307e\u308a\u52b9\u679c\u304c\u306a\u3044\u3068\u3044\u3046\u7d50\u679c\u3084\u3001Inter99\u3068\u3044\u3063\u305f\u73fe\u4ee3\u7684\u306a\u624b\u6cd5\u3067\u3082\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306b\u5bfe\u3057\u3066\u3001\u4e88\u9632\u7684\u306a\u610f\u5473\u304c\u306a\u3044\u3068\u3044\u3046\u7d50\u679c\u3092\u53d7\u3051\u3066\u3001\u6bd4\u8f03\u7684\u9ad8\u3044\u59a5\u5f53\u6027\u304c\u3042\u308a\u305d\u3046\u306a\u3001\u300c\u7981\u7159\u300d\u306b\u529b\u3092\u6ce8\u3050\u3060\u3051\u3067\u3044\u3044\u3068\u3082\u8003\u3048\u3089\u308c\u305f\u3002\u9ad8\u9f62\u8005\u3092\u9664\u3044\u305f\u6210\u4eba\u306e\u30d8\u30eb\u30b9\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u3001\u7686\u69d8\u306a\u3089\u3069\u3046\u8003\u3048\u3089\u308c\u307e\u3059\u304b\uff1f<\/p>\n

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