{"id":1391,"date":"2017-09-06T09:27:59","date_gmt":"2017-09-06T00:27:59","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1391"},"modified":"2017-09-06T09:27:59","modified_gmt":"2017-09-06T00:27:59","slug":"%e9%ab%98%e9%bd%a2%e8%80%85%e3%81%ae%e5%a4%a7%e8%85%bf%e9%aa%a8%e9%a0%b8%e9%83%a8%e9%aa%a8%e6%8a%98%ef%bc%9a%e6%89%8b%e8%a1%93%e3%81%99%e3%81%b9%e3%81%8d%e3%81%8b%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1391","title":{"rendered":"\u9ad8\u9f62\u8005\u306e\u5927\u817f\u9aa8\u9838\u90e8\u9aa8\u6298\uff1a\u624b\u8853\u3059\u3079\u304d\u304b\uff1f"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nvan de Ree CLP, et al. Hip Fractures in Elderly People: Surgery or No Surgery? A Systematic Review and Meta-Analysis. Geriatr Orthop Surg Rehabil. 2017 Sep;8(3):173-180.<\/p>\n

\u2015\u8981\u7d04\u2015
\n\u3010Introduction\u3011
\n\u3000\u5927\u817f\u9aa8\u9838\u90e8\u9aa8\u6298\u306e\u60a3\u8005\u6570\u306f\u5897\u52a0\u3057\u3066\u304a\u308a\u3001\u540c\u6642\u306b\u9ad8\u5ea6\u306e\u5408\u4f75\u75c7\u3082\u6709\u3057\u3066\u3044\u308b\u3002\u5927\u591a\u6570\u306f\u624b\u8853\u306b\u3066\u6cbb\u7642\u3055\u308c\u308b\u304c\u3001\u5468\u8853\u671f\u6b7b\u4ea1\u306e\u30ea\u30b9\u30af\u304c\u5bb9\u8a8d\u3067\u304d\u306a\u3044\u307b\u3069\u9ad8\u304f\u624b\u8853\u304c\u4e0d\u9069\u5207\u306a\u60a3\u8005\u3055\u3093\u306e\u5272\u5408\u3082\u8457\u3057\u304f\u5897\u52a0\u3057\u3066\u3044\u308b\u3002\u8106\u5f31\u3067\u30cf\u30a4\u30ea\u30b9\u30af\u306a\u9ad8\u9f62\u8005\u306b\u3064\u3044\u3066\u306f\u3001\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u304c\u53ef\u80fd\u304b\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u3001\u6cbb\u7642\u30aa\u30d7\u30b7\u30e7\u30f3\u3092\u8003\u3048\u308b\u524d\u306b\u60a3\u8005\u3055\u3093\u306e\u9aa8\u6298\u524d\u306bQOL\u3084\u5c06\u6765\u7684\u306a\u4e88\u6e2c\u306b\u3064\u3044\u3066\u691c\u8a0e\u3059\u3079\u304d\u3002
\n\u3000\u30fb\u65e2\u77e5\u306e\u4e8b\u5b9f\uff1a\u624b\u8853\u5b9f\u65bd\u306f\u65e9\u671f\u306e\u307b\u3046\u304coutcome\u304c\u3088\u3044\u3068\u793a\u3055\u308c\u3066\u3044\u308b
\n\u3000\u30fb\u672a\u77e5\u306e\u5185\u5bb9\uff1a\u624b\u8853\u306e\u6709\u7121\u306b\u3088\u308boutcome\u3002\u502b\u7406\u7684\u306a\u7406\u7531\u3067RCT\u306f\u4e4f\u3057\u3044\u30022008\u5e74\u306ecochrane systematic review\u3067\u306f\u624b\u8853\u306e\u6709\u7121\u3092
\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u6bd4\u8f03\u3057\u3066\u3044\u308b\u304c\u3001\u4fdd\u5b58\u7684\u7642\u6cd5\uff08\u30d9\u30c3\u30c9\u4e0a\u5b89\u9759+\u727d\u5f15\uff09\u3088\u308a\u3082\u624b\u8853\u7642\u6cd5\u306e\u307b\u3046\u304c\u3088\u3044\u3068\u3044\u3046\u306b\u306f\u8a3c\u62e0\u4e0d\u5341\u5206\u3068\u5831\u544a\u3057\u3066\u3044\u308b<\/p>\n

\u3010Objective\u3011
\n\u3000\u30ec\u30d3\u30e5\u30fc\u306e\u76ee\u7684\u306f\u300165\u6b73\u4ee5\u4e0a\u306e\u5927\u817f\u9aa8\u9838\u90e8\u9aa8\u6298\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u624b\u8853\u306e\u6709\u7121\u306b\u3088\u308b\u6b7b\u4ea1\u7387\u30fbhealth-related QOL\u30fb\u6a5f\u80fd\u7684outcome\u30fb\u8cbb\u7528\u306e\u76f8\u9055\u3092\u6982\u89b3\u3059\u308b\u3053\u3068\u3002<\/p>\n

\u3010Method\u3011
\n\u3000EMBASE, OvidSP, PubMed, Cochrane Central, and Web of Science\u3092\u691c\u7d22\u3057\u3001\u624b\u8853\u306e\u6709\u7121\u3092\u6bd4\u8f03\u3057\u305f\u89b3\u5bdf\u7814\u7a76\u3068RCT\u3092\u9078\u629e\u3002\u7814\u7a76\u624b\u6cd5\u306e\u8cea\u306fthe Methodological Index for Nonrandomized Studies (MINORS) \u307e\u305f\u306f Furlan checklist\u3067\u8a55\u4fa1\u3057\u305f\u3002<\/p>\n

\u3010Results\u3011
\n\u3000\u8a081189\u540d\u306e\u60a3\u8005\u304c\u30a8\u30f3\u30c8\u30ea\u30fc\u3055\u308c\u305f7\u3064\u306e\u89b3\u5bdf\u7814\u7a76\u306e\u3046\u3061\u3001242\u540d(20.3%)\u304c\u4fdd\u5b58\u7684\u306b\u6cbb\u7642\u3055\u308c\u305f\u3002\u7814\u7a76\u624b\u6cd5\u306e\u8cea\u306f\u4e2d\u7b49\u5ea6(mean: 14.7, standard deviation [SD]: 1.5)\u3067\u3042\u308a\u300130\u65e5\u5f8c\u30681\u5e74\u5f8c\u306e\u6b7b\u4ea1\u7387\u306f\u4fdd\u5b58\u7684\u7642\u6cd5\u306e\u7fa4\u304c\u9ad8\u304b\u3063\u305f(odds ratio [OR]: 3.95, 95% confidence interval [CI]: 1.43-10.96; OR: 3.84, 95% CI: 1.57-9.41)\u3002QOL\u3084\u6a5f\u80fd\u7684outcome\u3084\u8cbb\u7528\u9762\u3067\u6bd4\u8f03\u3057\u305f\u7814\u7a76\u306f\u5b58\u5728\u3057\u306a\u304b\u3063\u305f\u3002<\/p>\n

\u3010Conclusion\u3011
\n\u3000\u3053\u306esystematic review\u3068meta-analysis\u3067\u306f\u3001\u5c11\u6570\u306e\u60a3\u8005\u3092\u624b\u8853\u306e\u6709\u7121\u3067\u6bd4\u8f03\u3057\u305f\u5c11\u6570\u306e\u7814\u7a76\u306e\u307f\u3067\u5b9f\u65bd\u3057\u305f\u300230\u65e5\u5f8c\u30681\u5e74\u5f8c\u306e\u6b7b\u4ea1\u7387\u306e\u6709\u610f\u306a\u9ad8\u3055\u304c\u660e\u3089\u304b\u3068\u306a\u3063\u305f\u3002QOL\u3084\u8cbb\u7528\u9762\u3067\u306e\u30c7\u30fc\u30bf\u306f\u898b\u3044\u3060\u305b\u306a\u304b\u3063\u305f\u3002\u9ad8\u5ea6\u306a\u5408\u4f75\u75c7\u3084\u9650\u3089\u308c\u305f\u4e88\u5f8c\u306e\u9ad8\u9f62\u8005\u306b\u95a2\u3057\u3066\u6709\u52b9\u306a\u5224\u65ad\u3092\u884c\u3044\u3068\u4fdd\u5b58\u7684\u7642\u6cd5\u3092\u958b\u59cb\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u3055\u3089\u306a\u308b\u63a2\u7d22\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002
\n\u3000\uff1c\u9650\u754c\uff1e
\n\u3000\u3000\u2460\u6f5c\u5728\u7684\u306a\u4ea4\u7d61\u56e0\u5b50\uff08\u4f9d\u5b58\u75c7\u30fb\u6027\u5225\u30fb\u5e74\u9f62\u30fb\u7cbe\u795e\u72b6\u614b\u30fb\u8106\u5f31\u5ea6\u30fb\u4ecb\u5165\u306e\u30bf\u30a4\u30d7\uff09\u3092\u8abf\u6574\u51fa\u6765\u3066\u3044\u306a\u3044
\n\u3000\u3000\u2461\u9aa8\u6298\u306e\u5b89\u5b9a\u6027\u3092\u8b58\u5225\u3067\u304d\u3066\u3044\u306a\u3044
\n\u3000\u3000\u2462\u3053\u306e\u7814\u7a76\u306f\u3059\u3079\u3066\u306e\u60a3\u8005\u306b\u624b\u8853\u53ef\u80fd\u3067\u306a\u3044\u56fd\u306b\u306f\u4e00\u822c\u5316\u304c\u51fa\u6765\u306a\u3044<\/p>\n

\uff1cFlow diagram; selection of articles\uff1e<\/strong>
\n\"\u5b89\u85e4\u5148\u751f\u56f3\uff11\"<\/a><\/p>\n

\uff1cThirty-day mortality\uff1e<\/strong>
\n\"\u5b89\u85e4\u5148\u751f\u56f3\uff12\"<\/a><\/p>\n

\uff1cOne-year mortality\uff1e<\/strong>
\n\"\u5b89\u85e4\u5148\u751f\u56f3\uff13\"<\/a><\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n\u30002017\u5e749\u67086\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u2015\u6587\u732e\u540d\u2015 van de Ree CLP, et al. Hip Fractures in Elderly People: Surgery or No Surgery? A Systematic Review and M … \u7d9a\u304d\u3092\u8aad\u3080 \u9ad8\u9f62\u8005\u306e\u5927\u817f\u9aa8\u9838\u90e8\u9aa8\u6298\uff1a\u624b\u8853\u3059\u3079\u304d\u304b\uff1f<\/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":[17,11],"tags":[],"class_list":["post-1391","post","type-post","status-publish","format-standard","hentry","category-17","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1391","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=1391"}],"version-history":[{"count":4,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1391\/revisions"}],"predecessor-version":[{"id":1398,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1391\/revisions\/1398"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1391"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}