{"id":1409,"date":"2017-10-05T11:36:30","date_gmt":"2017-10-05T02:36:30","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1409"},"modified":"2017-10-05T11:36:30","modified_gmt":"2017-10-05T02:36:30","slug":"%e6%88%90%e4%ba%ba%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e7%9f%ad%e6%9c%9f%e9%96%93%e3%81%ae%e7%b5%8c%e5%8f%a3%e3%82%b9%e3%83%86%e3%83%ad%e3%82%a4%e3%83%89%e3%81%a8%e6%9c%89%e5%ae%b3%e6%80%a7","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1409","title":{"rendered":"\u6210\u4eba\u306b\u304a\u3051\u308b\u77ed\u671f\u9593\u306e\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u3068\u6709\u5bb3\u6027"},"content":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d<br \/>\nShort term use of oral corticosteroids and related harms among adults in the United States: population based cohort study.Akbar K Waljee.et al.BMJ 2017;357:j1415<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\n\u3010\u76ee\u7684\u3011<br \/>\n\u77ed\u671f\u9593\u306e\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u3068\u6709\u5bb3\u4e8b\u8c61\uff08\u6557\u8840\u75c7\u3001\u3001\u9759\u8108\u8840\u6813\u75c7\u3001\u9aa8\u6298\uff09\u3068\u306e\u95a2\u9023\u6027\u3092\u307f\u308b\u3053\u3068\u3002<br \/>\n\u3010\u30c7\u30b6\u30a4\u30f3\u3011<br \/>\n\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3068\u81ea\u5df1\u5bfe\u7167\u30b1\u30fc\u30b9\u30b7\u30ea\u30fc\u30ba<br \/>\n\uff08\u53c2\u8003\u2026\u81ea\u5df1\u5bfe\u7167\u30b1\u30fc\u30b9\u30b7\u30ea\u30fc\u30ba\u3068\u306f\uff1acase\u81ea\u8eab\u306b\u5bfe\u7167\u3068\u306a\u308b\u671f\u9593\u3092\u8a2d\u5b9a\u3057\u3066\u6bd4\u8f03\u3059\u308b\u624b\u6cd5\uff09<br \/>\n\u3010\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3011<br \/>\n\u5168\u7c73\u306e\u6c11\u9593\u533b\u7642\u4fdd\u967a\u30c7\u30fc\u30bf\u30bb\u30c3\u30c8<br \/>\n\u3010\u5bfe\u8c61\u3011<br \/>\n2012\u304b\u30892014\u5e74\u306e\u671f\u9593\u300118\uff5e64\u6b73\u306e\u6210\u4eba\u3092\u7d99\u7d9a\u3057\u3066\u767b\u9332\u3057\u305f\u3002<br \/>\n\u3010\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0\u3011<br \/>\n30\u65e5\u4ee5\u4e0b\u306e\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u306e\u77ed\u671f\u9593\u4f7f\u7528\u7387\u3002\u30b9\u30c6\u30ed\u30a4\u30c9\u4f7f\u7528\u8005\u3068\u975e\u4f7f\u7528\u8005\u306e\u6709\u5bb3\u4e8b\u8c61\u306e\u767a\u751f\u7387\u300230\u65e5\u4ee5\u4e0b\u306831\uff5e90\u65e5\u306e\u6709\u5bb3\u4e8b\u8c61\u767a\u751f\u7387\u6bd4\u3002<br \/>\n\u3010\u7d50\u679c\u30113\u5e74\u9593\u3067\u6210\u4eba1,548,945\u4eba\u306e\u3046\u3061\u3001327,452\u4eba\uff0821.1%\uff09\u304c\u5c11\u306a\u304f\u3068\u30821\u56de\u306f\u77ed\u671f\u9593\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u3092\u5916\u6765\u3067\u51e6\u65b9\u3055\u308c\u3066\u3044\u305f\u3002\u9ad8\u9f62\u60a3\u8005\u3001\u5973\u6027\u3001\u767d\u4eba\u306e\u9593\u3067\u4f7f\u7528\u983b\u5ea6\u304c\u9ad8\u304b\u3063\u305f\uff08\u5168\u3066P&lt;0.001\uff09\u3002\u6700\u3082\u4f7f\u7528\u983b\u5ea6\u304c\u9ad8\u304b\u3063\u305f\u4e00\u822c\u7684\u306a\u9069\u5fdc\u75c7\u306f\u3001\u4e0a\u6c17\u9053\u708e\u3001\u810a\u9ac4\u306e\u554f\u984c\u3001\u30a2\u30ec\u30eb\u30ae\u30fc\u3067\u3042\u3063\u305f\u3002\u51e6\u65b9\u533b\u306f\u69d8\u3005\u306a\u8a3a\u7642\u79d1\u306e\u5c02\u9580\u533b\u3067\u3042\u3063\u305f\u300230\u65e5\u4ee5\u5185\u3067\u306f\u6557\u8840\u75c7\u306e\u767a\u751f\u7387\u5897\u52a0(incidence rate ratio 5.30, 95% confidence interval 3.80 to 7.41)\u3001\u9759\u8108\u8840\u6813\u585e\u6813\u75c7\u306e\u5897\u52a0 (3.33, 2.78 to 3.99)\u3001\u9aa8\u6298\u306e\u767a\u751f\u7387\u5897\u52a0(1.87, 1.69 to 2.07)\u3068\u306a\u3063\u3066\u304a\u308a\u3001\u5f15\u304d\u7d9a\u304d31~90\u65e5\u3068\u306a\u3063\u3066\u3044\u304f\u306b\u5f93\u3044\u4f4e\u6e1b\u3057\u305f\u3002\u3053\u306e\u30ea\u30b9\u30af\u306e\u5897\u52a0\u306f20 mg\/day \u3067\u3082\u540c\u69d8\u3067\u3042\u3063\u305f\u3002 (\u6557\u8840\u75c7incidence rate ratio 4.02\u3001\u9759\u8108\u8840\u6813\u585e\u6813\u75c7 3.61\u3001\u9aa8\u6298 1.83 for fracture; \u5168\u3066 P&lt;0.001)<\/p>\n<p>absolute risk<br \/>\n\u6557\u8840\u75c7\u3000\u30b9\u30c6\u30ed\u30a4\u30c9\u4f7f\u7528\u80050.05% (n=170 of 327\u2009452)<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u975e\u4f7f\u7528\u80050.02% (n=293 of 1\u2009221\u2009493)<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u21d2NNH3330\u4eba<br \/>\n\u9759\u8108\u8840\u6813\u585e\u6813\u75c7\u3000\u3000\u4f7f\u7528\u80050.14% (n=472 of 327\u2009452)<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u975e\u4f7f\u7528\u80050.09% (n=1054 of 1\u2009221\u2009493)<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u21d2NNH2000\u4eba<br \/>\n\u9aa8\u6298\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u4f7f\u7528\u80050.51% (n=1657 of 327\u2009452)<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u975e\u4f7f\u7528\u80050.39% (n=4735 of 1\u2009221\u2009493)<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u21d2NNH830\u4eba<\/p>\n<p>\u3010\u307e\u3068\u3081\u3011<br \/>\n\u7c73\u56fd\u6210\u4eba5\u4eba\u306b1\u4eba\u304c3\u5e74\u9593\u3067\u77ed\u671f\u9593\u306e\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u51e6\u65b9\u3092\u53d7\u3051\u3066\u304a\u308a\u3001\u6709\u5bb3\u4e8b\u8c61\u306e\u30ea\u30b9\u30af\u5897\u52a0\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd\uff11\uff0820171004\uff09.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1410\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd\uff11\uff0820171004\uff09.jpg\" alt=\"\u4e2d\u5ddd\uff11\uff0820171004\uff09\" width=\"1109\" height=\"737\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd\uff11\uff0820171004\uff09.jpg 1109w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd\uff11\uff0820171004\uff09-300x199.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd\uff11\uff0820171004\uff09-1024x681.jpg 1024w\" sizes=\"auto, (max-width: 1109px) 100vw, 1109px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd2\uff0820171004\uff09.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1411\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd2\uff0820171004\uff09.jpg\" alt=\"\u4e2d\u5ddd2\uff0820171004\uff09\" width=\"615\" height=\"699\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd2\uff0820171004\uff09.jpg 615w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/10\/\u4e2d\u5ddd2\uff0820171004\uff09-264x300.jpg 264w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\u5e73\u621029\u5e7410\u67084\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d Short term use of oral corticosteroids and related harms among adults in the United States: population b &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1409\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u6210\u4eba\u306b\u304a\u3051\u308b\u77ed\u671f\u9593\u306e\u7d4c\u53e3\u30b9\u30c6\u30ed\u30a4\u30c9\u3068\u6709\u5bb3\u6027<\/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-1409","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\/1409","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=1409"}],"version-history":[{"count":8,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1409\/revisions"}],"predecessor-version":[{"id":1420,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1409\/revisions\/1420"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1409"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1409"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}