\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002<\/p>\n
\uff0d\u6587\u732e\u540d\uff0d
\nMara AS, et al. A strategy to Prepare Primary Care Clinicians for Discussing Stopping Cancer Screening With Adults Older Than 75years. Innovation in Aging. 2020; Vol4(4): 1-12.<\/p>\n
\uff0d\u8981\u7d04\uff0d
\n\u3010\u80cc\u666f\u3068\u76ee\u7684\u3011
\n75\u6b73\u4ee5\u4e0a\u306e\u9ad8\u9f62\u8005\uff0c\u7279\u306b\u4f59\u547d\u304c10\u5e74\u672a\u6e80\u306e\u4eba\u3067\u306f\u304c\u3093\u304c\u904e\u5270\u306b\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3055\u308c\u3066\u3044\u308b\uff0e\u672c\u7814\u7a76\u306f\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u30fb\u30d7\u30ed\u30d0\u30a4\u30c0\u30fc\uff08PCP\uff09\u306b\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u3084\u5927\u8178\u304c\u3093\uff08CRC\uff09\u691c\u8a3a\u306e\u4e2d\u6b62\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u305f\u3081\u306e\u30b9\u30af\u30ea\u30d7\u30c8\uff08\u53f0\u672c\uff0e\u53c2\u8003\u6587\u732e\uff11\uff18\u306e\u7814\u7a76\u3067\u958b\u767a\u3055\u308c\u305f\u3082\u306e\uff09\u3092\u63d0\u4f9b\u3057\u3001\u3055\u3089\u306b\u60a3\u8005\u306e10\u5e74\u5f8c\u306e\u4f59\u547d\u306b\u95a2\u3059\u308b\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u304c\u3001\u60a3\u8005\u306e\u3053\u308c\u3089\u306e\u304c\u3093\u691c\u8a3a\u53d7\u8a3a\u610f\u5411\u306b\u4e0e\u3048\u308b\u5f71\u97ff\u3092\u8abf\u3079\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u3002<\/p>\n
\u3010\u7814\u7a76\u306e\u30c7\u30b6\u30a4\u30f3\u3068\u65b9\u6cd5\u3011
\n\u30dc\u30b9\u30c8\u30f3\u5468\u8fba\u306e\uff17\u7b87\u6240\u306e\u65bd\u8a2d\uff08\u30af\u30ea\u30cb\u30c3\u30af\uff0c\u5730\u57df\u306e\u5065\u5eb7\u30bb\u30f3\u30bf\u30fc\uff0c\u5927\u5b66\u75c5\u9662\u306a\u3069\uff09\u306b\u52e4\u52d9\u3059\u308bPCP\u3092\u5bfe\u8c61\u306b\u5b9f\u65bd\u3057\u305f\uff0ePCP\u306e\u4e88\u7d04\u8a18\u9332\u304b\u3089\u9078\u5b9a\u3055\u308c\u305f\u53c2\u52a0\u8005\uff08\u60a3\u8005\uff09\u306f\u53d7\u8a3a\u524d\u5f8c\u306b\u30a2\u30f3\u30b1\u30fc\u30c8\u306b\u8a18\u5165\u3057\u305f\u3002PCP\u306b\u306f\u3001\u8a3a\u5bdf\u524d\u306b\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u4e2d\u6b62\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u305f\u3081\u306e\u30b9\u30af\u30ea\u30d7\u30c8\u3068\u60a3\u8005\u306e10\u5e74\u5f8c\u306e\u5e73\u5747\u4f59\u547d\u306b\u95a2\u3059\u308b\u60c5\u5831\u304c\u63d0\u4f9b\u3055\u308c\uff0c\u7814\u7a76\u7d42\u4e86\u6642\u306b\u30a2\u30f3\u30b1\u30fc\u30c8\u306b\u8a18\u5165\u3057\u305f\u3002\u8cea\u554f\u5185\u5bb9\u306f\u304c\u3093\u691c\u8a3a\u306e\u4e2d\u6b62\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u3053\u3068\u3068\u60a3\u8005\u306e\u4f59\u547d\u306b\u3064\u3044\u3066\u3067\u3042\u308b\u3002\u8a3a\u5bdf\u524d\u5f8c\u306e\u60a3\u8005\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306b\u5bfe\u3059\u308b\u610f\u5fd7\uff081-15\u306e\u30ea\u30c3\u30ab\u30fc\u30c8\u5c3a\u5ea6\uff1b\u30b9\u30b3\u30a2\u304c\u4f4e\u3044\u307b\u3069\u610f\u56f3\u304c\u4f4e\u3044\u3053\u3068\u3092\u793a\u5506\u3059\u308b\uff09\u3092Wilcoxon\u306e\u7b26\u53f7\u4ed8\u304d\u9806\u4f4d\u691c\u5b9a\u3092\u4f7f\u7528\u3057\u3066\u6bd4\u8f03\u3057\u305f\u3002<\/p>\n
\u3010\u7d50\u679c\u3011
\n45\u306ePCP\u304b\u308975\u6b73\u4ee5\u4e0a\u306e\u60a3\u800590\u4eba\uff08\u96fb\u8a71\u3067\u4f9d\u983c\u3057\u305f\u5bfe\u8c61\u60a3\u8005\u306e47\uff05\uff09\u304c\u53c2\u52a0\u3057\u305f\u3002 \u60a3\u8005\u306e\u5e73\u5747\u5e74\u9f62\u306f80.0\u6b73\uff08SD = 2.9\uff09\u300143\u4eba\uff0848\uff05\uff09\u304c\u5973\u6027\u3001\u5e73\u5747\u5bff\u547d\u306f9.7\u5e74\uff08SD = 2.4\uff09\u3067\u3042\u3063\u305f\u300237\u4eba\u306ePCP\uff0812\u4eba\u304c\u5730\u57df\u5bc6\u7740\u578b\uff09\u304c\u8cea\u554f\u7968\u306b\u8a18\u8f09\u3057\u305f\u3002PCP32\u4eba\uff0889\uff05\uff09\u306f\u30b9\u30af\u30ea\u30d7\u30c8\u304c\u6709\u7528\u3067\u3042\u308b\u3068\u8003\u3048\u3066\u304a\u308a\u300129\u4eba\uff0881\uff05\uff09\u304c\u983b\u7e41\u306b\u4f7f\u7528\u3059\u308b\u3068\u8003\u3048\u3066\u3044\u305f\u3002\u307e\u305f\uff0c35\u4eba\uff0897\uff05\uff09\u306ePCP\u304c\u60a3\u8005\u306e\u4f59\u547d\u306b\u95a2\u3059\u308b\u60c5\u5831\u304c\u5f79\u7acb\u3064\u3068\u8003\u3048\u3066\u3044\u305f\u3002\u3057\u304b\u3057\u3001\u60a3\u8005\u306e\u4f59\u547d\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u3053\u3068\u306b\u5b89\u5fc3\u611f\u3092\u611f\u3058\u3066\u3044\u308b\u3068\u7b54\u3048\u305fPCP\u306f8\u4eba\uff0822\uff05\uff09\u306b\u3068\u3069\u307e\u3063\u305f\u3002\u5927\u8178\u764c\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u304a\u3088\u3073\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u691c\u67fb\u3092\u5e0c\u671b\u3059\u308b\u610f\u5fd7\u3092\u8868\u3059\u60a3\u8005\u306f\u53d7\u8a3a\u524d\u304b\u3089\u53d7\u8a3a\u5f8c\u306b\u304b\u3051\u3066\u6e1b\u5c11\u3057\u305f\uff08\u5927\u8178\u764c\uff1a 9.0 [SD = 5.3]\uff5e6.5 [SD = 6.0]\u3001p < 0.0001\uff0c\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc\uff1a 12.9 [SD = 3.0]\uff5e11.7 [SD = 4.9]\u3001p = 0.08\uff0c\u5927\u8178\u764c\u3067\u6709\u610f\u306b\u6e1b\u5c11\uff09\u3002\u8a3a\u5bdf\u524d\u306b\u60a3\u8005\u306e63\uff05\uff0854\/86\uff09\u304cPCP\u3068\u4f59\u547d\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u3053\u3068\u306b\u8208\u5473\u3092\u6301\u3063\u3066\u3044\u305f\u304c\uff0c\u8a3a\u5bdf\u5f8c\u3067\u306f56\uff05\uff0847\/84\uff09\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3010\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3011
\n\u7814\u7a76\u306b\u53c2\u52a0\u3057\u305fPCP\u306f\u304c\u3093\u691c\u8a3a\u306e\u4e2d\u6b62\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u305f\u3081\u306e\u30b9\u30af\u30ea\u30d7\u30c8\u3084\u60a3\u8005\u306e\u4f59\u547d\u306b\u95a2\u3059\u308b\u60c5\u5831\u304c\u6709\u7528\u3067\u3042\u308b\u3068\u8003\u3048\u305f\u3002\u7d50\u679c\u3068\u3057\u3066\uff0c75\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u306fCRC\u691c\u8a3a\u3092\u53d7\u3051\u3088\u3046\u3068\u3059\u308b\u610f\u8b58\u304c\u4f4e\u304b\u3063\u305f\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\n\u3010Translational Significance\uff08\u73fe\u5834\u306b\u9069\u7528\u3067\u304d\u308b\u672c\u7814\u7a76\u306e\u610f\u7fa9\uff09\u3011
\n\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u5e73\u5747\u4f59\u547d\u304c10\u5e74\u672a\u6e80\u306e\u9ad8\u9f62\u8005\u306b\u306f\u304c\u3093\u691c\u8a3a\u3092\u884c\u308f\u306a\u3044\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u60a3\u8005\u306b\u3068\u3063\u3066\u6709\u5bb3\u6027\u304c\u6709\u76ca\u6027\u3092\u8457\u3057\u304f\u4e0a\u56de\u308b\u305f\u3081\u3067\u3042\u308b\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001PCP\u304c\u9ad8\u9f62\u8005\u3068\u304c\u3093\u691c\u8a3a\u306e\u4e2d\u6b62\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u306a\u3044\u3002\u3053\u306e\u7814\u7a76\u3067\u306f\u3001PCP\u304c\u9ad8\u9f62\u60a3\u8005\u306e10\u5e74\u5f8c\u306e\u4f59\u547d\u306b\u95a2\u3059\u308b\u60c5\u5831\u304a\u3088\u3073\u304c\u3093\u691c\u8a3a\u306e\u4e2d\u6b62\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u305f\u3081\u306e\u30b9\u30af\u30ea\u30d7\u30c8\uff08\u53f0\u672c\uff09\u304c\u6709\u7528\u3067\u3042\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u3001\u3053\u306e\u4ecb\u5165\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u4f59\u547d\u304c\u77ed\u304f\u3001\u6709\u76ca\u306a\u53ef\u80fd\u6027\u304c\u307b\u3068\u3093\u3069\u306a\u3044\u9ad8\u9f62\u8005\u304c\u304c\u3093\u691c\u8a3a\u3092\u53d7\u3051\u3088\u3046\u3068\u3059\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u3002\u3055\u3089\u306b\u3001\u672c\u7814\u7a76\u3067\u306f\u300156\uff05\u306e\u9ad8\u9f62\u8005\u304c10\u5e74\u5f8c\u306e\u4f59\u547d\u306b\u3064\u3044\u3066PCP\u3068\u8a71\u3057\u5408\u3046\u3053\u3068\u306b\u8208\u5473\u3092\u6301\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\uff1b\u3057\u304b\u3057\u306a\u304c\u3089\u300110\u5e74\u5f8c\u306e\u4f59\u547d\u306b\u3064\u3044\u3066\u9ad8\u9f62\u8005\u3068\u8a71\u3057\u5408\u3046\u3053\u3068\u306b\u5feb\u611f\u3092\u611f\u3058\u3066\u3044\u308bPCP\u306f\u307b\u3068\u3093\u3069\u3044\u306a\u304b\u3063\u305f\u3002<\/p>\n
<\/p>\n
\u3010\u958b\u50ac\u65e5\u30112020\u5e7410\u67087\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"
\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002 \uff0d\u6587\u732e\u540d\uff0d Mara AS, et al. A strategy to Prepa … \u7d9a\u304d\u3092\u8aad\u3080 75\u6b73\u4ee5\u4e0a\u306e\u6210\u4eba\u306b\u304c\u3093\u691c\u8a3a\u306e\u4e2d\u6b62\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u305f\u3081\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u306e\u6e96\u5099\u6226\u7565<\/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":[33,5],"tags":[],"class_list":["post-2019","post","type-post","status-publish","format-standard","hentry","category-whats-new","category-5"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2019","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=2019"}],"version-history":[{"count":3,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2019\/revisions"}],"predecessor-version":[{"id":2022,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2019\/revisions\/2022"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2019"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2019"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2019"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}