{"id":239,"date":"2013-08-16T09:02:39","date_gmt":"2013-08-16T00:02:39","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=239"},"modified":"2015-08-06T14:03:35","modified_gmt":"2015-08-06T05:03:35","slug":"%e9%80%b2%e8%a1%8c%e3%81%8c%e3%82%93%e6%82%a3%e8%80%85%e3%81%ae%e5%8c%96%e5%ad%a6%e7%99%82%e6%b3%95%e3%81%ae%e5%8a%b9%e6%9e%9c%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e6%9c%9f%e5%be%85","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=239","title":{"rendered":"\u9032\u884c\u304c\u3093\u60a3\u8005\u306e\u5316\u5b66\u7642\u6cd5\u306e\u52b9\u679c\u306b\u5bfe\u3059\u308b\u671f\u5f85"},"content":{"rendered":"

– \u6587\u732e\u540d –<\/p>\n

\u3000Jane C. Weeks, et al.Patients’ Expectations about Effects of Chemotherapy for Advanced Cancer
\nN Engl J Med 2012; 367:1616-1625<\/p>\n

– \u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\u00a0–
\n\u00a0
\n\u3000\u6804\u753a\u306b\u8d74\u4efb\u3057\u3066\u304b\u3089\u5728\u5b85\u30676\u540d\u306e\u60a3\u8005\u3055\u3093\u3092\u304a\u770b\u53d6\u308a\u3055\u305b\u3066\u3044\u305f\u3060\u3044\u305f\u3002\u305d\u306e\u3046\u3061\u764c\u3067\u770b\u53d6\u3063\u305f\u306e\u306f4\u4eba\u3044\u3089\u3063\u3057\u3083\u308b\u304c\u3001\u5fa1\u5bb6\u65cf\u306e\u53cd\u5fdc\u3068\u3057\u3066\u307e\u3063\u305f\u304f\u6094\u3044\u306a\u304f\u304a\u770b\u53d6\u308a\u304c\u3067\u304d\u305f\u3068\u8003\u3048\u3066\u3044\u308b\u5bb6\u65cf\u3084\u3001\u6c11\u9593\u7642\u6cd5\u3092\u884c\u3063\u305f\u65b9\u304c\u826f\u304b\u3063\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u8003\u3048\u3066\u3044\u308b\u5bb6\u65cf\u3001\u764c\u304c\u898b\u3064\u304b\u3063\u305f\u6bb5\u968e\u3067\u3082\u3063\u3068\u6cbb\u7642\u3092\u53d7\u3051\u3055\u305b\u305f\u65b9\u304c\u3088\u304b\u3063\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u8003\u3048\u3066\u3044\u308b\u5bb6\u65cf\u306a\u3069\u305d\u308c\u305e\u308c\u306e\u601d\u3044\u304c\u3042\u3063\u305f\u3002
\n\u3000\u79c1\u81ea\u8eab\u306f\u533b\u5e2b\u3067\u3042\u308a\u3082\u3057\u81ea\u5206\u3084\u5bb6\u65cf\u304c\u9032\u884c\u304c\u3093\u3068\u8a3a\u65ad\u3055\u308c\u305f\u5834\u5408\u306b\u3068\u308b\u3067\u3042\u308d\u3046\u884c\u52d5\u306f\u30a4\u30e1\u30fc\u30b8\u3067\u304d\u308b\u304c\u3001\u305d\u308c\u305e\u308c\u306e\u5bb6\u65cf\u306e\u53cd\u5fdc\u3092\u898b\u3066\u6539\u3081\u3066\u540c\u3058\u30b9\u30c6\u30fc\u30b8\u306e\u764c\u3067\u3082\u60a3\u8005\u3055\u3093\u3084\u3054\u5bb6\u65cf\u304c\u8003\u3048\u308b\u3053\u3068\u306f\u500b\u5225\u6027\u306e\u3042\u308b\u3082\u306e\u3067\u3042\u308b\u3053\u3068\u3092\u5b9f\u611f\u3057\u305f\u3002
\n\u3000\u305d\u3046\u3057\u3066\u3044\u305f\u3068\u3053\u308d\u3001\u3053\u306e\u3088\u3046\u306a\u6587\u732e\u3092\u898b\u3064\u3051\u305f\u306e\u3067\u8aad\u3093\u3067\u307f\u308b\u3053\u3068\u3068\u3057\u305f\u3002<\/p>\n

–\u00a0\u8981\u7d04\u00a0–<\/p>\n

\u3000\u80cc\u666f\uff1a\u8ee2\u79fb\u6027\u80ba\u764c\u3042\u308b\u3044\u306f\u8ee2\u79fb\u6027\u5927\u8178\u764c\u306f\u3001\u5316\u5b66\u7642\u6cd5\u306b\u3088\u3063\u3066\u751f\u5b58\u671f\u9593\u304c\u6570\u9031\u9593\u304b\u3089\u6570\u30f6\u6708\u5ef6\u9577\u3057\u3001\u75c7\u72b6\u304c\u7de9\u548c\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u305f\u3060\u3001\u764c\u306e\u6cbb\u7652\u305d\u306e\u3082\u306e\u304c\u5f97\u3089\u308c\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3002<\/p>\n

\u3000\u65b9\u6cd5\uff1a\u764c\u6cbb\u7642\u8ee2\u5e30\u8abf\u67fb\u30b5\u30fc\u30d9\u30a4\u30e9\u30f3\u30b9Cancer Care Outcomes Research and Surveillance\uff08CanCORS\uff09\u7814\u7a76\uff08\u30a2\u30e1\u30ea\u30ab\u306e\u30d7\u30ed\u30b9\u30da\u30af\u30c6\u30a3\u30d6\u89b3\u5bdf\u30b3\u30db\u30fc\u30c8\u7814\u7a76\uff09\u306e\u53c2\u52a0\u8005\u3067\u3001\u764c\u8a3a\u65ad\u5f8c4\u30f6\u6708\u306e\u6642\u70b9\u3067\u751f\u5b58\u3057\u3066\u304a\u308a\u3001\u65b0\u305f \u306b\u8a3a\u65ad\u3055\u308c\u305f\u8ee2\u79fb\u6027\u80ba\u764c\u307e\u305f\u306f\u8ee2\u79fb\u6027\u5927\u8178\u764c\u306b\u5bfe\u3057\u3066\u5316\u5b66\u7642\u6cd5\u3092\u53d7\u3051\u305f1193\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3002
\n\u3000\u5316\u5b66\u7642\u6cd5\u306b\u3088\u3063\u3066\u6cbb\u7652\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u671f\u5f85\u3092\u3082\u3063\u3066\u3044\u308b\u60a3\u8005\u306e\u5272\u5408\u3092\u540c\u5b9a\u3057\u3001\u3053\u306e\u671f\u5f85\u306b\u95a2\u9023\u3059\u308b\u81e8\u5e8a\u7684\u56e0\u5b50\u3001\u793e\u4f1a\u7684\u56e0\u5b50\u3001\u533b\u7642\u5236\u5ea6\u56e0\u5b50\u3092\u691c\u8a3c\u3057\u305f\u3002\u8a3a\u7642\u9332\u306e\u518d\u691c\u8a0e\u3060\u3051\u3067\u306a\u304f\u3001\u5c02\u9580\u306e\u9762\u63a5\u8005\u306b\u3088\u3063\u3066\u60a3\u8005\u60c5\u5831\u3092\u5f97\u305f\u3002<\/p>\n

\u3000\u7d50\u679c\uff1a1193\u4eba\uff08\u80ba\u764c710\u4eba\u3001\u5927\u8178\u764c483\u4eba\uff09\u304c\u767b\u9332\u3055\u308c\u305f\u3002\u5168\u4f53\u3067\u3001\u80ba\u764c\u60a3\u800569%\u3068\u5927\u8178\u764c\u60a3\u800581%\u304c\u3001\u5316\u5b66\u7642\u6cd5\u306b\u3088\u3063\u3066\u764c\u304c\u6cbb\u7652\u3059\u308b\u53ef\u80fd\u6027\u304c\u5168\u304f\u306a\u3044 \u3053\u3068\u3092\u7406\u89e3\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u56de\u7b54\u3092\u3057\u306a\u304b\u3063\u305f\u3002\u591a\u5909\u91cf\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u3067\u306f\u3001\u5316\u5b66\u7642\u6cd5\u306b\u95a2\u3059\u308b\u8aa4\u3063\u305f\u8003\u3048\u3092\u5831\u544a\u3059\u308b\u30ea\u30b9\u30af\u306f\u3001\u5927\u8178\u764c\u60a3\u8005\u306e\u307b\u3046\u304c\u80ba\u764c\u60a3\u8005 \u3088\u308a\u3082\u9ad8\u304f\uff08OR1.75; 95% CI, 1.29 to 2.37\uff09\u3001\u975e\u767d\u4eba\u60a3\u8005\u3084\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u60a3\u8005\u3067\u306f\u975e\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u767d\u4eba\u60a3\u8005\u3088\u308a\u3082\u9ad8\u304f\uff08\u30d2\u30b9\u30d1\u30cb\u30c3\u30afOR2.82; 95% CI, 1.51 to 5.27; \u9ed2\u4ebaOR 2.93; 95% CI, 1.80 to 4.78\uff09\u3001\u533b\u5e2b\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306b\u3064\u3044\u3066\u3068\u3066\u3082\u826f\u597d\u3067\u3042\u308b\u3068\u8a55\u4fa1\u3057\u305f\u60a3\u8005\u3067\u306f\u3001\u3042\u307e\u308a\u826f\u597d\u3067\u306a\u3044\u3068\u8a55\u4fa1\u3057\u305f\u60a3\u8005\u3088\u308a\u3082\u9ad8\u304b\u3063\u305f\uff08OR for highest third vs. lowest third, 1.90; 95% CI, 1.33 to 2.72\uff09\u3002
\n\u3000\u793e\u4f1a\u7684\u6559\u80b2\u6c34\u6e96\u3001\u8eab\u4f53\u7684\u6a5f\u80fd\u72b6\u614b\u3001\u610f\u601d\u6c7a\u5b9a\u306b\u304a\u3051\u308b\u60a3\u8005\u306e\u5f79\u5272\u3068\u3001\u5316\u5b66\u7642\u6cd5\u306b\u95a2\u3059\u308b\u904e\u5ea6\u306e\u8aa4\u8a8d\u3068\u306e\u95a2\u9023\u306f\u306a\u304b\u3063\u305f\u3002<\/p>\n

\"130816\"<\/a><\/p>\n

\u7d50\u8ad6\uff1a
\n\u3000 \u5316\u5b66\u7642\u6cd5\u3092\u4e0d\u6cbb\u306e\u764c\u306b\u5bfe\u3057\u3066\u53d7\u3051\u3066\u3044\u308b\u60a3\u8005\u306e\u591a\u304f\u306f\u3001\u5316\u5b66\u7642\u6cd5\u306b\u3088\u3063\u3066\u764c\u304c\u6cbb\u7652\u3059\u308b\u53ef\u80fd\u6027\u306f\u4f4e\u3044\u3053\u3068\u3092\u7406\u89e3\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u3086\u3048\u306b\u5341\u5206\u306a\u60c5\u5831\u306b\u57fa \u3065\u3044\u3066\u3001\u81ea\u8eab\u306e\u610f\u5411\u306b\u6cbf\u3063\u305f\u6cbb\u7642\u3092\u6c7a\u5b9a\u3059\u308b\u80fd\u529b\u306b\u6b20\u3051\u3066\u3044\u308b\u53ef\u80fd\u6027\u3059\u3089\u3042\u308b\u3002\u533b\u5e2b\u306f\u60a3\u8005\u306e\u7406\u89e3\u3092\u6df1\u3081\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3042\u308b\u304c\u3001\u305f\u3060\u3057\u3053\u308c\u304c\u60a3\u8005\u6e80\u8db3\u5ea6\u306e\u4f4e\u4e0b \u3068\u3044\u3046\u4ee3\u511f\u3092\u4f34\u3046\u304a\u305d\u308c\u3082\u3042\u308b\u3002<\/p>\n

– \u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3 –<\/p>\n

\u3000\u4eca\u56de\u306e\u7814\u7a76\u3067\u9032\u884c\u304c\u3093\u60a3\u8005\u304c\u5316\u5b66\u7642\u6cd5\u306e\u9650\u754c\u306b\u5bfe\u3057\u3066\u6b63\u3057\u304f\u8a8d\u8b58\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u305f\u3002\u3057\u304b\u3057\u3001\u6cbb\u7652\u306f\u671f\u5f85\u3067\u304d\u306a\u304f\u3066\u3082\u4e88\u5f8c\u306e\u5ef6\u9577\u3084\u75c7\u72b6\u7de9\u548c\u3078\u306e\u671f\u5f85\u306f\u3067\u304d\u308b\u3053\u3068\u304b\u3089\u9032\u884c\u304c\u3093\u60a3\u8005\u306e\u6cbb\u7642\u306e\u9078\u629e\u3068\u3057\u3066\u306f\u6709\u7528\u3067\u3042\u308b\u5834\u5408\u304c\u3042\u308b\u305f\u3081\u3001\u60a3\u8005\u3068\u306e\u6c7a\u65ad\u306e\u5171\u6709\u304c\u975e\u5e38\u306b\u91cd\u8981\u306b\u306a\u308b\u3068\u601d\u308f\u308c\u308b\u3002
\n\u3000\u307e\u305f\u3001\u533b\u5e2b\u60a3\u8005\u95a2\u4fc2\u304c\u826f\u3044\u65b9\u304c\u3042\u307e\u308a\u826f\u597d\u3067\u306a\u3044\u3068\u7b54\u3048\u305f\u7fa4\u3088\u308a\u3082\u5316\u5b66\u7642\u6cd5\u306b\u95a2\u3059\u308b\u8aa4\u3063\u305f\u5831\u544a\u3092\u3059\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3053\u3068\u306f\u975e\u5e38\u306b\u9a5a\u3044\u305f\u3002\u533b\u5e2b\u60a3\u8005\u95a2\u4fc2\u304c\u826f\u597d\u3067\u3042\u308b\u307b\u3069\u60a3\u8005\u304c\u697d\u89b3\u7684\u306b\u306a\u308b\u50be\u5411\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3057\u3001\u533b\u5e2b\u3082\u30b7\u30d3\u30a2\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3057\u306b\u304f\u3044\u3068\u8003\u3048\u3066\u3057\u307e\u3046\u304b\u3082\u3057\u308c\u306a\u3044\u3068\u611f\u3058\u305f\u3002
\n\u3000\u5730\u57df\u3067\u30b1\u30a2\u3092\u53d7\u3051\u3066\u3044\u308b\u60a3\u8005\u306b\u8aa4\u89e3\u304c\u5c11\u306a\u304b\u3063\u305f\u3068\u306e\u7d50\u679c\u3082\u3042\u308a\u3001\u4ed6\u8077\u7a2e\u3068\u9023\u643a\u3057\u306a\u304c\u3089\u60a3\u8005\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u3059\u308b\u306a\u3069\u5730\u57df\u7279\u6709\u306e\u8ddd\u96e2\u611f\u306a\u3069\u304c\u6709\u7528\u3067\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3068\u611f\u3058\u305f\u3002\u60a3\u8005\u3068\u306e\u95a2\u4fc2\u6027\u3092\u7dad\u6301\u3057\u306a\u304c\u3089\u7d42\u672b\u671f\u306e\u60a3\u8005\u306b\u5bfe\u3057\u3066\u9069\u5207\u306a\u6642\u671f\u306b\u52b9\u679c\u7684\u306a\u7d42\u672b\u671f\u30b1\u30a2\u3092\u5c0e\u5165\u3067\u304d\u308b\u3088\u3046\u306b\u52aa\u529b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3068\u611f\u3058\u305f\u3002<\/p>\n

\u958b\u50ac\u65e5\uff1a\u5e73\u621025\u5e748\u670814\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"

– \u6587\u732e\u540d – \u3000Jane C. Weeks, et al.Patients’ Expectations about Effects of Chemotherapy for Advan … \u7d9a\u304d\u3092\u8aad\u3080 \u9032\u884c\u304c\u3093\u60a3\u8005\u306e\u5316\u5b66\u7642\u6cd5\u306e\u52b9\u679c\u306b\u5bfe\u3059\u308b\u671f\u5f85<\/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":[12],"tags":[],"class_list":["post-239","post","type-post","status-publish","format-standard","hentry","category-12"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/239","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=239"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/239\/revisions"}],"predecessor-version":[{"id":241,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/239\/revisions\/241"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=239"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=239"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}