\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
\n-\u6587\u732e\u540d-
\nAmerican Geriatrics Society 2023 updated AGS Beers Criteria\u00ae for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2023;71(7):2052-2081.<\/p>\n
-\u8981\u7d04-
\n\u9ad8\u9f62\u8005\u306b\u304a\u3051\u308b\u6f5c\u5728\u7684\u4e0d\u9069\u5207\u51e6\u65b9\uff08Potentially Inappropriate Medication: PIM\uff09\u306b\u95a2\u3059\u308b\u7c73\u56fd\u8001\u5e74\u533b\u5b66\u4f1a\u306e\u57fa\u6e96Beers Criteria\u00ae\u306f\u30011991\u5e74\u306b\u30ab\u30ea\u30d5\u30a9\u30eb\u30cb\u30a2\u5927\u5b66\u30ed\u30b5\u30f3\u30bc\u30eb\u30b9\u6821\u306e\u6545Mark Beers\u306b\u3088\u3063\u3066\u958b\u767a\u3055\u308c\u3001\u5b9a\u671f\u7684\u306b\u66f4\u65b0\u3055\u308c\u3066\u3044\u308b\u3002\u672c\u57fa\u6e96\u306f\u3001\u30db\u30b9\u30d4\u30b9\u3084\u7d42\u672b\u671f\u533b\u7642\u3092\u9664\u304f\u3001\u5916\u6765\u3001\u6025\u6027\u671f\u3001\u65bd\u8a2d\u5165\u6240\u306a\u3069\u3059\u3079\u3066\u306e\u30b1\u30a2\u74b0\u5883\u306b\u304a\u3051\u308b65\u6b73\u4ee5\u4e0a\u306e\u6210\u4eba\u306b\u9069\u7528\u3055\u308c\u308b\u3053\u3068\u3092\u610f\u56f3\u3057\u3066\u3044\u308b\u3002
\nBeers Criteria\u00ae\u306e\u76ee\u7684\u306f\u3001
\n(1)\u85ac\u5264\u9078\u629e\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u9ad8\u9f62\u8005\u304c\u4e0d\u9069\u5207\u306a\u85ac\u5264\uff08PIMs\uff09\u306b\u3055\u3089\u3055\u308c\u308b\u6a5f\u4f1a\u3092\u6e1b\u3089\u3059\u3053\u3068
\n(2)\u81e8\u5e8a\u533b\u3068\u60a3\u8005\u3092\u6559\u80b2\u3059\u308b\u3053\u3068
\n(3)\u9ad8\u9f62\u8005\u306e\u30b1\u30a2\u306e\u8cea\u3001\u30b3\u30b9\u30c8\u3001\u85ac\u5264\u4f7f\u7528\u30d1\u30bf\u30fc\u30f3\u3092\u8a55\u4fa1\u3059\u308b\u30c4\u30fc\u30eb\u3068\u3057\u3066\u6a5f\u80fd\u3059\u308b\u3053\u3068\u3000\u3067\u3042\u308b\u3002<\/p>\n
\u6f5c\u5728\u7684\u4e0d\u9069\u5207\u51e6\u65b9\u306f5\u3064\u306b\u5206\u985e\u3055\u308c\u308b\u3002\uff08Table\u306f\u3001\u6dfb\u4ed8PDF\u53c2\u7167\u3057\u3066\u4e0b\u3055\u3044\u3002\uff09
\n1.\t\u6f5c\u5728\u7684\u306b\u4e0d\u9069\u5207\u3068\u8003\u3048\u3089\u308c\u308b\u85ac\u5264\uff08\u88682\uff09
\n2.\t\u7279\u5b9a\u306e\u75be\u60a3\u307e\u305f\u306f\u75c7\u5019\u3092\u6709\u3059\u308b\u60a3\u8005\u306b\u304a\u3044\u3066\u4e0d\u9069\u5207\u306a\u53ef\u80fd\u6027\u306e\u3042\u308b\u85ac\u5264\uff08\u88683\uff09
\n3.\t\u614e\u91cd\u306b\u4f7f\u7528\u3059\u3079\u304d\u85ac\u5264\uff08\u88684\uff09
\n4.\t\u4e0d\u9069\u5207\u306a\u53ef\u80fd\u6027\u306e\u3042\u308b\u85ac\u7269-\u85ac\u7269\u76f8\u4e92\u4f5c\u7528\uff08\u88685\uff09
\n5.\t\u814e\u6a5f\u80fd\u306b\u57fa\u3065\u3044\u3066\u6295\u4e0e\u91cf\u3092\u8abf\u6574\u3059\u3079\u304d\u85ac\u5264\uff08\u88686\uff09<\/p>\n
Beers Criteria\u00ae\u306f\u56fd\u969b\u7684\u306b\u4f7f\u7528\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304c\u3001\u7279\u306b\u7c73\u56fd\u3067\u306e\u4f7f\u7528\u3092\u60f3\u5b9a\u3057\u3066\u4f5c\u6210\u3055\u308c\u3066\u304a\u308a\u3001\u7279\u5b9a\u306e\u56fd\u306e\u7279\u5b9a\u306e\u85ac\u5264\u306b\u3064\u3044\u3066\u306f\u8003\u616e\u304c\u5fc5\u8981\u306a\u5834\u5408\u304c\u3042\u308b\u3002Beers Criteria\u00ae\u306f\u3001\u81e8\u5e8a\u4e0a\u306e\u610f\u601d\u6c7a\u5b9a\u3092\u5171\u6709\u3059\u308b\u3053\u3068\u306b\u53d6\u3063\u3066\u4ee3\u308f\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u305d\u308c\u3092\u652f\u63f4\u3059\u308b\u65b9\u6cd5\u3068\u3057\u3066\u3001\u601d\u616e\u6df1\u304f\u9069\u7528\u3055\u308c\u308b\u3079\u304d\u3067\u3042\u308b\u3002
\n\u9ad8\u9f62\u8005\u3078\u306e\u51e6\u65b9\u306f\u3001\u591a\u304f\u306e\u8981\u56e0\u3001\u7279\u306b\u9ad8\u9f62\u8005\u3068\u305d\u306e\u5bb6\u65cf\u306e\u55dc\u597d\u3068\u76ee\u6a19\u3092\u8003\u616e\u3059\u308b\u8907\u96d1\u306a\u52aa\u529b\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u3044\u305f\u3081\u3001\u672c\u57fa\u6e96\u306f\u61f2\u7f70\u7684\u306a\u65b9\u6cd5\u3067\u4f7f\u7528\u3055\u308c\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3002<\/p>\n
\uff1c\u500b\u5225\u306e\u85ac\u5264\u306b\u3064\u3044\u3066\u7279\u8a18\uff1e
\n\u25cf\u975e\u5f01\u819c\u75c7\u6027\u5fc3\u623f\u7d30\u52d5\u304a\u3088\u3073VTE\u306e\u9577\u671f\u6cbb\u7642\u306b\u304a\u3051\u308b\u30c0\u30d3\u30ac\u30c8\u30e9\u30f3\uff08\u30d7\u30e9\u30b6\u30ad\u30b5\u00ae\uff09\u306e\u63a8\u5968\u306f\u3001\u30a2\u30d4\u30ad\u30b5\u30d0\u30f3\uff08\u30a8\u30ea\u30ad\u30e5\u30fc\u30b9\u00ae\uff09\u306a\u3069\u306e\u4ee3\u66ff\u85ac\u3068\u6bd4\u8f03\u3057\u3066\u3001\u6d88\u5316\u7ba1\u51fa\u8840\u304a\u3088\u3073\u5927\u51fa\u8840\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3053\u3068\u3092\u793a\u5506\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u305f\u3081\u3001\u4f9d\u7136\u3068\u3057\u3066\u300c\u614e\u91cd\u306b\u4f7f\u7528\u3059\u308b\u3053\u3068\u300d\u3068\u3057\u3066\u3044\u308b\u3002
\n\u25cfSGLT2\u963b\u5bb3\u85ac\u306b\u3064\u3044\u3066\u306f\u3001\u6ccc\u5c3f\u751f\u6b96\u5668\u611f\u67d3\u75c7\u304a\u3088\u3073\u7cd6\u5c3f\u75c5\u6027\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u306e\u30ea\u30b9\u30af\u304c\u5897\u52a0\u3059\u308b\u305f\u3081\u3001\u614e\u91cd\u306b\u4f7f\u7528\u3059\u308b\u3088\u3046\u52a9\u8a00\u3059\u308b\u65b0\u305f\u306a\u57fa\u6e96\u304c\u8ffd\u52a0\u3055\u308c\u3001\u6cbb\u7642\u4e2d\u306e\u65e9\u671f\u306e\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3092\u63a8\u5968\u3057\u3066\u3044\u308b\u3002<\/p>\n
\uff1c\u6e1b\u51e6\u65b9deprescribing\uff1e
\nBeers Criteria\u00ae\u306b\u57fa\u3065\u304f\u533b\u85ac\u54c1\u306e\u51e6\u65b9\u3092\u6210\u529f\u3055\u305b\u308b\u306b\u306f\u3001\u81e8\u5e8a\u533b\u304c\u5358\u306b\u9ad8\u9f62\u8005\u306b\u670d\u85ac\u4e2d\u6b62\u3092\u6307\u793a\u3059\u308b\u3060\u3051\u3067\u306f\u4e0d\u5341\u5206\u3067\u3042\u308b\u3002\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u30ae\u30e3\u30c3\u30d7\u3084\u8aa4\u89e3\u3001\u60a3\u8005\u304c\u670d\u85ac\u4e2d\u6b62\u306b\u6d88\u6975\u7684\u3067\u6050\u6016\u5fc3\u3092\u62b1\u304f\u3053\u3068\u3001\u8907\u6570\u306e\u81e8\u5e8a\u533b\u9593\u306e\u8abf\u6574\u3001\u6295\u4e0e\u91cf\u306e\u6f38\u6e1b\u3001\u96e2\u8131\u75c7\u72b6\u3001\u85ac\u5c40\u3078\u306e\u4e2d\u6b62\u6307\u793a\u306e\u4f1d\u9054\u306a\u3069\u304c\u3001\u8d77\u3053\u308a\u3046\u308b\u8ab2\u984c\u3067\u3042\u308b\u3002<\/p>\n
\u3010\u958b\u50ac\u65e5\u30112023\u5e7410\u67084\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 -\u6587\u732e\u540d- American Geriatrics Society 2023 up … \u7d9a\u304d\u3092\u8aad\u3080 \u9ad8\u9f62\u8005\u306e\u85ac\u5264\u51e6\u65b9\u306b\u95a2\u3059\u308bBeers\u57fa\u6e96\u306e\u66f4\u65b0<\/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":[33,11],"tags":[],"class_list":["post-2589","post","type-post","status-publish","format-standard","hentry","category-whats-new","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2589","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=2589"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2589\/revisions"}],"predecessor-version":[{"id":2590,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2589\/revisions\/2590"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2589"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2589"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2589"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}