{"id":2661,"date":"2024-06-12T15:32:15","date_gmt":"2024-06-12T06:32:15","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2661"},"modified":"2024-07-04T12:54:53","modified_gmt":"2024-07-04T03:54:53","slug":"%e6%97%a5%e6%9c%ac%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%e6%8e%a8%e5%a5%a8%e7%9d%a1%e7%9c%a0%e8%96%ac%e3%81%ae%e6%b2%bb%e7%99%82%e5%a4%b1%e6%95%97","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2661","title":{"rendered":"\u65e5\u672c\u306b\u304a\u3051\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u63a8\u5968\u7761\u7720\u85ac\u306e\u6cbb\u7642\u5931\u6557\u3068\u9577\u671f\u51e6\u65b9\u30ea\u30b9\u30af"},"content":{"rendered":"<p>-\u6587\u732e\u540d-<br \/>\nTakeshima M, Yoshizawa K, Ogasawara M, et al.<br \/>\nTreatment Failure and Long-Term Prescription Risk for Guideline-Recommended Hypnotics in Japan. JAMA Network Open. 2024;7(4):e246865.<\/p>\n<p>-\u8981\u7d04-<br \/>\nIntroduction<br \/>\n\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u63a8\u5968\u3059\u308b\u7761\u7720\u85ac\u3092\u76f4\u63a5\u6bd4\u8f03\u3059\u308b\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306f\u3001\u3053\u308c\u307e\u3067\u306e\u3068\u3053\u308d\u308f\u305a\u304b\u3057\u304b\u884c\u308f\u308c\u3066\u3044\u306a\u3044\u3002\u307e\u305f\u3001\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u306e\u7761\u7720\u85ac\u3068\u3057\u3066\u306e\u9577\u671f\u4f7f\u7528\u306f\u6709\u5bb3\u306b\u306a\u308a\u5f97\u308b\u305f\u3081\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u77ed\u671f\u4f7f\u7528\u3092\u63a8\u5968\u3057\u3066\u3044\u308b\u304c\u3001\u4e16\u754c\u4e2d\u3067\u9577\u671f\u51e6\u65b9\u304c\u884c\u308f\u308c\u3066\u3044\u308b\u3002\u8457\u8005\u3089\u306f\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u63a8\u5968\u3059\u308b\u7761\u7720\u85ac\u306e\u3046\u3061\u3001\u5358\u5264\u3067\u7528\u3044\u305f\u5834\u5408\u306e\u6cbb\u7642\u5931\u6557\u30ea\u30b9\u30af\u304c\u4f4e\u3044\u306e\u306f\u3069\u308c\u304b\u3001\u307e\u305f\u9577\u671f\u306b\u308f\u305f\u3063\u3066\u51e6\u65b9\u3055\u308c\u3084\u3059\u3044\u306e\u306f\u3069\u308c\u304b\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u305f\u3081\u306b\u672c\u7814\u7a76\u3092\u5b9f\u65bd\u3057\u305f\u3002<\/p>\n<p>Method<br \/>\n\u3053\u306e\u5f8c\u308d\u5411\u304d\u89b3\u5bdf\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306f\u3001Japan Medical Data Center Claims Database\uff08\u767a\u8868\u8005\u6ce8\u91c8\uff1a2005\u5e74\u3088\u308a\u8907\u6570\u306e\u5065\u5eb7\u4fdd\u967a\u7d44\u5408\u3088\u308a\u5bc4\u305b\u3089\u308c\u305f\u30ec\u30bb\u30d7\u30c8\uff08\u5165\u9662\u3001\u5916\u6765\u3001\u8abf\u5264\uff09\u304a\u3088\u3073\u5065\u8a3a\u30c7\u30fc\u30bf\u3092\u84c4\u7a4d\u3057\u3066\u3044\u308b\u75ab\u5b66\u30ec\u30bb\u30d7\u30c8\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3000JMDC Claims Database \u2013 \u682a\u5f0f\u4f1a\u793eJMDC)\u3092\u5229\u7528\u3057\u305f\u3002<br \/>\n2005\u5e744\u67081\u65e5\u304b\u30892021\u5e743\u670831\u65e5\u307e\u3067\u306b\u3001\u4e0d\u7720\u75c7\u306e\u85ac\u7269\u7642\u6cd5\u3068\u3057\u3066\u7761\u7720\u85ac\u306e\u5358\u5264\u3092\u521d\u56de\u6295\u4e0e\u3055\u308c\u305f\u6210\u4eba\u60a3\u8005\u3092\u540c\u5b9a\u3057\u3066\u3001\u6cbb\u7642\u958b\u59cb\u304b\u30896\u30ab\u6708\u5f8c\u307e\u3067\u8ffd\u8de1\u3057\u305f\u3002<br \/>\n\u85ac\u306f\u3001\u30b9\u30dc\u30ec\u30ad\u30b5\u30f3\u30c8\uff08\u30d9\u30eb\u30bd\u30e0\u30e9\u00ae\uff09\u3001\u30e9\u30e1\u30eb\u30c6\u30aa\u30f3\uff08\u30ed\u30bc\u30ec\u30e0\u00ae\uff09\u3001\u30a8\u30b9\u30be\u30d4\u30af\u30ed\u30f3\uff08\u30eb\u30cd\u30b9\u30bf\u00ae\uff09\u3001\u30be\u30eb\u30d4\u30c7\u30e0\uff08\u30de\u30a4\u30b9\u30ea\u30fc\u00ae\uff09\u3001\u30c8\u30ea\u30a2\u30be\u30e9\u30e0\uff08\u30cf\u30eb\u30b7\u30aa\u30f3\u00ae\uff09\uff09\u3067\u3042\u3063\u305f\u3002<br \/>\n\u25cf\t\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u5358\u5264\u7642\u6cd5\u306e\u5931\u6557\uff086\u30f6\u6708\u4ee5\u5185\u306b\u7761\u7720\u85ac\u306e\u5909\u66f4\u307e\u305f\u306f\u8ffd\u52a0\uff09<br \/>\n\u25cf\t\u4e8c\u6b21\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u5358\u5264\u7642\u6cd5\u306e\u4e2d\u6b62\uff086\u30f6\u6708\u4ee5\u5185\u306b2\u30f6\u6708\u9023\u7d9a\u3067\u7761\u7720\u85ac\u306e\u51e6\u65b9\u304c\u306a\u3044\uff09<br \/>\n\u3068\u5b9a\u7fa9\u3055\u308c\u305f\u3002<\/p>\n<p>Results<br \/>\n239,568\u4eba\u304c\u542b\u307e\u308c\u3001\u5e74\u9f62\u306e\u4e2d\u592e\u5024\u306f45\u6b73\uff08\u56db\u5206\u4f4d\u7bc4\u56f234\u301c55\u6b73\uff09\u300150.2\uff05\u304c\u5973\u6027\u3060\u3063\u305f\u3002<br \/>\n56.6\uff05\u304c\u30be\u30eb\u30d4\u30c7\u30e0\u300115.7\uff05\u304c\u30b9\u30dc\u30ec\u30ad\u30b5\u30f3\u30c8\u300114.2\uff05\u304c\u30a8\u30b9\u30be\u30d4\u30af\u30ed\u30f3\u30017.5\uff05\u304c\u30c8\u30ea\u30a2\u30be\u30e9\u30e0\u30016.1\uff05\u304c\u30e9\u30e1\u30eb\u30c6\u30aa\u30f3\u3092\u51e6\u65b9\u3055\u308c\u3066\u3044\u305f\u3002<\/p>\n<p>6\u30ab\u6708\u306e\u8ffd\u8de1\u671f\u9593\u4e2d\u306b\u300124,778\u4eba\uff0810.3\uff05\uff09\u304c\u5358\u5264\u6cbb\u7642\u306e\u5931\u6557\u3092\u7d4c\u9a13\u3057\u305f\u3002<br \/>\n\u5931\u6557\u306e\u5272\u5408\u306f\u3001\u30be\u30eb\u30d4\u30c7\u30e0\uff088.9\uff05\uff09\u3067\u3001\u30c8\u30ea\u30a2\u30be\u30e9\u30e0\uff089.4\uff05\uff09\u3001\u30a8\u30b9\u30be\u30d4\u30af\u30ed\u30f3\uff0811.9\uff05\uff09\u3001\u30b9\u30dc\u30ec\u30ad\u30b5\u30f3\u30c8\uff0812.7\uff05\uff09\u3001\u30e9\u30e1\u30eb\u30c6\u30aa\u30f3\uff0815.1\uff05\uff09\u3060\u3063\u305f\u3002<br \/>\n\u30a8\u30b9\u30be\u30d4\u30af\u30ed\u30f3\u3068\u6bd4\u8f03\u3057\u305f\u5931\u6557\u30ea\u30b9\u30af\u306f\u3001\u30e9\u30e1\u30eb\u30c6\u30aa\u30f3\uff08\u8abf\u6574\u30cf\u30b6\u30fc\u30c9\u6bd4 1.23\uff09\u304c\u9ad8\u304f\u3001\u30be\u30eb\u30d4\u30c7\u30e0\uff080.84\uff09\u304a\u3088\u3073\u30c8\u30ea\u30a2\u30be\u30e9\u30e0\uff080.82\uff09\u306f\u4f4e\u304f\u3001\u30b9\u30dc\u30ec\u30ad\u30b5\u30f3\u30c8\u3068\u306f\u6709\u610f\u5dee\u304c\u306a\u304b\u3063\u305f\u3002<\/p>\n<p>\u5358\u5264\u6cbb\u7642\u3067\u5931\u6557\u3057\u306a\u304b\u3063\u305f\u60a3\u8005\u306e84.6\uff05\u306f\u30016\u30ab\u6708\u4ee5\u5185\u306b\u6cbb\u7642\u3092\u4e2d\u6b62\u3057\u305f\u3002<br \/>\n\u6cbb\u7642\u4e2d\u6b62\u306e\u5272\u5408\u306f\u3001\u30be\u30eb\u30d4\u30c7\u30e0\uff0885.2\uff05\uff09\u3001\u30e9\u30e1\u30eb\u30c6\u30aa\u30f3\uff0884.9\uff05\uff09\u3001\u30b9\u30dc\u30ec\u30ad\u30b5\u30f3\u30c8\uff0884.0\uff05\uff09\u3001\u30c8\u30ea\u30a2\u30be\u30e9\u30e0\uff0883.7\uff05\uff09\u3001\u30a8\u30b9\u30be\u30d4\u30af\u30ed\u30f3\uff0882.9\uff05\uff09\u3068\u306a\u3063\u3066\u3044\u305f\u3002<br \/>\n\u30a8\u30b9\u30be\u30d4\u30af\u30ed\u30f3\u3068\u6bd4\u8f03\u3057\u305f\u5834\u5408\u306f\u3001\u30e9\u30e1\u30eb\u30c6\u30aa\u30f3\uff08\u8abf\u6574\u30aa\u30c3\u30ba\u6bd4 1.31\uff09\u3068\u30b9\u30dc\u30ec\u30ad\u30b5\u30f3\u30c8\uff081.20\uff09\u306f\u6709\u610f\u5dee\u3092\u6301\u3063\u3066\u4e2d\u6b62\u3055\u308c\u3066\u304a\u308a\u3001\u85ac\u7269\u4f9d\u5b58\u306b\u3088\u308b\u9577\u671f\u51e6\u65b9\u304c\u8d77\u3053\u308a\u306b\u304f\u3044\u3068\u8003\u3048\u3089\u308c\u305f\u3002\u30be\u30eb\u30d4\u30c7\u30e01.00\uff080.97-1.04\uff09\u3068\u30c8\u30ea\u30a2\u30be\u30e9\u30e01.02\uff080.97-1.07\uff09\u306f\u6709\u610f\u5dee\u3092\u793a\u3055\u306a\u304b\u3063\u305f\u3002<\/p>\n<p>Discussion<br \/>\n\u672c\u7814\u7a76\u306e\u5f37\u307f\u306f\u3001\u5927\u898f\u6a21\u306a\u65e5\u672c\u306e\u533b\u7642\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3092\u4f7f\u7528\u3057\u3001239,568\u4eba\u306e\u30c7\u30fc\u30bf\u3092\u9577\u671f\u9593\uff082005\u5e74\uff5e2021\u5e74\uff09\u306b\u308f\u305f\u3063\u3066\u5206\u6790\u3057\u305f\u70b9\u3067\u3042\u308b\u4e00\u65b9\u3067\u3001\u3044\u304f\u3064\u304b\u306e\u9650\u754c\u304c\u3042\u308b\u3002 \u7b2c\u4e00\u306b\u3001\u30c7\u30fc\u30bf\u304c\u4f1a\u793e\u5f93\u696d\u54e1\u304a\u3088\u3073\u305d\u306e\u5bb6\u65cf\u306b\u9650\u5b9a\u3055\u308c\u3066\u3044\u308b\u305f\u3081\u3001\u4e00\u822c\u306e\u96c6\u56e3\u3092\u4ee3\u8868\u3057\u3066\u3044\u308b\u3068\u306f\u9650\u3089\u306a\u3044\u3002 \u7b2c\u4e8c\u306b\u3001\u793e\u4f1a\u7d4c\u6e08\u7684\u8981\u56e0\u3001\u526f\u4f5c\u7528\u3001\u5358\u5264\u7642\u6cd5\u306e\u4e2d\u6b62\u7406\u7531\u3001\u4e0d\u7720\u75c7\u3084\u7cbe\u795e\u75c7\u72b6\u306e\u91cd\u75c7\u5ea6\u306a\u3069\u306e\u91cd\u8981\u306a\u56e0\u5b50\u304c\u542b\u307e\u308c\u3066\u3044\u306a\u3044\u3002 \u7b2c\u4e09\u306b\u3001\u8ffd\u8de1\u671f\u9593\u304c6\u30f6\u6708\u3068\u77ed\u304f\u8a2d\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u9577\u671f\u4f7f\u7528\u306b\u3088\u308b\u4f9d\u5b58\u3084\u8010\u6027\u306e\u30ea\u30b9\u30af\u3092\u5b8c\u5168\u306b\u306f\u8a55\u4fa1\u3067\u304d\u3066\u3044\u306a\u3044\u3002 \u672c\u7814\u7a76\u3067\u306f\u4ea4\u7d61\u56e0\u5b50\u304c\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3055\u308c\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u3053\u308c\u3089\u306e\u7d50\u679c\u306b\u57fa\u3065\u3044\u3066\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u7761\u7720\u85ac\u306e\u85ac\u7406\u5b66\u7684\u7279\u6027\u306b\u95a2\u3059\u308b\u7d50\u8ad6\u3092\u5c0e\u304d\u51fa\u3059\u3053\u3068\u306f\u3067\u304d\u306a\u3044\u3002\u6162\u6027\u4e0d\u7720\u75c7\u3068\u6025\u6027\u4e0d\u7720\u75c7\u306e\u8a3a\u65ad\u3001\u4e0d\u7720\u75c7\u304a\u3088\u3073\u7cbe\u795e\u75c7\u72b6\u306e\u91cd\u75c7\u5ea6\u3001\u7761\u7720\u85ac\u51e6\u65b9\u306b\u5bfe\u3059\u308b\u533b\u5e2b\u306e\u614b\u5ea6\u306a\u3069\u306e\u4ea4\u7d61\u56e0\u5b50\u3092\u8003\u616e\u3057\u305f\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n<p>\u3053\u306e\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3067\u306f\u3001\u5358\u5264\u7642\u6cd5\u306e\u5931\u6557\u306f\u30a8\u30b9\u30be\u30d4\u30af\u30ed\u30f3\u3088\u308a\u3082\u30e9\u30e1\u30eb\u30c6\u30aa\u30f3\u3067\u591a\u304f\u3001\u30be\u30eb\u30d4\u30c7\u30e0\u3084\u30c8\u30ea\u30a2\u30be\u30e9\u30e0\u3067\u306f\u5c11\u306a\u304b\u3063\u305f\u3002\u3055\u3089\u306b\u3001\u672c\u7814\u7a76\u3067\u9577\u671f\u4f7f\u7528\u30ea\u30b9\u30af\u306e\u4ee3\u7528\u6307\u6a19\u3068\u3057\u3066\u8a2d\u5b9a\u3057\u305f\u5358\u5264\u7642\u6cd5\u306e\u4e2d\u6b62\u306f\u3001\u30a8\u30b9\u30be\u30d4\u30af\u30ed\u30f3\u3088\u308a\u3082\u30e9\u30e1\u30eb\u30c6\u30aa\u30f3\u3084\u30b9\u30dc\u30ec\u30ad\u30b5\u30f3\u30c8\u306a\u3069\u306e\u65b0\u898f\u7761\u7720\u85ac\u3067\u5c11\u306a\u304b\u3063\u305f\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u3053\u308c\u3089\u306e\u7d50\u679c\u306f\u3001\u3044\u304f\u3064\u304b\u306e\u4ea4\u7d61\u56e0\u5b50\u3092\u8aac\u660e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u304b\u3063\u305f\u305f\u3081\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u7761\u7720\u85ac\u306e\u85ac\u7406\u5b66\u7684\u7279\u6027\u306b\u3088\u308b\u3082\u306e\u306a\u306e\u304b\u3001\u4e0d\u7720\u75c7\u60a3\u8005\u306e\u81e8\u5e8a\u7684\u7279\u6027\u306b\u3088\u308b\u3082\u306e\u306a\u306e\u304b\u3001\u3042\u308b\u3044\u306f\u51e6\u65b9\u533b\u306e\u7761\u7720\u85ac\u306b\u5bfe\u3059\u308b\u8003\u3048\u65b9\u306b\u3088\u308b\u3082\u306e\u306a\u306e\u304b\u306f\u4e0d\u660e\u3067\u3042\u308b\u305f\u3081\u3001\u614e\u91cd\u306b\u89e3\u91c8\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u3069\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u63a8\u5968\u7761\u7720\u85ac\u304c\u6700\u3082\u6709\u7528\u3067\u3042\u308b\u304b\u3092\u6c7a\u5b9a\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u3053\u308c\u3089\u306e\u7761\u7720\u85ac\u3092\u76f4\u63a5\u6bd4\u8f03\u3059\u308bRCT\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112024\u5e746\u670812\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>-\u6587\u732e\u540d- Takeshima M, Yoshizawa K, Ogasawara M, et al. Treatment Failure and Long-Term Prescription Risk for Guid &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2661\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u65e5\u672c\u306b\u304a\u3051\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u63a8\u5968\u7761\u7720\u85ac\u306e\u6cbb\u7642\u5931\u6557\u3068\u9577\u671f\u51e6\u65b9\u30ea\u30b9\u30af<\/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":[15,23,17],"tags":[],"class_list":["post-2661","post","type-post","status-publish","format-standard","hentry","category-15","category-23","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2661","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=2661"}],"version-history":[{"count":5,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2661\/revisions"}],"predecessor-version":[{"id":2670,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2661\/revisions\/2670"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}