{"id":2698,"date":"2024-08-08T19:09:12","date_gmt":"2024-08-08T10:09:12","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2698"},"modified":"2024-08-08T19:09:12","modified_gmt":"2024-08-08T10:09:12","slug":"%e3%82%aa%e3%83%bc%e3%82%b9%e3%83%88%e3%83%a9%e3%83%aa%e3%82%a2%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e8%85%b0%e7%97%9b%e5%86%8d%e7%99%ba%e4%ba%88%e9%98%b2%e3%81%ae%e3%81%9f%e3%82%81%e3%81%ae%e3%82%a6","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2698","title":{"rendered":"\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306b\u304a\u3051\u308b\u8170\u75db\u518d\u767a\u4e88\u9632\u306e\u305f\u3081\u306e\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u306e\u6559\u80b2\u4ecb\u5165\u52b9\u679c\u3068\u8cbb\u7528\u5bfe\u52b9\u679c"},"content":{"rendered":"

-\u6587\u732e\u540d-
\nNatasha C Pocovi, Chung-Wei Christine Lin, Simon D French,et al.Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial.Lancet.2024; 404:134\u201344<\/p>\n

-\u8981\u7d04-
\nIntroduction
\n\u3000\u8170\u75db\u306e\u518d\u767a\u306f\u4e00\u822c\u7684\u3067\u3042\u308a\u3001\u8170\u75db\u306e\u75be\u75c5\u7684\u30fb\u7d4c\u6e08\u7684\u8ca0\u62c5\u306e\u5927\u304d\u306a\u8981\u56e0\u3068\u306a\u3063\u3066\u3044\u308b\u3002\u8170\u75db\u306f2020\u5e74\u306b\u306f\u4e16\u754c\u30676\u51041,900\u4e07\u4eba\u304c\u7f79\u60a3\u3057\u3066\u3044\u308b\u3068\u63a8\u5b9a\u3055\u308c\u30012050\u5e74\u306b\u306f8\u51044,300\u4e07\u4eba\u306b\u5897\u52a0\u3059\u308b\u3068\u4e88\u6e2c\u3055\u308c\u3066\u3044\u308b\u3002\u8170\u75db\u304b\u3089\u56de\u5fa9\u3057\u305f\u4eba\u306e\u307b\u307c10\u4eba\u306b7\u4eba\u306f\u3001\u305d\u306e\u5f8c1\u5e74\u4ee5\u5185\u306b\u518d\u767a\u3092\u7d4c\u9a13\u3059\u308b\u3068\u3082\u3044\u308f\u308c\u308b\u3002\u904b\u52d5\u3068\u6559\u80b2\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u3067\u3001\u8170\u75db\u306e\u518d\u767a\u3001\u305d\u308c\u306b\u4f34\u3046\u969c\u5bb3\u3001\u6b20\u52e4\u3092\u4e88\u9632\u3067\u304d\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u3053\u308c\u307e\u3067\u691c\u8a0e\u3055\u308c\u3066\u304d\u305f\u904b\u52d5\u30d9\u30fc\u30b9\u306e\u4ecb\u5165\u306f\u3001\u96c6\u56e3\u3067\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u542b\u3093\u3067\u304a\u308a\u3001\u81e8\u5e8a\u533b\u306b\u3088\u308b\u7dbf\u5bc6\u306a\u76e3\u7763\u3068\u5668\u5177\u306e\u4f7f\u7528\u3092\u5fc5\u8981\u3068\u3057\u3001\u9ad8\u984d\u306a\u8cbb\u7528\u304c\u304b\u304b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u306e\u3088\u3046\u306a\u8eab\u8fd1\u3067\u4f4e\u30b3\u30b9\u30c8\u306e\u4ecb\u5165\u306e\u6709\u52b9\u6027\u3068\u8cbb\u7528\u5bfe\u52b9\u679c\u306f\u307e\u3060\u78ba\u7acb\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n

Method
\n\u3000\u3053\u306e\u8a66\u9a13\u306f2\u7fa4\u9593\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u3042\u308a\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u5168\u571f\u306e25\u306e\u6c11\u9593\u7406\u5b66\u7642\u6cd5\u30af\u30ea\u30cb\u30c3\u30af\u3067\u5b9f\u65bd\u3002\u7279\u5b9a\u306e\u8a3a\u65ad\u306b\u8d77\u56e0\u3057\u306a\u3044\u975e\u7279\u7570\u7684\u8170\u75db\u30a8\u30d4\u30bd\u30fc\u30c9\u3092\u5c11\u306a\u304f\u3068\u308224\u6642\u9593\u81ea\u899a\u3057\u3001\u75db\u307f\u304c\u306a\u3044\u65e5\u304c7\u65e5\u4ee5\u4e0a\u7d9a\u3044\u3066\u3044\u308b\u6210\u4eba\uff0818\u6b73\u4ee5\u4e0a\uff09\u3092\u52df\u96c6\u3057\u305f\u3002\u975e\u7279\u7570\u7684\u8170\u75db\u306e\u30a8\u30d4\u30bd\u30fc\u30c9\u3068\u306f\u3001\u7279\u5b9a\u306e\u8a3a\u65ad\uff08\u4f8b\u3048\u3070\u3001\u690e\u4f53\u9aa8\u6298\u3001\u611f\u67d3\u75c7\u3001\u304c\u3093\uff09\u306b\u8d77\u56e0\u3057\u306a\u3044\u7b2c12\u808b\u9aa8\u3068\u81c0\u90e8\u306e\u3057\u308f\u306e\u9593\u306e\u9818\u57df\u306e\u75db\u307f\u304c\u5c11\u306a\u304f\u3068\u308224\u6642\u9593\u6301\u7d9a\u3057\u3001\u75db\u307f\u306e\u5f37\u3055\u304c0\uff5e10\u306e\u6570\u5024\u75bc\u75db\u8a55\u4fa1\u30b9\u30b1\u30fc\u30eb\u30672\u4ee5\u4e0a\u3067\u3042\u308a\u3001\u300c\u8170\u75db\u306f\u65e5\u5e38\u751f\u6d3b\u306b\u3069\u306e\u7a0b\u5ea6\u652f\u969c\u3092\u304d\u305f\u3057\u307e\u3057\u305f\u304b\uff1f\u300d\u3068\u3044\u3046\u8cea\u554f\u306b\u304a\u3044\u3066\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u5c11\u306a\u304f\u3068\u3082\u3084\u3084\u652f\u969c\u3092\u304d\u305f\u3059\u304b\u3001\u305d\u308c\u4ee5\u4e0a\u306e\u652f\u969c\u3092\u304d\u305f\u3059\u3082\u306e\u3068\u5b9a\u7fa9\u3057\u305f\u3002\u9664\u5916\u57fa\u6e96\u306f\u3001\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0\u3078\u306e\u53c2\u52a0\u3092\u59a8\u3052\u308b\u4f75\u5b58\u75be\u60a3\u3001\u90313\u56de\u4ee5\u4e0a\u306e\u904b\u52d5\uff081\u65e530\u5206\u4ee5\u4e0a\uff09\u306e\u305f\u3081\u306e\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u3001\u8170\u75db\u518d\u767a\u4e88\u9632\u306e\u305f\u3081\u306e\u904b\u52d5\u30d7\u30ed\u30b0\u30e9\u30e0\uff08\u30d4\u30e9\u30c6\u30a3\u30b9\u306a\u3069\uff09\u3078\u306e\u5b9a\u671f\u7684\u306a\u53c2\u52a0\u3001\u9031150\u5206\u4ee5\u4e0a\u306e\u4e2d\u7b49\u5ea6\u307e\u305f\u306f\u5f37\u5ea6\u306e\u8eab\u4f53\u6d3b\u52d5\uff08\u90313\u65e5\u4ee5\u4e0a\uff09\u3001\u904e\u53bb6\u30f5\u6708\u9593\u306e\u810a\u690e\u624b\u8853\u3001\u598a\u5a20\u4e2d\u3001\u8cea\u554f\u7968\u3092\u8a18\u5165\u3059\u308b\u306e\u306b\u4e0d\u5341\u5206\u306a\u82f1\u8a9e\u529b\u3002
\n\u3000\u53c2\u52a0\u8005\u306f\u30016\u30f5\u6708\u9593\u306b\u308f\u305f\u308b\u7406\u5b66\u7642\u6cd5\u58eb\u306b\u3088\u308b6\u56de\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u304c\u884c\u308f\u308c\u305f\u3002\u500b\u5225\u5316\u3055\u308c\u305f\u6f38\u9032\u7684\u306a\u6b69\u884c\u30fb\u6559\u80b2\u4ecb\u5165\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u7fa4\u3068\u3001\u7121\u6cbb\u7642\u306e\u5bfe\u7167\u7fa4\uff081\uff1a1\uff09\u306b\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002\u7406\u5b66\u7642\u6cd5\u58eb\u3068\u53c2\u52a0\u8005\u306f\u5272\u308a\u4ed8\u3051\u306b\u3064\u3044\u3066\u30de\u30b9\u30af\u3055\u308c\u306a\u304b\u3063\u305f\u3002\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u76ee\u6a19\u306f\u30016\u30f5\u6708\u5f8c\u307e\u3067\u306b\u90315\u56de\u30011\u65e530\u5206\u4ee5\u4e0a\u306e\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u3092\u884c\u3046\u3053\u3068\u3067\u3042\u3063\u305f\u3002\u521d\u8a3a\u6642\u306b\u306f\u3001\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u521d\u671f\u7528\u91cf\u3092\u6c7a\u5b9a\u3059\u308b\u305f\u3081\u306b\u3001\u75c5\u6b74\u8074\u53d6\u3068\u8eab\u4f53\u8a3a\u5bdf\u304c\u884c\u308f\u308c\u305f\u3002\u53c2\u52a0\u8005\u306e\u73fe\u5728\u306e\u6b69\u884c\u30ec\u30d9\u30eb\u3001\u5e74\u9f62\u3001BMI\u306b\u57fa\u3065\u3044\u3066\u3001\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u9069\u5207\u306a\u958b\u59cb\u91cf\u3068\u9069\u5207\u306a\u9032\u884c\u5ea6\u3092\u63d0\u6848\u3059\u308b\u305f\u3081\u306e\u51e6\u65b9\u30ac\u30a4\u30c9\u304c\u4f5c\u6210\u3055\u308c\u305f\u3002\u91cd\u8981\u306a\u3053\u3068\u306f\u3001\u500b\u4eba\u4e2d\u5fc3\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u7528\u3044\u3066\u3001\u53c2\u52a0\u8005\u500b\u4eba\u306e\u7279\u5fb4\uff08\u4f8b\u3048\u3070\u3001\u4f75\u5b58\u75be\u60a3\u3084\u81ea\u5df1\u52b9\u529b\u611f\uff09\u3001\u74b0\u5883\u7684\u969c\u58c1\uff08\u4f8b\u3048\u3070\u3001\u5b89\u5168\u6027\u3001\u7167\u660e\u3001\u8def\u9762\uff09\u3001\u6642\u9593\u7684\u5236\u7d04\u3001\u55dc\u597d\u3001\u53c2\u52a0\u8005\u306e\u76ee\u6a19\u306b\u57fa\u3065\u3044\u3066\u3001\u53c2\u52a0\u8005\u3068\u306e\u8a71\u3057\u5408\u3044\u306e\u4e2d\u3067\u6700\u521d\u306e\u51e6\u65b9\u3068\u9032\u884c\u304c\u500b\u5225\u306b\u8a2d\u5b9a\u3055\u308c\u305f\u3053\u3068\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u53c2\u52a0\u8005\u306b\u306f\u6b69\u6570\u8a08\u3068\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30c0\u30a4\u30a2\u30ea\u30fc\u304c\u914d\u5e03\u3055\u308c\u3001\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u6700\u521d\u306e12\u9031\u9593\u3092\u901a\u3057\u3066\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u3092\u8a18\u9332\u3057\u305f\u3002\u7406\u5b66\u7642\u6cd5\u58eb\u3068\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u30bb\u30c3\u30b7\u30e7\u30f3\u306f\u3001\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\u306e\u30c1\u30a7\u30c3\u30af\uff08\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u65e5\u8a8c\u306e\u30c1\u30a7\u30c3\u30af\u3092\u542b\u3080\uff09\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u8abf\u6574\u3092\u884c\u3046\u305f\u3081\u306b\u5b9f\u65bd\u3002\u3053\u308c\u3089\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u306f\u3001\u5f53\u521d\u306f2\u56de\u306e\u5bfe\u9762\u30bb\u30c3\u30b7\u30e7\u30f3\uff08\u7121\u4f5c\u70ba\u53164\u9031\u5f8c\u30683\u30f5\u6708\u5f8c\u306b30\u5206\u9593\uff09\u30683\u56de\u306e\u96fb\u8a71\u30bb\u30c3\u30b7\u30e7\u30f3\uff082\u9031\u30686\u9031\u306b15\u5206\u306e\u76f8\u8ac7\u30016\u30f5\u6708\u306b\u5f37\u5316\u30bb\u30c3\u30b7\u30e7\u30f3\uff09\u306e\u7d44\u307f\u5408\u308f\u305b\u3067\u884c\u308f\u308c\u308b\u4e88\u5b9a\u3067\u3042\u3063\u305f\u3002COVID-19\u306e\u6d41\u884c\u306b\u3088\u308a\u3001\u5bfe\u9762\u3067\u306e\u8a3a\u5bdf\u304c\u4e00\u6642\u7684\u306b\u5236\u9650\u3055\u308c\u3001\u591a\u304f\u306e\u53c2\u52a0\u8005\u304c\u9060\u9694\u533b\u7642\uff08\u30d3\u30c7\u30aa\u8a3a\u5bdf\uff09\u3092\u901a\u3058\u3066\u4ecb\u5165\u3092\u53d7\u3051\u305f\u3002\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0\u3068\u4e26\u884c\u3057\u3066\u6559\u80b2\u3082\u884c\u308f\u308c\u305f\uff08appendixp5\uff09\u3002\u3053\u306e\u6559\u80b2\u306f\u3001\u73fe\u4ee3\u75bc\u75db\u79d1\u5b66\u306e\u57fa\u672c\u7684\u306a\u7406\u89e3\u3092\u63d0\u4f9b\u3057\u3001\u8170\u75db\u306b\u4f34\u3046\u6050\u6016\u3092\u8efd\u6e1b\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u3002\u8170\u75db\u306e\u518d\u767a\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3059\u305f\u3081\u306e\u7c21\u5358\u306a\u6226\u7565\u3084\u3001\u8efd\u5ea6\u306e\u518d\u767a\u3067\u3042\u308c\u3070\u81ea\u5df1\u7ba1\u7406\u3059\u308b\u65b9\u6cd5\u306b\u3064\u3044\u3066\u306e\u8aac\u660e\u304c\u884c\u308f\u308c\u305f\u3002\u4e21\u30b0\u30eb\u30fc\u30d7\u306e\u53c2\u52a0\u8005\u306f\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u8170\u75db\u306e\u4ed6\u306e\u6cbb\u7642\u3092\u53d7\u3051\u308b\u3053\u3068\u3092\u5236\u9650\u3055\u308c\u306a\u304b\u3063\u305f\u3002
\n\u3000\u53c2\u52a0\u8005\u306e\u8ffd\u8de1\u671f\u9593\u306f\u3001\u767b\u9332\u65e5\u306b\u3088\u308a\u6700\u4f4e12\u30f5\u6708\u3001\u6700\u957736\u30f5\u6708\u3067\u3042\u3063\u305f\u3002\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u6d3b\u52d5\u5236\u9650\u306e\u3042\u308b\u8170\u75db\u304c\u518d\u767a\u3059\u308b\u307e\u3067\u306e\u65e5\u6570\u3067\u3042\u308a\u3001intention-to-treat\u96c6\u56e3\u306b\u304a\u3044\u3066\u6bce\u6708\u81ea\u5df1\u7533\u544a\u306b\u3088\u308a\u53ce\u96c6\u3055\u308c\u305f\u3002\u8cbb\u7528\u5bfe\u52b9\u679c\u306f\u793e\u4f1a\u7684\u89b3\u70b9\u304b\u3089\u8a55\u4fa1\u3057\u3001\u7372\u5f97\u3057\u305f\u8cea\u8abf\u6574\u751f\u5b58\u5e74\uff08QALY\uff09\u3042\u305f\u308a\u306e\u5897\u5206\u8cbb\u7528\u3067\u8868\u3057\u305f\u3002\u8a66\u9a13\u306f\u30d7\u30ed\u30b9\u30da\u30af\u30c6\u30a3\u30d6\u306b\u767b\u9332\u3055\u308c\u305f\u3002<\/p>\n

Results
\n\u30002019\u5e749\u670823\u65e5\uff5e2022\u5e746\u670810\u65e5\u306e\u9593\u306b\u30013206\u4eba\u306e\u53c2\u52a0\u8005\u306e\u9069\u683c\u6027\u3092\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3057\u30012505\u4eba\uff0878\uff05\uff09\u3092\u9664\u5916\u3057\u3001701\u4eba\u3092\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u305f\uff08\u4ecb\u5165\u7fa4351\u4eba\u3001\u7121\u6cbb\u7642\u5bfe\u7167\u7fa4350\u4eba\uff09\u3002\u307b\u3068\u3093\u3069\u306e\u53c2\u52a0\u8005\u306f\u5973\u6027\u3067\uff08701\u4eba\u4e2d565\u4eba\uff3b81\uff05\uff3d\uff09\u3001\u53c2\u52a0\u8005\u306e\u5e73\u5747\u5e74\u9f62\u306f54\u6b73\uff08SD 12\uff09\u3067\u3042\u3063\u305f\u3002\u53c2\u52a0\u8005\u306f\u3001\u8170\u75db\u306e\u65e2\u5f80\u56de\u6570\u304c\u591a\u304f\uff08\u4e2d\u592e\u502433\u56de\uff09\u3001\u4eca\u5f8c12\u30f5\u6708\u9593\u306e\u518d\u767a\u30ea\u30b9\u30af\u3092\u9ad8\u304f\u8a8d\u8b58\u3057\u3066\u3044\u305f\u3002\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u7279\u6027\u306f\u4ecb\u5165\u7fa4\u3068\u5bfe\u7167\u7fa4\u3067\u30d0\u30e9\u30f3\u30b9\u304c\u53d6\u308c\u3066\u3044\u305f\u305f\u3081\u3001\u3069\u306e\u5206\u6790\u306b\u304a\u3044\u3066\u3082\u8abf\u6574\u306f\u884c\u308f\u308c\u306a\u304b\u3063\u305f\u3002\u4e2d\u592e\u50247\u5e74\uff08\u7bc4\u56f21\uff5e35\uff09\u306e\u7d4c\u9a13\u3092\u6709\u3059\u308b24\u540d\u306e\u7406\u5b66\u7642\u6cd5\u58eb\u304c\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u30d8\u30eb\u30b9\u30b3\u30fc\u30c1\u3092\u52d9\u3081\u305f\u3002\u4ecb\u5165\u7fa4\u3067\u306f\u3001345\u4eba\u306e\u53c2\u52a0\u8005\u304c\u7406\u5b66\u7642\u6cd5\u58eb\u306b\u3088\u308b6\u56de\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u306e\u3046\u3061\u5c11\u306a\u304f\u3068\u30821\u56de\u306b\u53c2\u52a0\u3057\u305f\uff08\u53c2\u52a0\u3057\u305f\u7406\u5b66\u7642\u6cd5\u30bb\u30c3\u30b7\u30e7\u30f3\u306e\u5e73\u5747\u6570\u306f5\u56de\uff3bSD 1.6\uff3d\uff09\u3002\u4ecb\u5165\u306f\u6d3b\u52d5\u5236\u9650\u6027\u8170\u75db\u306e\u30a8\u30d4\u30bd\u30fc\u30c9\u306e\u4e88\u9632\u306b\u6709\u52b9\u3067\u3042\u3063\u305f\uff08\u30cf\u30b6\u30fc\u30c9\u6bd40.72\uff3b95\uff05CI\u30000.60~0.85\uff3d\u3001p\uff1d0.0002\uff09\u3002\u518d\u767a\u307e\u3067\u306e\u65e5\u6570\u306e\u4e2d\u592e\u5024\u306f\u3001\u4ecb\u5165\u7fa4\u3067208\u65e5\uff0895\uff05CI 149-295\uff09\u3001\u5bfe\u7167\u7fa4\u3067112\u65e5\uff0889-140\uff09\u3067\u3042\u3063\u305f\u3002\u307e\u305f\u4ecb\u5165\u7fa4\u306f\u5bfe\u7167\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u3001\u8170\u75db\u306e\u3042\u3089\u3086\u308b\u518d\u767a\u304a\u3088\u3073\u30b1\u30a2\u3092\u5fc5\u8981\u3068\u3059\u308b\u8170\u75db\u306e\u518d\u767a\u30ea\u30b9\u30af\u3092\u6e1b\u5c11\u3055\u305b\u305f\uff08HR\u30000.80\u3000[95\uff05CI 0.68~0.94]\u3001p\uff1d0.0066\u304a\u3088\u3073HR 0.57 [95\uff05CI 0-44-0-74]\u3001p\uff1c0.0001\uff1b\u56f32B\u304a\u3088\u30732C\uff09
\n \u652f\u6255\u3044\u610f\u601d\u984d\u95be\u5024(\u672c\u6765\u304b\u304b\u308b\u8cbb\u7528)28,000\u8c6a\u30c9\u30eb\u306b\u304a\u3044\u30661QALY\u3042\u305f\u308a\u306e\u5897\u5206\u8cbb\u7528\u306f7802\u8c6a\u30c9\u30eb\u3067\u3042\u308a\u3001\u4ecb\u5165\u306f94\uff05\u306e\u78ba\u7387\u3067\u8cbb\u7528\u5bfe\u52b9\u679c\u306b\u512a\u308c\u3066\u3044\u305f\u300212\u30f5\u6708\u9593\u306b\u5c11\u306a\u304f\u3068\u30821\u3064\u306e\u6709\u5bb3\u4e8b\u8c61\u3092\u7d4c\u9a13\u3057\u305f\u53c2\u52a0\u8005\u306e\u7dcf\u6570\u306f\u3001\u4ecb\u5165\u7fa4\u3068\u5bfe\u7167\u7fa4\u3067\u540c\u7a0b\u5ea6\u3067\u3042\u3063\u305f\u304c\uff08\u305d\u308c\u305e\u308c351\u4f8b\u4e2d183\u4f8b\uff3b52\uff05\uff3d\u3001350\u4f8b\u4e2d190\u4f8b\uff3b54\uff05\uff3d\u3001p\uff1d0.60\uff09\u3001\u4e0b\u80a2\u306b\u95a2\u3059\u308b\u6709\u5bb3\u4e8b\u8c61\u306f\u4ecb\u5165\u7fa4\u306e\u65b9\u304c\u5bfe\u7167\u7fa4\u3088\u308a\u3082\u591a\u304b\u3063\u305f\uff08\u4ecb\u5165\u7fa4100\u4f8b\u3001\u5bfe\u7167\u7fa454\u4f8b\uff09\u3002
\n\"\"<\/a>\"\"<\/a>\"\"<\/a><\/p>\n

Discussion
\n\u30fb\u500b\u4eba\u306b\u5408\u308f\u305b\u305f\u6f38\u9032\u7684\u306a\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u3068\u6559\u80b2\u4ecb\u5165\u306f\u3001\u305d\u308c\u307e\u3067\u5b9a\u671f\u7684\u306a\u8eab\u4f53\u6d3b\u52d5\u3092\u884c\u3063\u3066\u3044\u306a\u304b\u3063\u305f\u6210\u4eba\u306b\u304a\u3044\u3066\u3001\u7121\u6cbb\u7642\u306e\u5bfe\u7167\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u8170\u75db\u306e\u518d\u767a\u3092\u5927\u5e45\u306b\u6e1b\u5c11\u3055\u305b\u305f\u3002\u3053\u306e\u6240\u898b\u306f\u3001\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0\u30682\u3064\u306e\u526f\u6b21\u7684\u518d\u767a\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u4e00\u8cab\u3057\u3066\u3044\u305f\u3002\u307e\u305f\u3001\u4ecb\u5165\u7fa4\u3067\u306f\u8170\u75db\u306b\u95a2\u9023\u3059\u308b\u969c\u5bb3\u304c\u6700\u957712\u30f5\u6708\u9593\u6e1b\u5c11\u3057\u3001\u4ecb\u5165\u306f\u7121\u6cbb\u7642\u306e\u5bfe\u7167\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u793e\u4f1a\u7684\u89b3\u70b9\u304b\u3089\u8cbb\u7528\u5bfe\u52b9\u679c\u304c\u9ad8\u3044\u53ef\u80fd\u6027\u304c\u9ad8\u304b\u3063\u305f\u3002
\n\u30fb\u4eca\u56de\u306e\u53c2\u52a0\u8005\u306f\u5973\u6027\u304c\u591a\u304f\u3001\u4e00\u822c\u96c6\u56e3\u3078\u306e\u9069\u5fdc\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3002
\n\u30fb\u3059\u3067\u306b\u5b9a\u671f\u7684\u306b\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u3092\u884c\u3063\u3066\u3044\u308b\u3001\u307e\u305f\u306f\u4e2d\u7a0b\u5ea6\u304b\u3089\u5f37\u5ea6\u306e\u8eab\u4f53\u6d3b\u52d5\u3092\u9031150\u5206\u4ee5\u4e0a\u884c\u3063\u3066\u3044\u308b\u6f5c\u5728\u7684\u306a\u53c2\u52a0\u8005\uff08n=429\uff09\u3092\u76f8\u5f53\u6570\u9664\u5916\u3057\u305f\u305f\u3081\u3001\u3053\u306e\u7d50\u679c\u306f\u6d3b\u52d5\u7684\u306a\u6210\u4eba\u306b\u4e00\u822c\u5316\u3055\u308c\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3002
\n\u30fb\u672c\u7814\u7a76\u306e\u6ce8\u76ee\u3059\u3079\u304d\u6240\u898b\u306f\u3001\u4ecb\u5165\u7fa4\u306e\u6b69\u884c\u91cf\uff08\u9031\u5f53\u305f\u308a\u5206\u6570\uff09\u304c\u6700\u521d\u306e3\u30f5\u6708\u3067\u7d042\u500d\u306b\u306a\u3063\u305f\u304c\u300112\u30f5\u6708\u6642\u70b9\u3067\u306f\u540c\u7a0b\u5ea6\u3067\u3042\u3063\u305f\u3002\u3055\u3089\u306b\u3001\u4ecb\u5165\u7fa4\u306f3\u30f5\u6708\u6642\u70b9\u3067\u306f\u5bfe\u7167\u7fa4\u3088\u308a\u591a\u304f\u6b69\u3044\u3066\u3044\u305f\u304c\uff0851\u5206\uff3b95\uff05\u4fe1\u983c\u533a\u959322.32\uff5e79.87\uff3d\uff09\u300112\u30f5\u6708\u6642\u70b9\u3067\u306f\u3053\u306e\u5dee\u306f\u306a\u304f\u306a\u3063\u3066\u3044\u305f\uff080.67\u5206\uff3b-30.90\uff5e32.23\uff3d\uff09\u30021\u3064\u306e\u8981\u56e0\u3068\u3057\u3066\u3001\u5bfe\u7167\u7fa4\u3067\u5831\u544a\u3055\u308c\u305f\u6b69\u884c\u304c\u6642\u9593\u306e\u7d4c\u904e\u3068\u3068\u3082\u306b\u5897\u52a0\u3057\u305f\u3053\u3068\u304c\u6319\u3052\u3089\u308c\u308b\u304c\u3001\u3053\u308c\u306f\u30de\u30b9\u30ad\u30f3\u30b0\u306e\u6b20\u5982\u306e\u7d50\u679c\u3067\u3042\u308a\u3001\u6cbb\u7642\u52b9\u679c\u304c\u5e0c\u91c8\u3055\u308c\u305f\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u3042\u308b\u3044\u306fCOVID-19\u306e\u6d41\u884c\u304c\u6b69\u884c\u3078\u306e\u53d6\u308a\u7d44\u307f\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u305f\u7d50\u679c\u304b\u3082\u3057\u308c\u306a\u3044\u300212\u30f5\u6708\u306e\u6642\u70b9\u3067\u6b69\u884c\u306b\u5dee\u304c\u306a\u304b\u3063\u305f\u306e\u306f\u3001\u81e8\u5e8a\u533b\u304b\u3089\u306e\u7d99\u7d9a\u7684\u306a\u30b5\u30dd\u30fc\u30c8\u304c\u306a\u304b\u3063\u305f\u3053\u3068\u300112\u9031\u9593\u5f8c\u306b\u6b69\u884c\u65e5\u8a8c\u3092\u7d99\u7d9a\u3057\u306a\u304b\u3063\u305f\u3053\u3068\u3001\u4ecb\u5165\u7fa4\u306b\u4e0b\u80a2\u306e\u969c\u5bb3\u304c\u3042\u3063\u305f\u3053\u3068\u306a\u3069\u306b\u8d77\u56e0\u3059\u308b\u53ef\u80fd\u6027\u3082\u3042\u308b\u3002
\n\u30fb\u306a\u305c\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u304c\u8170\u75db\u4e88\u9632\u306b\u52b9\u679c\u7684\u306a\u306e\u304b\u3001\u6b63\u78ba\u306a\u7406\u7531\u306f\u4e0d\u660e\u3002<\/p>\n

\u3010\u958b\u50ac\u65e5\u30112024\u5e748\u67087\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"

-\u6587\u732e\u540d- Natasha C Pocovi, Chung-Wei Christine Lin, Simon D French,et al.Effectiveness and cost-effectiveness of … \u7d9a\u304d\u3092\u8aad\u3080 \u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306b\u304a\u3051\u308b\u8170\u75db\u518d\u767a\u4e88\u9632\u306e\u305f\u3081\u306e\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u306e\u6559\u80b2\u4ecb\u5165\u52b9\u679c\u3068\u8cbb\u7528\u5bfe\u52b9\u679c<\/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":[14,5,17],"tags":[],"class_list":["post-2698","post","type-post","status-publish","format-standard","hentry","category-14","category-5","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2698","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=2698"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2698\/revisions"}],"predecessor-version":[{"id":2703,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2698\/revisions\/2703"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2698"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2698"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2698"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}