{"id":2830,"date":"2025-02-14T13:41:54","date_gmt":"2025-02-14T04:41:54","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2830"},"modified":"2025-02-14T13:41:54","modified_gmt":"2025-02-14T04:41:54","slug":"%e5%bf%83%e6%88%bf%e7%b4%b0%e5%8b%95%e6%82%a3%e8%80%85%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e5%85%b1%e5%90%8c%e6%84%8f%e6%80%9d%e6%b1%ba%e5%ae%9a%e3%81%ae%e6%96%b9%e7%95%a5%e3%81%ae%e6%9c%89%e5%8a%b9","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2830","title":{"rendered":"\u5fc3\u623f\u7d30\u52d5\u60a3\u8005\u306b\u5bfe\u3059\u308b\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u306e\u65b9\u7565\u306e\u6709\u52b9\u6027"},"content":{"rendered":"

-\u6587\u732e\u540d-
\nOzanne E M, Barnes G D, Brito J P, Cameron K A, Cavanaugh K L, Greene T et al. Effectiveness of shared decision making strategies for stroke prevention among patients with atrial fibrillation: cluster randomized controlled trial. BMJ 2025; 388 :e079976<\/p>\n

-\u8981\u7d04-
\nIntroduction
\n\u975e\u5f01\u819c\u6027\u5fc3\u623f\u7d30\u52d5\u306f\u3001\u865a\u8840\u6027\u8133\u5352\u4e2d\u306e\u6700\u3082\u4e00\u822c\u7684\u306a\u4e88\u9632\u53ef\u80fd\u306a\u539f\u56e0\u306e\u4e00\u3064\u3067\u3042\u308b\u3002\u4e16\u754c\u4e2d\u30673700\u4e07\u4eba\u4ee5\u4e0a\u304c\u7f79\u60a3\u3057\u3066\u304a\u308a\u30012050\u5e74\u307e\u3067\u306b6200\u4e07\u4eba\u4ee5\u4e0a\u304c\u7f79\u60a3\u3059\u308b\u3068\u4e88\u6e2c\u3055\u308c\u3066\u3044\u308b\u3002\u5fc3\u623f\u7d30\u52d5\u60a3\u8005\u306f\u3001\u5fc3\u623f\u7d30\u52d5\u306e\u306a\u3044\u60a3\u8005\u306b\u6bd4\u3079\u3066\u8133\u5352\u4e2d\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c4\uff5e5\u500d\u9ad8\u304f\u3001\u5fc3\u623f\u7d30\u52d5\u306b\u95a2\u9023\u3059\u308b\u8133\u5352\u4e2d\u306f\u3001\u5fc3\u623f\u7d30\u52d5\u306b\u95a2\u9023\u3057\u306a\u3044\u8133\u5352\u4e2d\u306b\u6bd4\u3079\u3066\u7f79\u60a3\u7387\u3068\u6b7b\u4ea1\u7387\u304c\u9ad8\u3044\u3002\u975e\u5f01\u819c\u6027\u5fc3\u623f\u7d30\u52d5\u60a3\u8005\u3067\u306f\u3001\u30ef\u30eb\u30d5\u30a1\u30ea\u30f3\u3084\u76f4\u63a5\u4f5c\u7528\u578b\u7d4c\u53e3\u6297\u51dd\u56fa\u85ac\u306a\u3069\u306e\u7d4c\u53e3\u6297\u51dd\u56fa\u85ac\u304c\u8133\u5352\u4e2d\u3092\u52b9\u679c\u7684\u306b\u4e88\u9632\u3067\u304d\u308b\uff08\u30af\u30e9\u30b9I\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebA\u306e\u63a8\u5968\uff09\u3002\u8133\u5352\u4e2d\u4e88\u9632\u306e\u305f\u3081\u306e\u7d4c\u53e3\u6297\u51dd\u56fa\u85ac\u306e\u5229\u70b9\u306f\u5341\u5206\u306b\u78ba\u7acb\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u91cd\u5927\u306a\u51fa\u8840\u30a4\u30d9\u30f3\u30c8\u306a\u3069\u306e\u5bb3\u3082\u540c\u69d8\u3067\u3042\u308b\u3002<\/p>\n

\u5171\u540c\u610f\u601d\u6c7a\u5b9a(SDM)\u306f\u3001\u30ea\u30b9\u30af\u3068\u5229\u70b9\u306b\u52a0\u3048\u3066\u60a3\u8005\u306e\u95a2\u9023\u3059\u308b\u597d\u307f\u3084\u4fa1\u5024\u89b3\u3092\u8a71\u3057\u5408\u3046\u3053\u3068\u3067\u3001\u81e8\u5e8a\u533b\u3068\u60a3\u8005\u304c\u4e00\u7dd2\u306b\u533b\u7642\u4e0a\u306e\u6c7a\u5b9a\u306b\u9054\u3059\u308b\u30d7\u30ed\u30bb\u30b9\u3067\u3042\u308b\u3002\u5fc3\u623f\u7d30\u52d5\u7528\u306e\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u30c4\u30fc\u30eb(decision aids)\u304c\u3044\u304f\u3064\u304b\u958b\u767a\u3055\u308c\u3066\u304a\u308a\u3001\u3053\u308c\u306b\u306f\u3001\u8a3a\u5bdf\u524d\u306b\u60a3\u8005\u304c\u4f7f\u7528\u3059\u308b\u305f\u3081\u306b\u8a2d\u8a08\u3055\u308c\u305f\u60a3\u8005\u7528\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u30c4\u30fc\u30eb(PDA)\u3068\u3001\u8a3a\u5bdf\u4e2d\u306b\u81e8\u5e8a\u533b\u3068\u60a3\u8005\u304c\u4f7f\u7528\u3059\u308b\u305f\u3081\u306b\u8a2d\u8a08\u3055\u308c\u305f\u8a3a\u7642\u6642\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u30c4\u30fc\u30eb(EDA)\u304c\u542b\u307e\u308c\u308b\u3002\u81e8\u5e8a\u73fe\u5834\u3067\u306eSDM\u306e\u7d50\u679c\u3092\u6539\u5584\u3059\u308b\u4e0a\u3067\u3001\u60a3PDA\u307e\u305f\u306fEDA\u306e\u6709\u52b9\u6027\u3092\u793a\u3059\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u304c\u3001\u5b9f\u969b\u306eSDM\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\u4e0a\u3067\u306e\u3053\u308c\u3089\u306e\u7570\u306a\u308b\u30bf\u30a4\u30d7\u306e\u610f\u601d\u6c7a\u5b9a\u88dc\u52a9\u306e\u6709\u52b9\u6027\u3092\u6bd4\u8f03\u3057\u305f\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u63a8\u5b9a\u5024\u306f\u5b58\u5728\u3057\u306a\u3044\u3002\u3053\u306e\u7814\u7a76\u306e\u76ee\u7684\u306f\u3001\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u304c\u3042\u308b\u975e\u5f01\u819c\u75c7\u6027\u5fc3\u623f\u7d30\u52d5\u60a3\u8005\u306e\u30b1\u30a2\u306b\u304a\u3044\u3066\u3001\u8133\u5352\u4e2d\u4e88\u9632\u306e\u305f\u3081\u306e\u8cea\u306e\u9ad8\u3044SDM\u3092\u4fc3\u9032\u3059\u308b\u305f\u3081\u306ePDA\u3068EDA\u306e\u6709\u52b9\u6027\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n

Method
\n\u3053\u306e\u7814\u7a76\u306f\u3001\u7c73\u56fd\u306b\u3042\u308b6\u3064\u306e\u5927\u5b66\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u3067\u5b9f\u65bd\u3055\u308c\u305f\u30af\u30e9\u30b9\u30bf\u30fc\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u3042\u308b\u3002\u53c2\u52a0\u8005\u306f\u3001\u975e\u5f01\u819c\u6027\u5fc3\u623f\u7d30\u52d5\u3068\u8a3a\u65ad\u3055\u308c\u3001\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\uff08\u7537\u6027\u306e\u5834\u5408\u306fCHA2DS2-VASc\u22671\u3001\u5973\u6027\u306e\u5834\u5408\u306f\u22672\uff09\u3001\u8133\u5352\u4e2d\u4e88\u9632\u65b9\u6cd5\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u305f\u3081\u306b\u53d7\u8a3a\u3092\u4e88\u5b9a\u3057\u3066\u3044\u308b18\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u3067\u3042\u3063\u305f\u3002\u53c2\u52a0\u3057\u305f\u81e8\u5e8a\u533b\u306f\u3001\u53c2\u52a0\u60a3\u8005\u306e\u8133\u5352\u4e2d\u4e88\u9632\u6226\u7565\u3092\u7684\u78ba\u306b\u7ba1\u7406\u3059\u308b\u4eba\u305f\u3061\u3067\u3042\u3063\u305f\u3002<\/p>\n

\u60a3\u8005\u306f\u3001PDA\u3092\u4f7f\u7528\u3059\u308b\u7fa4\u3068\u901a\u5e38\u306e\u30b1\u30a2\u3092\u53d7\u3051\u308b\u7fa4\u306b\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002\u81e8\u5e8a\u533b\u306f\u3001\u53c2\u52a0\u8005\u5168\u54e1\u306b\u3001EDA\u3092\u4f7f\u7528\u3059\u308b\u7fa4\u3068\u901a\u5e38\u306e\u30b1\u30a2\u3092\u884c\u3046\u7fa4\u306b\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002
\n\u672c\u7814\u7a76\u3067\u7528\u3044\u3089\u308c\u305f\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u30c4\u30fc\u30eb\u306e\u958b\u767a\u306f\u4e0b\u8a18\u306e\u901a\u308a\u767a\u8868\u3055\u308c\u3066\u3044\u308b\u3002https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/23814683231178033<\/p>\n

PDA\u3092\u4f7f\u7528\u3059\u308b\u3088\u3046\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u60a3\u8005\u306f\u3001\u30af\u30ea\u30cb\u30c3\u30af\u3092\u53d7\u8a3a\u3059\u308b\u524d\u3001\u307e\u305f\u306f\u4e88\u7d04\u306e\u76f4\u524d\u306b\u30af\u30ea\u30cb\u30c3\u30af\u306b\u5230\u7740\u3057\u305f\u3068\u304d\u306b\u3001\u305d\u306e\u30c4\u30fc\u30eb\u3092\u898b\u308b\u3088\u3046\u6c42\u3081\u3089\u308c\u308b\u3002PDA\u306b\u306f\u3001\u5fc3\u623f\u7d30\u52d5\u306e\u8aac\u660e\u3068\u3001\u305d\u308c\u304c\u60a3\u8005\u306e\u751f\u6d3b\u306b\u53ca\u307c\u3059\u5f71\u97ff\u304c\u542b\u307e\u308c\u3066\u304a\u308a\u3001CHA2DS2-VASc \u304a\u3088\u3073 HAS-BLED \u8a08\u7b97\u6a5f\u3092\u4f7f\u7528\u3057\u3066\u3001\u305d\u308c\u305e\u308c\u8133\u5352\u4e2d\u304a\u3088\u3073\u51fa\u8840\u30a4\u30d9\u30f3\u30c8\u306e\u500b\u5225\u30ea\u30b9\u30af\u3092\u793a\u3059\u3002\u307e\u305f\u3001\u51fa\u8840\u30ea\u30b9\u30af\u3001\u6295\u85ac\u30eb\u30fc\u30c1\u30f3\u3001\u30b3\u30b9\u30c8\u3001\u85ac\u7269\u3068\u98df\u4e8b\u306e\u76f8\u4e92\u4f5c\u7528\u306a\u3069\u306e\u89b3\u70b9\u304b\u3089\u306e\u3001\u30ef\u30eb\u30d5\u30a1\u30ea\u30f3\u3068\u76f4\u63a5\u4f5c\u7528\u578b\u7d4c\u53e3\u6297\u51dd\u56fa\u85ac\u306e\u6bd4\u8f03\u3082\u63d0\u4f9b\u3055\u308c\u308b\u3002PDA\u306f\u3001\u30a4\u30f3\u30bf\u30e9\u30af\u30c6\u30a3\u30d6\u3067\u975e\u7dda\u5f62\u306e\u30aa\u30f3\u30e9\u30a4\u30f3\u30c4\u30fc\u30eb\u3068\u3057\u3066\u8a2d\u8a08\u3055\u308c\u3066\u304a\u308a\u3001\u60a3\u8005\u306f\u8208\u5473\u306e\u3042\u308b\u30c8\u30d4\u30c3\u30af\u3092\u597d\u304d\u306a\u9806\u5e8f\u3067\u8abf\u3079\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u958b\u59cb\u30b3\u30db\u30fc\u30c8\u3068\u30e2\u30cb\u30bf\u30fc \u30b3\u30db\u30fc\u30c8\u306e 2 \u3064\u306e\u7570\u306a\u308b\u7d4c\u8def\u304c\u3042\u308b\u3002<\/p>\n

EDA\u306b\u30e9\u30f3\u30c0\u30e0\u306b\u5272\u308a\u5f53\u3066\u3089\u308c\u305f\u81e8\u5e8a\u533b\u306f\u3001\u7814\u7a76\u5bfe\u8c61\u60a3\u8005\u3068\u306e\u8a3a\u7642\u958b\u59cb\u6642\u306b\u3053\u306e\u30c4\u30fc\u30eb\u3092\u4f7f\u7528\u3057\u305f\u3002EDA\u306f\u3001\u8133\u5352\u4e2d\u4e88\u9632\u306b\u95a2\u3059\u308b\u81e8\u5e8a\u5bfe\u8a71\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\u305f\u3081\u306b\u8a2d\u8a08\u3055\u308c\u305f\u30a4\u30f3\u30bf\u30e9\u30af\u30c6\u30a3\u30d6\u306a\u30aa\u30f3\u30e9\u30a4\u30f3\u30c4\u30fc\u30eb\u3068\u3057\u3066\u6a5f\u80fd\u3059\u308b\u3002EDA\u306e\u5185\u5bb9\u3068\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u306f\u3001PDA\u306e\u5185\u5bb9\u3068\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\u3002\u81e8\u5e8a\u533b\u306f\u4f7f\u7528\u65b9\u6cd5\u306e\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3092\u53d7\u3051\u305f\u5f8c\u3001\u5bfe\u9762\u8a3a\u5bdf\u3084\u9060\u9694\u533b\u7642\u76f8\u8ac7 (\u753b\u9762\u5171\u6709\u7d4c\u7531) \u4e2d\u306b\u60a3\u8005\u3068EDA\u3092\u4f7f\u7528\u3057\u305f\u3002<\/p>\n

\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u3001OPTION12\u5c3a\u5ea6\u3067\u6e2c\u5b9a\u3057\u305fSDM\u306e\u8cea\uff08\u30b9\u30b3\u30a2\u7bc4\u56f2\uff1a0\uff5e100\u3001\u9ad8\u30b9\u30b3\u30a2\u307b\u3069\u610f\u601d\u6c7a\u5b9a\u304c\u5171\u6709\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3059\uff09\u3001\u5fc3\u623f\u7d30\u52d5\u3068\u305d\u306e\u7ba1\u7406\u306b\u95a2\u3059\u308b\u77e5\u8b58\uff087\u9805\u76ee\u304b\u3089\u306a\u308btrue\/false\u56de\u7b54\u5f62\u5f0f\u306e\u8abf\u67fb\u3001\u30b9\u30b3\u30a2\u306f\u6b63\u7b54\u7387\uff09\u3001\u610f\u601d\u6c7a\u5b9a\u306e\u845b\u85e4\uff08Decisional Conflict Scale\uff3bDCS\uff3d\u300116\u9805\u76ee\u304b\u3089\u306a\u308b5\u6bb5\u968e\u306e\u30ea\u30c3\u30ab\u30fc\u30c8\u5c3a\u5ea6\u306e\u5408\u8a08\u30920\uff5e100\u306e\u30b9\u30b3\u30a2\u306b\u5909\u63db\u3001\u4f4e\u30b9\u30b3\u30a2\u307b\u3069\u60a3\u8005\u306e\u610f\u601d\u6c7a\u5b9a\u306e\u845b\u85e4\u30ec\u30d9\u30eb\u304c\u4f4e\u3044\uff09\u306e3\u3064\u3067\u3042\u3063\u305f\u3002
\n\u526f\u6b21\u7684\u8a55\u4fa1\u9805\u76ee\u306f\u3001\u6cbb\u7642\u9078\u629e\u306b\u95a2\u3059\u308b\u60a3\u8005\u3068\u81e8\u5e8a\u533b\u306e\u5408\u610f\u3001\u8a3a\u5bdf\u6642\u9593\u3001\u8a3a\u5bdf\u3067\u4f7f\u7528\u3057\u305f\u65b9\u6cd5\u306b\u95a2\u3059\u308b\u81e8\u5e8a\u533b\u306e\u63a8\u5968 (\u8a3a\u5bdf\u6642\u306e\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u306e\u6709\u7121)\u3001\u6297\u51dd\u56fa\u7642\u6cd5\u306e\u8a71\u3057\u5408\u3044\u306b\u5bfe\u3059\u308b\u81e8\u5e8a\u533b\u306e\u6e80\u8db3\u5ea6\u3001\u304a\u3088\u3073\u60a3\u8005\u304c\u5229\u7528\u3057\u305f\u8a3a\u5bdf\u6642\u306e\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\/PDA\u306b\u5bfe\u3059\u308b\u60a3\u8005\u306e\u6e80\u8db3\u5ea6\u304c\u542b\u307e\u308c\u305f\u3002\u7d50\u679c\u306f\u3001\u8a3a\u5bdf\u76f4\u5f8c\u306b\u5b9f\u65bd\u3055\u308c\u305f\u30a2\u30f3\u30b1\u30fc\u30c8\u3092\u901a\u3058\u3066\u60a3\u8005\u3068\u81e8\u5e8a\u533b\u304b\u3089\u53ce\u96c6\u3055\u308c\u305f\u3002<\/p>\n

Results
\n2020\u5e7412\u670814\u65e5\uff5e2023\u5e747\u67083\u65e5\u306b1,214\u4f8b\u306e\u60a3\u8005\u304c\u767b\u9332\u3055\u308c\u3001\u9069\u683c\u57fa\u6e96\u306a\u3069\u3092\u6e80\u305f\u3057\u305f1,117\u4f8b\u304c\u89e3\u6790\u5bfe\u8c61\u3068\u306a\u3063\u305f\u3002\u81e8\u5e8a\u533b\u306f107\u4f8b\u767b\u9332\u3055\u308c\u300151\u4f8b\u304cEDA\u7fa4\u300156\u4f8b\u304c\u901a\u5e38\u30b1\u30a2\u7fa4\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002\u3057\u305f\u304c\u3063\u3066\u60a3\u8005\u306f\u3001\u901a\u5e38\u30b1\u30a2\u7fa4306\u4f8b\u3001PDA\uff0bEDA\u4f75\u7528\u7fa4263\u4f8b\u3001PDA\u5358\u72ec\u7fa4285\u4f8b\u3001EDA\u5358\u72ec\u7fa4263\u4f8b\u3067\u3042\u3063\u305f\u3002\u901a\u5e38\u306e\u30b1\u30a2\u3068\u6bd4\u8f03\u3057\u3066\u3001PDA\u3068EDA\u306e\u4f75\u7528\u306f\u3001SDM\u306e\u8cea\u3092\u5411\u4e0a\u3055\u305b\uff08\u8abf\u6574\u5e73\u5747\u5dee12.1\uff0895\uff05\u4fe1\u983c\u533a\u9593\uff08CI\uff098.0\uff5e16.2\uff1bP<0.001\uff09\uff09\u3001\u60a3\u8005\u306e\u77e5\u8b58\u3092\u5411\u4e0a\u3055\u305b\uff08\u30aa\u30c3\u30ba\u6bd41.68\uff0895\uff05CI 1.35\uff5e2.09\uff1bP<0.001\uff09\uff09\u3001\u60a3\u8005\u306e\u610f\u601d\u6c7a\u5b9a\u306e\u845b\u85e4\u3092\u6e1b\u5c11\u3055\u305b\u305f\uff08\u8abf\u6574\u5e73\u5747\u5dee-6.3\uff0895\uff05CI -9.6\uff5e-3.1\uff1bP<0.001\uff09\uff09\u3002\n\n\u307e\u305f\u3001EDA\u5358\u72ec\u3068\u901a\u5e38\u306e\u30b1\u30a2\u3092\u6bd4\u8f03\u3057\u305f\u5834\u5408\u30013\u3064\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3059\u3079\u3066\u306b\u304a\u3044\u3066\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u6539\u5584\u304c\u898b\u3089\u308c\u3001PDA\u5358\u72ec\u3068\u901a\u5e38\u306e\u30b1\u30a2\u3092\u6bd4\u8f03\u3057\u305f\u5834\u5408\u3001SDM\u306e\u8cea\u3068\u77e5\u8b58\u306b\u304a\u3044\u3066\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u6539\u5584\u304c\u898b\u3089\u308c\u305f\u3002\u8133\u5352\u4e2d\u4e88\u9632\u306e\u6cbb\u7642\u9078\u629e\u3084\u53c2\u52a0\u8005\u306e\u6e80\u8db3\u5ea6\u306b\u91cd\u8981\u306a\u9055\u3044\u306f\u898b\u3089\u308c\u306a\u304b\u3063\u305f\u3002\u307e\u305f\u3001\u8a3a\u5bdf\u6642\u9593\u306e\u9577\u3055\u3082\u5404\u7fa4\u9593\u3067\u3001\u7d71\u8a08\u5b66\u7684\u306a\u6709\u610f\u5dee\u306f\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u3002\n\n\"\"<\/a>
\n\"\"<\/a>
\n\"\"<\/a>
\n\"\"<\/a><\/p>\n

Discussion
\n\u5404\u6226\u7565\u3092\u901a\u5e38\u306e\u30b1\u30a2\u3068\u6bd4\u8f03\u3057\u305f\u5834\u5408\u3001SDM\u306e\u8cea (OPTION12) \u306e\u6539\u5584\u5ea6\u5408\u3044\u306f\u3001EDA\u306e\u307f\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u6700\u3082\u5927\u304d\u304f\u3001EDA\u3068PDA\u306e\u4f75\u7528\u3082\u540c\u69d8\u306e\u7d50\u679c\u3092\u793a\u3057\u305f\u3002OPTION12\u306f\u3001\u8a3a\u7642\u4e2d\u306e\u884c\u52d5\u306e\u5909\u5316\u3092\u8b58\u5225\u3059\u308b\u3088\u3046\u306b\u8a2d\u8a08\u3055\u308c\u305f\u89b3\u5bdf\u8005\u30d9\u30fc\u30b9\u306e\u6e2c\u5b9a\u3067\u3042\u308b\u305f\u3081\u3001\u3053\u306e\u7d50\u679c\u306f\u4e88\u6e2c\u3055\u308c\u308b\u3082\u306e\u3067\u3042\u308b\u3002\u5bfe\u7167\u7684\u306b\u3001PDA\u3092\u4f7f\u7528\u3057\u305f\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u3001\u901a\u5e38\u306e\u30b1\u30a2\u3068\u6bd4\u8f03\u3057\u3066\u5fc3\u623f\u7d30\u52d5\u306b\u95a2\u3059\u308b\u77e5\u8b58\u306b\u304a\u3044\u3066\u6700\u5927\u304b\u3064\u540c\u7b49\u306e\u6539\u5584\u304c\u898b\u3089\u308c\u305f\u3002\u3053\u308c\u306f\u8a3a\u7642\u4e2d\u306b\u81e8\u5e8a\u533b\u304cEDA\u3092\u4f7f\u7528\u3057\u305f\u5834\u5408\u3088\u308a\u3082\u3001\u8a3a\u7642\u5916\u3067PDA\u3092\u72ec\u7acb\u3057\u3066\u4f7f\u7528\u3057\u305f\u5834\u5408\u306e\u65b9\u304c\u3001\u60a3\u8005\u304c\u3088\u308a\u591a\u304f\u306e\u77e5\u8b58\u3092\u53d6\u308a\u5165\u308c\u308b\u3053\u3068\u304c\u3067\u304d\u305f\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\n\u4e8c\u6b21\u5206\u6790\u3067EDA\u3068PDA\u3092\u76f4\u63a5\u6bd4\u8f03\u3057\u305f\u7d50\u679c\u3001EDA\u304c\u3059\u3067\u306b\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u3001PDA\u3092\u8ffd\u52a0\u3057\u3066\u3082\u9650\u3089\u308c\u305f\u5229\u70b9\u3057\u304b\u5f97\u3089\u308c\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u305f\u3002\u307e\u305f\u3001PDA\u304c\u3059\u3067\u306b\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u3001EDA\u3092\u8ffd\u52a0\u3059\u308b\u3068\u8ffd\u52a0\u306e\u5229\u70b9\u304c\u5f97\u3089\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u305f\u3002<\/p>\n

\u3053\u306e\u7814\u7a76\u306b\u306f\u3044\u304f\u3064\u304b\u306e\u9650\u754c\u70b9\u304c\u3042\u308b\u3002OPTION12\u306e\u8a55\u4fa1\u8005\u306f\u5272\u308a\u4ed8\u3051\u3092\u76f2\u691c\u5316\u3067\u304d\u305a\u3001\u8a55\u4fa1\u306b\u504f\u308a\u304c\u3042\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u30c7\u30b8\u30bf\u30eb\u30c4\u30fc\u30eb\u306b\u6163\u308c\u3066\u3044\u306a\u3044\u53c2\u52a0\u8005\u306f\u3001Web\u30d9\u30fc\u30b9\u306e\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u30c4\u30fc\u30eb\u3092\u4f7f\u7528\u3059\u308b\u8a66\u9a13\u3078\u306e\u53c2\u52a0\u3092\u8e8a\u8e87\u3057\u305f\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u307e\u305f\u3001\u81e8\u5e8a\u533b\u306b\u3088\u308b\u7121\u4f5c\u70ba\u5316\u5f8c\u306e\u9664\u5916\u306f\u3001\u504f\u308a\u3092\u751f\u3058\u3055\u305b\u305f\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u6700\u5f8c\u306b\u3001\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u30c4\u30fc\u30eb\u3001\u7279\u306bEDA\u306f\u3001\u308f\u305a\u304b\u3068\u306f\u3044\u3048\u8a3a\u5bdf\u6642\u9593\u3092\u5ef6\u9577\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u533b\u7642\u5229\u7528\u3068\u8cea\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n

\u3010\u958b\u50ac\u65e5\u30112025\u5e742\u670812\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"

-\u6587\u732e\u540d- Ozanne E M, Barnes G D, Brito J P, Cameron K A, Cavanaugh K L, Greene T et al. Effectiveness of shared d … \u7d9a\u304d\u3092\u8aad\u3080 \u5fc3\u623f\u7d30\u52d5\u60a3\u8005\u306b\u5bfe\u3059\u308b\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u306e\u65b9\u7565\u306e\u6709\u52b9\u6027<\/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":[7,2],"tags":[],"class_list":["post-2830","post","type-post","status-publish","format-standard","hentry","category-7","category-2"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2830","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=2830"}],"version-history":[{"count":3,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2830\/revisions"}],"predecessor-version":[{"id":2837,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2830\/revisions\/2837"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2830"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2830"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2830"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}