{"id":2924,"date":"2025-10-08T13:29:58","date_gmt":"2025-10-08T04:29:58","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2924"},"modified":"2025-10-08T13:29:58","modified_gmt":"2025-10-08T04:29:58","slug":"ckd%e3%82%92%e6%9c%89%e3%81%99%e3%82%8b%e5%be%8c%e6%9c%9f%e9%ab%98%e9%bd%a2%e8%80%85%e3%81%b8%e3%81%ae%e3%82%b9%e3%82%bf%e3%83%81%e3%83%b3%e6%8a%95%e4%b8%8e","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2924","title":{"rendered":"CKD\u3092\u6709\u3059\u308b\u5f8c\u671f\u9ad8\u9f62\u8005\u3078\u306e\u30b9\u30bf\u30c1\u30f3\u6295\u4e0e"},"content":{"rendered":"<p>\uff70\u6587\u732e\u540d\uff70<br \/>\nWanchun X,Yuk KY,Yanyu P,et al.Effectiveness and safety of using statin therapy for the primary prevention of cardiovascular diseases in older patients with chronic kidney disease who are hypercholesterolemic: a target trial emulation study(https:\/\/syleir.hatenablog.com\/entry\/2024\/04\/21\/134347).Lancet Healthy Longevity.2025; 6:1-12.<\/p>\n<p>\u2010\u8981\u7d04-<br \/>\nIntroduction<br \/>\n \u6162\u6027\u814e\u81d3\u75c5\u306f\u4e16\u754c\u4e2d\u3067\u8513\u5ef6\u3057\u3066\u3044\u308b\u75be\u60a3\u3067\u3042\u308a\u3001\u305d\u306e\u6709\u75c5\u7387\u306f\u5e74\u9f62\u3068\u3068\u3082\u306b\u4e0a\u6607\u3059\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u3002 \u82f1\u56fd\u3067\u306f\u300175\u6b73\u4ee5\u4e0a\u306e\u500b\u4eba\u306e32.7%\u304c\u6162\u6027\u814e\u81d3\u75c5\u306b\u7f79\u60a3\u3057\u3066\u3044\u308b\u3002 \u7c73\u56fd\u3067\u306f\u300165\u6b73\u4ee5\u4e0a\u306e\u4eba\u3005\u306b\u6162\u6027\u814e\u81d3\u75c5\u304c\u4e00\u822c\u7684\u3067\u3042\u308b\uff0834%\uff09\u3002 \u9999\u6e2f\u3067\u306f\u30012\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u306b\u304a\u3051\u308b\u6162\u6027\u814e\u81d3\u75c5\u306e\u6709\u75c5\u7387\u306f29.7%\u3068\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001\u9ad8\u8840\u5727\u60a3\u8005\u306b\u304a\u3051\u308b\u6162\u6027\u814e\u81d3\u75c5\u306e\u767a\u751f\u7387\u306f1000\u4eba\u5e74\u3042\u305f\u308a\u7d0422\u4eba\u3067\u3042\u308b\u3002\u30b9\u30bf\u30c1\u30f3\u306f\u3001\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306b\u304a\u3051\u308b\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u306b\u5e83\u304f\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u3002\u3057\u304b\u3057\u300175\u6b73\u4ee5\u4e0a\u306e\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306b\u304a\u3051\u308b\u4e00\u6b21\u4e88\u9632\u306e\u305f\u3081\u306e\u30b9\u30bf\u30c1\u30f3\u7642\u6cd5\u306e\u4f7f\u7528\u306b\u95a2\u3057\u3066\u306f\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u304c\u5f97\u3089\u308c\u3066\u3044\u306a\u3044\u30022018\u5e74\u306e\u7c73\u56fd\u5fc3\u81d3\u75c5\u5b66\u4f1a\u304a\u3088\u3073\u7c73\u56fd\u5fc3\u81d3\u5354\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u300140\uff5e75\u6b73\u306710\u5e74\u9593\u306e\u5fc3\u8840\u7ba1\u75be\u60a3\u30ea\u30b9\u30af\u304c7.5%\u4ee5\u4e0a\u306e\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u3078\u306e\u30b9\u30bf\u30c1\u30f3\u4f7f\u7528\u3092\u63a8\u5968\u3057\u3066\u3044\u308b\u304c\u300175\u6b73\u4ee5\u4e0a\u306e\u6210\u4eba\u306b\u3064\u3044\u3066\u306f\u8a00\u53ca\u3057\u3066\u3044\u306a\u3044\u30022023\u5e74\u306e\u82f1\u56fd\u56fd\u7acb\u533b\u7642\u6280\u8853\u8a55\u4fa1\u6a5f\u69cb\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3001\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306e\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u4e00\u6b21\u4e88\u9632\u3068\u3057\u3066\u30a2\u30c8\u30eb\u30d0\u30b9\u30bf\u30c1\u30f320mg\/\u65e5\u3092\u5e74\u9f62\u5236\u9650\u306a\u304f\u63a8\u5968\u3057\u3066\u3044\u308b\u3002 Kidney Disease: Improving Global Outcomes\u306e\u81e8\u5e8a\u5b9f\u8df5\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3082\u300150\u6b73\u4ee5\u4e0a\u306e\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306b\u30b9\u30bf\u30c1\u30f3\u6cbb\u7642\u3092\u63a8\u5968\u3057\u3066\u3044\u308b\u304c\u3001\u9ad8\u9f62\u60a3\u8005\uff0875\uff5e84\u6b73\uff09\u304a\u3088\u3073\u8d85\u9ad8\u9f62\u60a3\u8005\uff0885\u6b73\u4ee5\u4e0a\uff09\u306b\u95a2\u3059\u308b\u5177\u4f53\u7684\u306a\u63a8\u5968\u306f\u306a\u3044\u3002\u672c\u7814\u7a76\u306f\u3001\u6162\u6027\u814e\u81d3\u75c5\u3092\u6709\u3059\u308b\u9ad8\u9f62\u8005\uff0875\uff5e84\u6b73\uff09\u304a\u3088\u3073\u8d85\u9ad8\u9f62\u8005\uff0885\u6b73\u4ee5\u4e0a\uff09\u306b\u304a\u3051\u308b\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u4e00\u6b21\u4e88\u9632\u306e\u305f\u3081\u306e\u30b9\u30bf\u30c1\u30f3\u7642\u6cd5\u306e\u6709\u52b9\u6027\u3068\u5b89\u5168\u6027\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u3002<\/p>\n<p>Method<br \/>\n\u3000\u9999\u6e2f\u306e\u516c\u7684\u306a\u96fb\u5b50\u5065\u5eb7\u8a18\u9332\u3092\u5229\u7528\u3057\u3066\u30012008\u5e741\u6708\u304b\u30892015\u5e7412\u6708\u307e\u3067\u3001\u6761\u4ef6\u3092\u6e80\u305f\u3059CKD\u60a3\u8005\u3092\u6bce\u6708\u62bd\u51fa\u3059\u308b\u3053\u3068\u306b\u3057\u305f\u3002\u9999\u6e2f\u306e\u56fd\u52e2\u8abf\u67fb\u5831\u544a\u306b\u3088\u308b\u3068\u3001\u4eba\u53e3\u306e\u7d0490%\u304c\u4e2d\u56fd\u7cfb\u3067\u3042\u308a\u3001\u975e\u4e2d\u56fd\u7cfb\u4eba\u53e3\u306b\u306f\u4e3b\u306b\u30d5\u30a3\u30ea\u30d4\u30f3\u4eba\u3001\u30a4\u30f3\u30c9\u30cd\u30b7\u30a2\u4eba\u3001\u5357\u30a2\u30b8\u30a2\u4eba\u304c\u542b\u307e\u308c\u308b \u3002\u7d44\u307f\u5165\u308c\u5bfe\u8c61\u306f\u3001CKD\u3068\u8a3a\u65ad\u3055\u308c\u305f60\u6b73\u4ee5\u4e0a\u3067\u3001\u8102\u8cea\u7570\u5e38\u75c7\uff08LDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb2.6mmol\/L(100mg\/dL)\u4ee5\u4e0a\uff08mg\/dL=mmol\/L\u271538.67))\u3082\u3042\u308b\u60a3\u8005\u3068\u3057\u305f\u3002\u30b9\u30bf\u30c1\u30f3\u306b\u3088\u308b\u4e88\u9632\u6295\u4e0e\u3092\u958b\u59cb\u3057\u305f\u4eba\u3068\u3001\u30b9\u30bf\u30c1\u30f3\u3092\u4f7f\u7528\u3057\u306a\u304b\u3063\u305f\u4eba\u306b\u5206\u985e\u3057\u3066\u767b\u9332\u3057\u3001\u3053\u308c\u309296\u30ab\u6708\u5206\u306e\u30c7\u30fc\u30bf\u306b\u9069\u7528\u3057\u305f\u3002\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u3067\u65e2\u306b\u30b9\u30bf\u30c1\u30f3\u3084\u8102\u8cea\u7570\u5e38\u75c7\u6cbb\u7642\u85ac\u306e\u4f7f\u7528\u6b74\u304c\u3042\u308b\u60a3\u8005\u306f\u9664\u5916\u3057\u305f\u3002\u30b9\u30bf\u30c1\u30f3\u7642\u6cd5\u306f\u3001\u30b7\u30f3\u30d0\u30b9\u30bf\u30c1\u30f3\u3001\u30a2\u30c8\u30eb\u30d0\u30b9\u30bf\u30c1\u30f3\u3001\u30d5\u30eb\u30d0\u30b9\u30bf\u30c1\u30f3\u3001\u30ed\u30b9\u30d0\u30b9\u30bf\u30c1\u30f3\u3001\u30ed\u30d0\u30b9\u30bf\u30c1\u30f3\u3001\u30d4\u30bf\u30d0\u30b9\u30bf\u30c1\u30f3\u3001\u307e\u305f\u306f\u30d7\u30e9\u30d0\u30b9\u30bf\u30c1\u30f3\u306b\u3088\u308b\u6cbb\u7642\u3068\u5b9a\u7fa9\u3057\u305f \u3002\u60a3\u8005\u306e\u5e74\u9f62\u306b\u57fa\u3065\u3044\u306660\uff5e74\u6b73\u300175\uff5e84\u6b73\u300185\u6b73\u4ee5\u4e0a\u306b\u5c64\u5225\u5316\u3057\u3001\u60a3\u8005\u6b7b\u4ea1\u307e\u305f\u306f\u7d42\u4e86\u4e88\u5b9a\u65e5\uff082018\u5e7412\u6708\uff09\u307e\u3067\u8ffd\u8de1\u3057\u305f\u30023\u3064\u306e\u5e74\u9f62\u7fa4\u306e\u30a8\u30df\u30e5\u30ec\u30fc\u30c8\u3055\u308c\u305f\u30bf\u30fc\u30b2\u30c3\u30c8\u8a66\u9a13\u306b\u304a\u3044\u3066\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u304a\u3088\u3073\u5168\u6b7b\u56e0\u6b7b\u4ea1\u306e\u4e88\u9632\u306b\u95a2\u3059\u308bintention-to-treat\u52b9\u679c\u3068per-protocol\u52b9\u679c\u3092\u63a8\u5b9a\u3057\u305f \u3002\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u3001\u3042\u3089\u3086\u308b\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u767a\u75c7\u7387\u3068\u3057\u305f\u3002\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u306f\u5fc3\u7b4b\u6897\u585e\u3001\u5fc3\u4e0d\u5168\u3001\u8133\u5352\u4e2d\u3001\u7dcf\u6b7b\u4ea1\u7387\u3001\u4e3b\u8981\u306a\u6709\u5bb3\u4e8b\u8c61\u3068\u3057\u305f\u3002<\/p>\n<p>Results<br \/>\n\u300096\u30ab\u6708\u5206\u306e\u30c7\u30fc\u30bf\u304b\u3089\u62bd\u51fa\u3057\u305f4\u4e075460\u4eba\u306e\u60a3\u8005\u3092\u5206\u6790\u5bfe\u8c61\u3068\u3057\u305f\u3002\u5185\u8a33\u306f\u300160\uff5e74\u6b73\u304c1\u4e079423\u4eba\u300175\uff5e84\u6b73\u304c2\u4e072565\u4eba\u300185\u6b73\u4ee5\u4e0a\u304c8811\u4eba\u3060\u3063\u305f\u3002\u8ffd\u8de1\u671f\u9593\u306e\u4e2d\u592e\u5024\u306f5.3\u5e74\uff08\u56db\u5206\u4f4d\u7bc4\u56f23.8-7.1\uff09\u306b\u306a\u3063\u305f\u3002\uff08\u56f32\uff09<br \/>\n\u3000Intention-to-treat\u89e3\u6790\u306b\u304a\u3044\u3066\u3001\u30b9\u30bf\u30c1\u30f3\u975e\u4f7f\u7528\u8005\u3068\u6bd4\u8f03\u3057\u305f\u30b9\u30bf\u30c1\u30f3\u4f7f\u7528\u8005\u306e\u3042\u3089\u3086\u308b\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f\u300160\uff5e74\u6b73\u304c0.92\uff0895\uff05\u4fe1\u983c\u533a\u95930.86-0.97\uff09\u300175\uff5e84\u6b73\u306f0.94\uff080.89-0.99\uff09\u300185\u6b73\u4ee5\u4e0a\u304c0.88\uff080.79-0.99\uff09\u3060\u3063\u305f\u3002\u7dcf\u6b7b\u4ea1\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f\u300160\uff5e74\u6b73\u304c0.89\uff080.83-0.94\uff09\u300175\uff5e84\u6b73\u306f0.87\uff080.82-0.91\uff09\u300185\u6b73\u4ee5\u4e0a\u304c0.89\uff080.81-0.98\uff09\u3060\u3063\u305f\uff08\u3044\u305a\u308c\u3082intention-to-treat\u89e3\u6790\uff09\u3002\u30b9\u30bf\u30c1\u30f3\u975e\u4f7f\u7528\u8005\u3068\u6bd4\u8f03\u3057\u305f\u4f7f\u7528\u8005\u306e\u3001\u3042\u3089\u3086\u308b\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u63a8\u5b9a5\u5e74\u7d76\u5bfe\u30ea\u30b9\u30af\u5dee\u306f\u300160\uff5e74\u6b73\u304c\uff0d1.3\uff05\uff08\uff0d2.1\u304b\u3089\uff0d0.4\u3001\u691c\u51fa\u529b\u306f0.827\uff09\u300175\uff5e84\u6b73\u306f\uff0d1.5\uff05\uff08\uff0d2.7\u304b\u3089\uff0d0.4\u30010.802\uff09\u300185\u6b73\u4ee5\u4e0a\u3067\u306f\uff0d4.0\uff05\uff08\uff0d7.0\u304b\u3089\uff0d1.0\u30010.846\uff09\u3060\u3063\u305f\u30025\u5e74\u9593\u306b\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u767a\u75c7\u30921\u4ef6\u56de\u907f\u3059\u308b\u305f\u3081\u306e\u6cbb\u7642\u5fc5\u8981\u6570(NNT)\u306f\u300160\uff5e74\u6b73\u304c77\uff0846-224\uff09\u300175\uff5e84\u6b73\u306f67\uff0838-295\uff09\u300185\u6b73\u4ee5\u4e0a\u3067\u306f25\uff0814-101\uff09\u3060\u3063\u305f\u3002\u30df\u30aa\u30d1\u30c1\u30fc\u3068\u809d\u6a5f\u80fd\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u5897\u52a0\u306f\u3001\u3069\u306e\u5e74\u9f62\u5c64\u3067\u3082\u89b3\u5bdf\u3055\u308c\u306a\u304b\u3063\u305f\u3002\uff08Per-protocol\u89e3\u6790\u306f\u5272\u611b\uff09<\/p>\n<p>Discussion<br \/>\n\u3000\u6211\u3005\u306e\u7814\u7a76\u306f\u3001\u30b9\u30bf\u30c1\u30f3\u7642\u6cd5\u304c\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3092\u4f34\u3046\u9ad8\u9f62\u8005\uff0875\u6b73\u4ee5\u4e0a\uff09\u306e\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u304a\u3088\u3073\u5168\u6b7b\u56e0\u6b7b\u4ea1\u306e\u4e00\u6b21\u4e88\u9632\u306b\u6709\u52b9\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b \u3002\u3055\u3089\u306b\u3001\u6211\u3005\u306e\u77e5\u898b\u306f\u3001\u3053\u306e\u96c6\u56e3\u306b\u304a\u3051\u308b\u30b9\u30bf\u30c1\u30f3\u7642\u6cd5\u306b\u95a2\u9023\u3059\u308b\u4e3b\u8981\u306a\u6709\u5bb3\u4e8b\u8c61\u306e\u6709\u610f\u306a\u30ea\u30b9\u30af\u5897\u52a0\u304c\u306a\u3044\u3053\u3068\u3082\u793a\u3057\u3066\u3044\u308b \u3002<br \/>\n\u3000\u6211\u3005\u306e\u53c2\u7167\u5e74\u9f62\u7fa4\uff0860\uff5e74\u6b73\uff09\u3067\u306e\u7d50\u679c\u306f\u3001JUPITER\u8a66\u9a13\u306e\u7d50\u679c\u3068\u985e\u4f3c\u3057\u3066\u304a\u308a\u3001\u63a8\u5b9a\u7cf8\u7403\u4f53\u6ffe\u904e\u7387\u304c60 ml\/min\/1.73 m\u00b2\u672a\u6e80\u306e\u9ad8\u9f62\u60a3\u8005\uff08\u5e74\u9f62\u4e2d\u592e\u502470\u6b73\uff09\u306b\u304a\u3044\u3066\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\uff080.55 [95% CI 0.38-0.82]\uff09\u304a\u3088\u3073\u5168\u6b7b\u56e0\u6b7b\u4ea1\uff080.56 [0.37-0.85]\uff09\u306e\u30ea\u30b9\u30af\u6e1b\u5c11\u304c\u793a\u3055\u308c\u305f \u3002\u3053\u306e\u77e5\u898b\u306e\u985e\u4f3c\u6027\u306f\u3001\u6211\u3005\u306e\u89e3\u6790\u306e\u59a5\u5f53\u6027\u3068\u7d50\u679c\u306e\u4fe1\u983c\u6027\u3092\u793a\u3057\u3066\u3044\u308b \u3002<br 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\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112025\u5e7410\u67088\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff70\u6587\u732e\u540d\uff70 Wanchun X,Yuk KY,Yanyu P,et al.Effectiveness and safety of using statin therapy for the primary preventi &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2924\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">CKD\u3092\u6709\u3059\u308b\u5f8c\u671f\u9ad8\u9f62\u8005\u3078\u306e\u30b9\u30bf\u30c1\u30f3\u6295\u4e0e<\/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":[17,11],"tags":[],"class_list":["post-2924","post","type-post","status-publish","format-standard","hentry","category-17","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2924","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=2924"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2924\/revisions"}],"predecessor-version":[{"id":2927,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2924\/revisions\/2927"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2924"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2924"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2924"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}