{"id":52,"date":"2015-03-05T11:41:12","date_gmt":"2015-03-05T02:41:12","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=52"},"modified":"2015-08-06T11:41:30","modified_gmt":"2015-08-06T02:41:30","slug":"%e3%83%97%e3%83%a9%e3%82%a4%e3%83%9e%e3%83%aa%e3%83%bb%e3%82%b1%e3%82%a2%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e6%8a%97%e3%81%86%e3%81%a4%e8%96%ac%e3%81%ae%e5%8a%b9%e6%9e%9c%e3%81%a8%e8%80%90%e7%94%a8","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=52","title":{"rendered":"\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u304a\u3051\u308b\u6297\u3046\u3064\u85ac\u306e\u52b9\u679c\u3068\u8010\u7528\u6027\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30fb\u30ec\u30d3\u30e5\u30fc"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nKlaus Linde: Efficacy and Acceptability of Pharmacological Treatments for Depressive Disorders in Primary Care: Systematic Review and Network Meta-Analysis\uff0eAnnals of Family Medicine \u00a02015 vol. 13 no. 1 69-79<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u76ee\u7684\uff1a<br \/>\n\u3000\u3053\u306e\u7814\u7a76\u306e\u76ee\u7684\u306f\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306b\u304a\u3044\u3066\u3001\u3069\u306e\u6297\u3046\u3064\u85ac\u304c\u30d7\u30e9\u30bb\u30dc\u3068\u6bd4\u8f03\u3057\u3066\u3088\u308a\u52b9\u679c\u7684\u306a\u306e\u304b\u3092\u8abf\u67fb\u3057\u3001\u6297\u3046\u3064\u85ac\u306e\u7a2e\u985e\u306b\u3088\u3063\u3066\u305d\u306e\u52b9\u679c\u3068\u8010\u7528\u6027\u306e\u9055\u3044\u304c\u3042\u308b\u306e\u304b\u3092\u7a76\u660e\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n<p>\u65b9\u6cd5\uff1a<br \/>\n\u3000\u79c1\u305f\u3061\u306f2013\u5e7412\u6708\u307e\u3067\u306b\u767a\u8868\u3055\u308c\u305fMEDLINE, Embase, Cochrane Central of Controlled Trials (CENTRAL), PsycINFO\u306e\u6587\u732e\u3092\u8abf\u67fb\u3057\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u306b\u3088\u308b\u6210\u4eba\u306e\u3046\u3064\u75c5\u6cbb\u7642\u306e\u7121\u4f5c\u70ba\u8a66\u9a13\u306b\u3064\u3044\u3066\u30ec\u30d3\u30e5\u30fc\u3092\u884c\u3063\u305f\u3002\u76f4\u63a5\u7684\u3001\u3042\u308b\u3044\u306f\u9593\u63a5\u7684\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u7d50\u5408\u3057\u306a\u304c\u3089\u3001\u5f93\u6765\u306epairwise\u30e1\u30bf\u5206\u6790\u3068\u3001\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u5206\u6790\u306e\u4e21\u65b9\u3092\u5b9f\u65bd\u3057\u305f\u3002\u4e00\u6b21\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u6cbb\u7642\u3078\u306e\u53cd\u5fdc\uff08\u3046\u3064\u75c5\u30b9\u30b1\u30fc\u30eb\u306750%\u4ee5\u4e0a\u306e\u6539\u5584\u3001\u3042\u308b\u3044\u306f\u75c7\u72b6\u306e\u30b9\u30b1\u30fc\u30eb\u3067\u306e\u6539\u5584\uff09\u3068\u3001\u526f\u4f5c\u7528\u306b\u3088\u308b\u7814\u7a76\u306e\u4e2d\u65ad\u3068\u3057\u305f\u3002<\/p>\n<p>\u7d50\u679c\uff1a<br \/>\n\u3000\u8a0866\u500b\u306e\u7814\u7a76\uff0815161\u4eba\uff09\u304cinclusion\u3055\u308c\u305f\uff08Figure 1\uff09\u3002\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u5206\u6790\u3067\u306f\u3001TCAs\u3001SSRIs\u3001SNRI\uff08\u30bb\u30ed\u30c8\u30cb\u30f3\uff0d\u30ce\u30eb\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\u518d\u53d6\u8fbc\u963b\u5bb3\u85ac\uff09\u3001SARI\uff08\u4f4e\u7528\u91cf\u30bb\u30ed\u30c8\u30cb\u30f3\u30a2\u30b4\u30cb\u30b9\u30c8+\u518d\u53d6\u8fbc\u963b\u5bb3\u85ac\uff1d\u30c8\u30e9\u30be\u30c9\u30f3\u3001\u30ec\u30b9\u30ea\u30f3\u00ae\uff09\u3001\u30aa\u30c8\u30ae\u30ea\u30bd\u30a6\u62bd\u51fa\u7269\uff08\u30bb\u30f3\u30c8\u30fb\u30b8\u30e7\u30fc\u30f3\u30ba\u30fb\u30ef\u30fc\u30c8\uff09\u304c\u30d7\u30e9\u30bb\u30dc\u3068\u6bd4\u8f03\u3057\u3066\u6709\u610f\u306a\u52b9\u679c\u304c\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\uff08Table 3\uff09\uff08odds ratio 1.69~2.03\uff09\u3002\u3053\u308c\u3089\u306e\u85ac\u5264\u9593\u3067\u306e\u7d71\u8a08\u4e0a\u306e\u5dee\u7570\u306f\u898b\u51fa\u305b\u306a\u304b\u3063\u305f\u3002rMAO-As\uff08\u30e2\u30ce\u30a2\u30df\u30f3\u9178\u5316\u9175\u7d20\u963b\u5bb3\u85ac\uff09\u3068\u30aa\u30c8\u30ae\u30ea\u30bd\u30a6\u62bd\u51fa\u7269\u306f\u3001\u526f\u4f5c\u7528\u306b\u3088\u308b\u4e2d\u65ad\u3068\u3044\u3046\u70b9\u3067\u306f\u3001TCAs\u3001SSRIs\u3001SNRI\u3001NRI\uff08\u30ce\u30eb\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\u518d\u53d6\u8fbc\u963b\u5bb3\u85ac\uff09\u3001NaSSAs\uff08\u30ce\u30eb\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\u4f5c\u52d5\u6027\uff0d\u7279\u7570\u7684\u30bb\u30ed\u30c8\u30cb\u30f3\u4f5c\u52d5\u5236\u7d04\uff09\u306b\u6bd4\u3079\u3066\u4e2d\u65ad\u306f\u5c11\u306a\u304b\u3063\u305f\uff08Table 4\uff09\u3002<\/p>\n<p>\u7d50\u8ad6\uff1a<br \/>\n\u3000TCAs\u3068SSRIs\u306f\u4ed6\u306e\u85ac\u5264\u306b\u6bd4\u3079\u3066\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3067\u306e\u52b9\u679c\u3068\u3044\u3046\u70b9\u3067\u78ba\u56fa\u305f\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u3002\u3057\u304b\u3057\u3001\u30d7\u30e9\u30bb\u30dc\u3068\u6bd4\u8f03\u3057\u305f\u52b9\u679c\u306e\u5927\u304d\u3055\u3067\u306f\u6bd4\u8f03\u7684\u5c0f\u3055\u3044\u3002\u4ed6\u306e\u85ac\u5264\uff08\u30aa\u30c8\u30ae\u30ea\u30bd\u30a6\u62bd\u51fa\u7269\u3001rMAO-As\u3001SNRI\u3001NRI\u3001NaSSAs\u3001SARI\uff09\u306f\u3044\u304f\u3064\u304b\u826f\u597d\u306a\u7d50\u679c\u304c\u3042\u308b\u3082\u306e\u306e\u3001\u305d\u308c\u3089\u3092\u660e\u78ba\u306b\u63a8\u5968\u3059\u308b\u306b\u306f\u6700\u8fd1\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3067\u306f\u9650\u754c\u304c\u3042\u308b\u3002<br \/>\n\u3000\u9650\u754c\u3068\u3057\u3066\u3001\u51fa\u7248\u30d0\u30a4\u30a2\u30b9\u3001\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30a2\u30ca\u30ea\u30b7\u30b9\u306b\u3088\u308b\u9650\u754c\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3067\u306e\u6587\u732e\u304c\u5c11\u306a\u3044\u3053\u3068\u3001\u52b9\u679c\u5224\u5b9a\u304c\u5e73\u57476\u9031\u9593\u3067\u3042\u308b\u3053\u3068\u304b\u3089\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306b\u304a\u3051\u308b\u9577\u671f\u7684\u306a\u52b9\u679c\u3068\u8010\u7528\u6027\u306b\u3064\u3044\u3066\u306f\u4eca\u5f8c\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u5fc5\u8981\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2015\u5e743\u67084\u65e5(\u6c34)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Klaus Linde: Efficacy and Acceptability of Pharmacological Treatments for Depressive Disorders in Primar &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=52\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u304a\u3051\u308b\u6297\u3046\u3064\u85ac\u306e\u52b9\u679c\u3068\u8010\u7528\u6027\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30fb\u30ec\u30d3\u30e5\u30fc<\/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],"tags":[],"class_list":["post-52","post","type-post","status-publish","format-standard","hentry","category-15"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/52","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=52"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/52\/revisions"}],"predecessor-version":[{"id":53,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/52\/revisions\/53"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}