{"id":699,"date":"2010-11-24T10:46:27","date_gmt":"2010-11-24T01:46:27","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=699"},"modified":"2015-08-07T10:47:18","modified_gmt":"2015-08-07T01:47:18","slug":"%ef%bd%9e%e8%aa%8d%e7%9f%a5%e7%97%87%e6%82%a3%e8%80%85%e3%81%ae%e8%87%aa%e5%8b%95%e8%bb%8a%e9%81%8b%e8%bb%a2%e3%81%ae%e5%8f%af%e5%90%a6%e3%82%92%e3%81%a9%e3%81%86%e8%a9%95%e4%be%a1%e3%81%99%e3%82%8b","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=699","title":{"rendered":"\uff5e\u8a8d\u77e5\u75c7\u60a3\u8005\u306e\u81ea\u52d5\u8eca\u904b\u8ee2\u306e\u53ef\u5426\u3092\u3069\u3046\u8a55\u4fa1\u3059\u308b\u304b\uff1f\uff5e"},"content":{"rendered":"<p>\u3010\u6587\u732e\u3011<br \/>\nD.J. Iverson, D.J. Gronseth: Practice Parameter update: Evaluation and management of driving risk in dementia. Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology: 2010; 74: 1316-1324.<\/p>\n<p>\u3010\u8981\u7d04\u3011<br \/>\n\u300a\u80cc\u666f\u300b<br \/>\n\u8efd\u5ea6\u306e\u8a8d\u77e5\u75c7\u60a3\u8005\u306f\u96c6\u56e3\u3068\u3057\u3066\u306f\u81ea\u52d5\u8eca\u904b\u8ee2\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u304c\u3001\u6700\u8fd1\u306e\u7814\u7a76\u3067\u306f76%\u3082\u306e\u60a3\u8005\u304c\u8def\u4e0a\u904b\u8ee2\u8a66\u9a13\u3092\u30d1\u30b9\u3057\u3001\u5b89\u5168\u306b\u904b\u8ee2\u304c\u53ef\u80fd\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u3002\u81e8\u5e8a\u533b\u306f\u5b89\u5168\u306b\u904b\u8ee2\u3067\u304d\u308b\u60a3\u8005\u3092\u4e0d\u5fc5\u8981\u306b\u5236\u9650\u3059\u308b\u3053\u3068\u306a\u304f\u3001\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u60a3\u8005\u3092\u898b\u3064\u3051\u308b\u65b9\u6cd5\u3092\u6c42\u3081\u3066\u3044\u308b\u3002<br \/>\n\u300a\u76ee\u7684\u300b<br \/>\n\u8a8d\u77e5\u75c7\u60a3\u8005\u306e\u81ea\u52d5\u8eca\u904b\u8ee2\u306e\u80fd\u529b\u3092\u4e88\u6e2c\u3067\u304d\u308b\u60a3\u8005\u7279\u6027\u3084\u75c5\u6b74\u3001\u8a8d\u77e5\u6a5f\u80fd\u30c6\u30b9\u30c8\u306e\u6709\u7528\u6027\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u30ec\u30d3\u30e5\u30fc\u3059\u308b\u3053\u3068\u3068\u904b\u8ee2\u306e\u30ea\u30b9\u30af\u3092\u56de\u907f\u3059\u308b\u65b9\u6cd5\u306e\u6709\u52b9\u6027\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u3002<br \/>\n\u300a\u65b9\u6cd5\u300b<br \/>\nAmerican Academy of Neurology&#8217;s evidence-based methods\u3092\u7528\u3044\u305f\u6587\u732e\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3002<br \/>\n\uff15\u3064\u306e\u554f\u3044\u3092\u305f\u3066\u3001\u6587\u732e\u3092\u30ec\u30d3\u30e5\u30fc\u3057\u305f\u3002<br \/>\n\u300a\u7d50\u679c\u300b<br \/>\n\uff08\uff11\uff09\u8a8d\u77e5\u75c7\u306e\u91cd\u75c7\u5ea6\u306e\u5305\u62ec\u7684\u306a\u6e2c\u5b9a\u6cd5\u306f\u3069\u306e\u7a0b\u5ea6\u904b\u8ee2\u80fd\u529b\u3068\u5f37\u304f\u76f8\u95a2\u3059\u308b\u304b\uff1f<br \/>\nClinical Dementia Rating\uff08CDR;\u3000\u53c2\u8003\u6587\u732e\u53c2\u7167\uff09\u306f\u5371\u967a\u306a\u904b\u8ee2\u306e\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u60a3\u8005\u306e\u767a\u898b\u306b\u6709\u7528\u3002\uff08Level A\uff09<br \/>\nMMSE24\u70b9\u4ee5\u4e0b\u306f\u6709\u7528\u3068\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u3042\u308b\uff08Level C\uff09\u4e00\u65b9\u3067\u3001\u76f8\u53cd\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u3082\u3042\u308b\u3002<br \/>\n\uff08\uff12\uff09\u60a3\u8005\u81ea\u8eab\u3084\u4ecb\u8b77\u8005\u306f\u904b\u8ee2\u80fd\u529b\u3084\u5371\u967a\u3092\u3069\u306e\u7a0b\u5ea6\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304b\uff1f<br \/>\n\u4ecb\u8b77\u8005\u306b\u3088\u308b\u8a55\u4fa1\u306f\u5371\u967a\u306a\u904b\u8ee2\u8005\u306e\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u60a3\u8005\u306e\u767a\u898b\u306b\u6709\u7528\u3002\uff08Level B\uff09<br \/>\n\u60a3\u8005\u81ea\u8eab\u306b\u3088\u308b\u8a55\u4fa1\u306f\u60a3\u8005\u304c\u5b89\u5168\u306b\u904b\u8ee2\u3067\u304d\u308b\u3053\u3068\u3092\u4fdd\u8a3c\u3059\u308b\u306b\u306f\u6709\u7528\u3067\u306f\u306a\u3044\u3002\uff08Level A\uff09<br \/>\n\uff08\uff13\uff09\u3069\u306e\u3088\u3046\u306a\u75c5\u6b74\u304c\u904b\u8ee2\u80fd\u529b\u306e\u4f4e\u4e0b\u3068\u95a2\u9023\u3059\u308b\u304b\uff1f<br \/>\n\u30fb\u3000\u904e\u53bb\uff11\uff5e\uff15\u5e74\u306e\u9593\u306b\u4e8b\u6545\u3092\u8d77\u3053\u3057\u305f\u3068\u3044\u3046\u75c5\u6b74\u3001\u904e\u53bb\uff12\uff5e\uff13\u5e74\u306e\u9593\u306b\u4ea4\u901a\u9055\u53cd\u306e\u304d\u3063\u3077\u3092\u304d\u3089\u308c\u305f\u3068\u3044\u3046\u75c5\u6b74\u306f\u6709\u7528\u3002\uff08Level C\uff09<br \/>\n\u30fb\u904b\u8ee2\u3059\u308b\u8ddd\u96e2\u304c\u77ed\u304f\u306a\u3063\u305f\u3001\u904b\u8ee2\u306e\u6a5f\u4f1a\u3092\u306a\u308b\u3079\u304f\u907f\u3051\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3068\u3044\u3046\u75c5\u6b74\u306f\u6709\u7528\u3002\uff08Level C\uff09<br \/>\n\u30fb\u904b\u8ee2\u306e\u6a5f\u4f1a\u3092\u3078\u3089\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u75c5\u6b74\u304c\u306a\u3044\u3053\u3068\u306f\u5b89\u5168\u306b\u904b\u8ee2\u3067\u304d\u308b\u80fd\u529b\u304c\u3042\u308b\u3053\u3068\u3092\u4fdd\u8a3c\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3002\uff08Level C\uff09<br \/>\n\u30fb\u653b\u6483\u7684\u3001\u76f4\u60c5\u7684\u306a\u6027\u683c\u50be\u5411\u306f\u904b\u8ee2\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u60a3\u8005\u306e\u767a\u898b\u306b\u6709\u7528\u3002\uff08Level C\uff09<br \/>\n\uff08\uff14\uff09\u795e\u7d4c\u5fc3\u7406\u5b66\u7684\u691c\u67fb\u306f\u5f79\u306b\u7acb\u3064\u304b\uff1f<br \/>\n\u795e\u7d4c\u5fc3\u7406\u5b66\u7684\u691c\u67fb\u304c\u904b\u8ee2\u306e\u30ea\u30b9\u30af\u306e\u8a55\u4fa1\u306b\u6709\u7528\u3067\u3042\u308b\u3068\u3044\u3046\u5341\u5206\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u306a\u3044\u3002\uff08Level U\uff09<br \/>\n\uff08\uff15\uff09\u904b\u8ee2\u306e\u30ea\u30b9\u30af\u3092\u8efd\u6e1b\u3059\u308b\u4ecb\u5165\u6cd5\u306f\u5b58\u5728\u3059\u308b\u306e\u304b\uff1f<br \/>\n\u8a8d\u77e5\u75c7\u3092\u6709\u3059\u308b\u904b\u8ee2\u8005\u306b\u5bfe\u3059\u308b\u4ecb\u5165\u6cd5\u306e\u52b9\u679c\u3092\u652f\u6301\u3059\u308b\u307e\u305f\u306f\u5426\u5b9a\u3059\u308b\u5341\u5206\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u306a\u3044\u3002\uff08Level U\uff09<br \/>\n\u300a\u8003\u5bdf\u300b<br \/>\nCDR1.0\u306e\u6bd4\u8f03\u7684\u8efd\u5ea6\u306e\u8a8d\u77e5\u75c7\u306e\u60a3\u8005\u3067\u306f\u8def\u4e0a\u904b\u8ee2\u8a66\u9a13\u3092\u30d1\u30b9\u3059\u308b\u30b1\u30fc\u30b9\u3082\u591a\u3044\u305f\u3081\u3001\u904b\u8ee2\u3092\u5236\u9650\u3059\u308b\u5fc5\u8981\u306e\u306a\u3044\u60a3\u8005\u306b\u4ecb\u5165\u3092\u884c\u308f\u306a\u3044\u3088\u3046\u306b\u3001\u305d\u306e\u4ed6\u306e\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\u3092\u8003\u616e\u3057\u3066\u5bfe\u5fdc\u3092\u6c7a\u3081\u308b\u3088\u3046\u306a\u4e0b\u8a18\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3092\u63d0\u5531\u3057\u3066\u3044\u308b\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/101124.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/101124.jpg\" alt=\"101124\" width=\"674\" height=\"602\" class=\"alignnone size-full wp-image-700\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/101124.jpg 674w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/101124-300x268.jpg 300w\" sizes=\"auto, (max-width: 674px) 100vw, 674px\" \/><\/a><\/p>\n<p>DMV\uff1a\u3000department of motor vehicles<br \/>\n\u203b\u3000\u53c2\u8003\u6587\u732e\uff1a\u3000Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology 1993;43:2412-2414.<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\uff12\uff10\uff11\uff10\u5e74\uff11\uff11\u6708\uff12\uff14\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6587\u732e\u3011 D.J. Iverson, D.J. Gronseth: Practice Parameter update: Evaluation and management of driving risk in deme &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=699\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\uff5e\u8a8d\u77e5\u75c7\u60a3\u8005\u306e\u81ea\u52d5\u8eca\u904b\u8ee2\u306e\u53ef\u5426\u3092\u3069\u3046\u8a55\u4fa1\u3059\u308b\u304b\uff1f\uff5e<\/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":[11],"tags":[],"class_list":["post-699","post","type-post","status-publish","format-standard","hentry","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/699","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=699"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/699\/revisions"}],"predecessor-version":[{"id":701,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/699\/revisions\/701"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=699"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=699"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=699"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}