{"id":999,"date":"2016-02-15T11:55:51","date_gmt":"2016-02-15T02:55:51","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=999"},"modified":"2016-02-15T11:55:51","modified_gmt":"2016-02-15T02:55:51","slug":"%e3%80%90ebm%e3%81%ae%e5%ad%a6%e3%81%b3%e3%80%91%e3%82%a2%e3%83%ac%e3%83%b3%e3%83%89%e3%83%ad%e3%83%b3%e3%81%8b%e3%82%89%e3%83%87%e3%83%8e%e3%82%b9%e3%83%9e%e3%83%96%e3%81%b8","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=999","title":{"rendered":"\u3010EBM\u306e\u5b66\u3073\u3011\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u304b\u3089\u30c7\u30ce\u30b9\u30de\u30d6\u3078"},"content":{"rendered":"<p><strong>STEP1\u3000\u81e8\u5e8a\u60a3\u8005\u306b\u5373\u3057\u305fPI(E)CO<\/strong><br \/>\n\u3010\u8a55\u4fa1\u3092\u884c\u3063\u305f\u65e5\u4ed8\u3011<br \/>\n\u30002016\u5e742\u67086\u65e5<br \/>\n\u3010\u81e8\u5e8a\u72b6\u6cc1\u306e\u30b5\u30de\u30ea\u30fc\u3011<br \/>\n\u300089\u6b73\u5973\u6027\u3002\u6b69\u884c\u306f\u554f\u984c\u306a\u3057\u3002\u9589\u7d4c\u5f8c\u3067\u3001\u9aa8\u7c97\u9b06\u75c7\u306b\u5bfe\u3057\u3066\u30d3\u30b9\u30db\u30b9\u30db\u30cd\u30fc\u30c8\u88fd\u5264\uff08BP\u85ac\uff09\u3092\u5185\u670d\u4e2d\u3002\u3057\u304b\u3057\u8a8d\u77e5\u75c7\u304c\u9032\u884c\u3057\u3066\u304a\u308a\u3001\u5185\u670d\u5fd8\u308c\u306a\u3069\u304c\u76ee\u7acb\u3064\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u305f\u3002\u8fd1\u6240\u306b\u4f4f\u3080\u606f\u5b50\u3055\u3093\u304c\u65e9\u671d\u3068\u671d\u98df\u5f8c\u306b\u85ac\u3092\u904b\u3076\u3088\u3046\u306b\u3057\u3066\u3044\u305f\u304c\u3001\u8ca0\u62c5\u306b\u611f\u3058\u3066\u3044\u305f\u3002\u305d\u3093\u306a\u6298\u306b\u3001\u534a\u5e74\u306b1\u56de\u306e\u6ce8\u5c04\u88fd\u5264\uff08\u30c7\u30ce\u30b9\u30de\u30d6\uff1a\u30d7\u30e9\u30ea\u30a2\u00ae\uff09\u304c\u3042\u308b\u3068\u805e\u3044\u305f\u305f\u3081\u8abf\u3079\u308b\u3053\u3068\u3068\u3057\u305f\u3002\u30ab\u30eb\u30c6\u3067\u306f2014\u5e741\u6708\u304b\u3089\u5f53\u9662\u30d5\u30a9\u30ed\u30fc\u3002\u5f53\u9662\u30d5\u30a9\u30ed\u30fc\u5f8c\u304b\u3089BP\u85ac\u5185\u670d\u306e\u8a18\u8f09\u3042\u308a\u3002T-score -6.22\u3002<\/p>\n<p>\u3000P\uff1b\u9589\u7d4c\u5f8c\u306eBP\u85ac\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u5973\u6027<br \/>\n\u3000I(E)\uff1bBP\u85ac\u304b\u3089\u30c7\u30ce\u30b9\u30de\u30d6\u3078\u5909\u66f4\u3057\u305f\u5834\u5408<br \/>\n\u3000C\uff1bBP\u85ac\u306e\u307e\u307e\u306e\u3068\u304d\u3068\u6bd4\u3079\u3066<br \/>\n\u3000O\uff1b\u9aa8\u7c97\u9b06\u75c7\u306b\u95a2\u9023\u3059\u308b\u9aa8\u6298\u306e\u983b\u5ea6\u304c\u5897\u3048\u306a\u3044<\/p>\n<p><strong>STEP2\u3000\u691c\u7d22\u3057\u3066\u898b\u3064\u3051\u305f\u6587\u732e\u306e\u540d\u524d<\/strong><br \/>\n\u3010\u898b\u3064\u3051\u305f\u8ad6\u6587\u3011<br \/>\nEffects of Denosumab on Bone Mineral Density and Bone Turnover in Postmenopausal Women Transitioning From Alendronate Therapy<br \/>\n\u3000\u3000\uff11\uff0eup to date\u3067\u300c\u9aa8\u7c97\u9b06\u75c7\u300d\u3092\u691c\u7d22<br \/>\n\u3000\u3000\uff12\uff0e\u300cOverview of the management of osteoporosis in postmenopausal women\u300d\u306e\u300cOverview of available therapies\u300d\u306e\u9805\u76ee\u306b<br \/>\n\u3000\u3000\u3000\u3000\u300cDenosumab\u300d\u3042\u308a\u3002\u52b9\u679c\u306b\u95a2\u3057\u3066\u306f&#8221;Denosumab for osteoporosis&#8221;\u3092\u53c2\u7167\u3059\u308b\u69d8\u306b\u66f8\u304b\u308c\u3066\u3044\u305f\u306e\u3067\u30ea\u30f3\u30af\u3092\u53c2\u7167\u3002<br \/>\n\u3000\u3000\uff13\uff0e\u300cEfficacy\u300d\u306e\u300cEffect on BMD\u300d\u306b\u300cAfter Alendronate\u300d\u306e\u9805\u76ee\u3042\u308a\u3002\u53c2\u7167\u8ad6\u6587\u304c\u4e00\u3064\u3042\u3063\u305f\u306e\u3067\u305d\u308c\u3092\u9078\u629e\u3057\u305f\u3002<\/p>\n<p><strong>STEP3\uff1b\u8ad6\u6587\u306e\u8a55\u4fa1<br \/>\nSTEP3-1.\u8ad6\u6587\u306ePECO\u306f\u60a3\u8005\u306ePECO\u3068\u5408\u81f4\u3059\u308b\u304b\uff1f<\/strong><br \/>\n\u3000P\uff1b\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u917870mg\/w\u30676\u304b\u6708\u4ee5\u4e0a\u6cbb\u7642\u3057\u3066\u3044\u308b55\u6b73\u4ee5\u4e0a\u306e\u9589\u7d4c\u5f8c\u5973\u6027<br \/>\n\u3000I(E)\uff1b\u30c7\u30ce\u30b9\u30de\u30d660\u338e\u76ae\u4e0b\u6ce8\uff0b\u30d7\u30e9\u30bb\u30dc\u5185\u670d<br \/>\n\u3000C\uff1b\u30d7\u30e9\u30bb\u30dc\u76ae\u4e0b\u6ce8\uff0b\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u9178\u7d99\u7d9a<br \/>\n\u3000O\uff1b12\u304b\u6708\u5f8c\u306etotal hip BMD\u306e\u5909\u5316\u7387<br \/>\n\u3000\u2192\u60a3\u8005\u306ePECO\u3068\u3000(\u5408\u81f4\u3059\u308b\u3000\u30fb\u3000<span style=\"text-decoration: underline;\"><strong>\u591a\u5c11\u7570\u306a\u308b\u304cOK<\/strong><\/span>\u3000\u30fb\u3000\u5927\u304d\u304f\u7570\u306a\u308b\u305f\u3081\u4e0d\u9069\u5207)<br \/>\n\u3000\u3000P\uff1a\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u9178\u306e\u91cf\u304c\u7570\u306a\u308b\u3002\u65e5\u672c\u3067\u306f35mg\/w\u304c\u4e00\u822c\u7684\u3002\u5e74\u9f62\u306b\u3064\u3044\u306655\u6b73\u4ee5\u4e0a\u306f\u5408\u81f4\u3059\u308b\u304c\u3001Table\u3092\u53c2\u7167\u3059\u308b\u3068\u300189\u6b73\u3068\u3044\u3046\u9ad8\u9f62\u5973\u6027\u306f<br \/>\n\u3000\u3000\u3000 \u7d44\u307f\u8fbc\u307e\u308c\u3066\u3044\u306a\u3044\u3002\u307e\u305f\u5168\u54e1\u304c\u30ab\u30eb\u30b7\u30a6\u30e01000mg\/\u65e5\u3001\u6700\u4f4e\u3067\u3082\u30d3\u30bf\u30df\u30f3D400IU\/\u65e5\u3092\u5185\u670d\u3057\u3066\u3044\u308b\u304c\u3001\u3053\u308c\u3082\u5408\u81f4\u3057\u306a\u3044\u3002<br \/>\n\u3000\u3000I\uff0cC\uff1a\u7279\u306b\u7570\u306a\u308b\u70b9\u306f\u306a\u3057\u3002<br \/>\n\u3000\u3000O\uff1a \u7acb\u3066\u3066\u3044\u305f\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u9aa8\u6298\u306e\u983b\u5ea6\u3067\u3042\u3063\u305f\u304c\u3001\u8ad6\u6587\u3067\u306fBMD\u306e\u5909\u5316\u7387\u3067\u3042\u3063\u305f\u3002\u3053\u308c\u306f\u5408\u81f4\u3057\u306a\u3044\u3002<\/p>\n<p><strong>STEP3-2\u3000\u8ad6\u6587\u306e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u306e\u8a55\u4fa1\uff1b\u5185\u7684\u59a5\u5f53\u6027\u306e\u8a55\u4fa1<\/strong><br \/>\n\u2460\u7814\u7a76\u65b9\u6cd5\u304cRCT\u306b\u306a\u3063\u3066\u3044\u308b\u304b\uff1f\u96a0\u853d\u5316\u3068\u76f2\u691c\u5316\u306f\u3055\u308c\u3066\u3044\u308b\u304b\uff1f<br \/>\n\u3000\u3000\u2192\u30e9\u30f3\u30c0\u30e0\u5272\u308a\u4ed8\u3051\u304c\u3000\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\uff09<br \/>\n\u3000\u3000\u2192\u96a0\u853d\u5316\u304c\u3000\u3000\u3000\u3000\u3000\u3000\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\uff09<br \/>\n\u3000\u3000\u2192\u76f2\u691c\u5316\u304c\u3000\u3000\u3000\u3000\u3000\u3000\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\uff09<br \/>\n\u3000\u5b9f\u969b\u306eTable\u3067\u4ecb\u5165\u7fa4\u3068\u5bfe\u7167\u7fa4\u306f\u540c\u3058\u3088\u3046\u306a\u96c6\u56e3\u306b\u306a\u3063\u3066\u3044\u308b\u304b\uff1f<br \/>\n\u3000\u3000\u2192\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u306a\u3063\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u306a\u3063\u3066\u3044\u306a\u3044\uff09<br \/>\n\u3000\u3000\u3000\u3069\u3046\u7570\u306a\u308b\u304b\uff1f\uff1a\u4ecb\u5165\u7fa4\u306e\u65b9\u304c\u3001\u5973\u6027\u306e\u5272\u5408\u304c\u9ad8\u3044<br \/>\n\u2461 \u89e3\u6790\u65b9\u6cd5\u306fITT(intention to treat)\u304b\uff1f<br \/>\n\u3000\u2192ITT\u304c\u3000\uff08<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\uff09<\/p>\n<p><strong>STEP3-3\u3000\u8ad6\u6587\u3067\u898b\u3044\u3060\u3055\u308c\u305f\u7d50\u679c\u306e\u8a55\u4fa1<\/strong><br \/>\nOutcome\u306b\u3064\u3044\u3066\u3001\u4ee5\u4e0b\u306e\u5024\u3092\u78ba\u8a8d\u3059\u308b<br \/>\n\u3010\u2460 \u6cbb\u7642\u52b9\u679c\u306e\u6709\u7121\uff1b P\u5024\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u3000T-score\u5909\u5316\u7387\u306f\u30c7\u30ce\u30b9\u30de\u30d6\u30671.90%\uff0895%CI 1.61-2.18%\uff09<br \/>\n\u3000\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u9178\u30671.05%\uff0895%CI 0.76-1.34%\uff09<br \/>\n\u3000\u5909\u5316\u7387\u306f0.85%\uff0895%CI\uff1a0.44-1.25%\uff09<\/p>\n<p>\u3010\u2461\u6cbb\u7642\u52b9\u679c\u306e\u5927\u304d\u3055\uff1b\u6bd4\u306e\u6307\u6a19\u3068\u5dee\u306e\u6307\u6a19\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u3000\u4e0a\u8a18\u306f\u5909\u5316\u7387\u306e\u8a08\u7b97\u3060\u3063\u305f\u306e\u3067\u3001\u7d76\u5bfe\u5024\u306b\u63db\u7b97\uff08T-score -4.0\u3068\u3057\u305f\u5834\u5408\uff09<br \/>\n\u3000\u3000\u30c7\u30ce\u30b9\u30de\u30d6\uff1a0.076\uff080.064-0.087\uff09<br \/>\n\u3000\u3000\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u9178\uff1a0.042\uff080.03-0.053\uff09<br \/>\n\u3000\u3000\u5909\u5316\u91cf\u306f0.034\uff080.02-0.05\uff09<\/p>\n<p>\u3010\u2462\u6cbb\u7642\u52b9\u679c\u306e\u3086\u3089\u304e\uff1b\u4fe1\u983c\u533a\u9593\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u300095%CI 0.44-1.25%\u3000\u3067\u3042\u308a\u3001-0.35%\u3092\u307e\u305f\u304c\u306a\u3044\u3002<\/p>\n<p><strong>STEP4\u3000\u60a3\u8005\u3078\u306e\u9069\u7528<\/strong><br \/>\n\u3010\u2460\u8ad6\u6587\u306e\u60a3\u8005\u3068\u3001\u76ee\u306e\u524d\u306e\u60a3\u8005\u304c\u3001\u7d50\u679c\u304c\u9069\u7528\u3067\u304d\u306a\u3044\u307b\u3069\u7570\u306a\u3063\u3066\u3044\u306a\u3044\u304b\uff1f\u3011<br \/>\n\u3000\u9069\u7528\u3059\u3079\u304d\u60a3\u8005\u306e\u5e74\u9f62\u3068\u9aa8\u5bc6\u5ea6\u691c\u67fb\u5024\u304c\u8ad6\u6587\u306ePatient\u3068\u306f\u9055\u3046\u3002\u307e\u305f\u3001\u5f53\u9662\u3067\u306f\u6a48\u9aa8\u9060\u4f4d\u7aef\u3067\u306eBMD\u691c\u67fb\u3067\u3042\u308b\u3002\u30ab\u30eb\u30b7\u30a6\u30e0\u3084\u30d3\u30bf\u30df\u30f3\u306e\u30b5\u30d7\u30ea\u5185\u670d\u3082\u3057\u3066\u3044\u306a\u3044\u3002BP\u85ac\u306e\u5185\u670d\u91cf\u3082\u9055\u3046\u3068\u3044\u3046\u3053\u3068\u3082\u3042\u308a\u7570\u306a\u308b\u70b9\u306f\u591a\u3044\u304c\u3001\u9069\u5fdc\u4e0d\u80fd\u3067\u306f\u306a\u3044\u3068\u5224\u65ad\u3002<br \/>\n\u3010\u2461\u6cbb\u7642\u305d\u306e\u3082\u306e\u306f\u5fe0\u5b9f\u306b\u5b9f\u884c\u53ef\u80fd\u304b\uff1f\u3011<br \/>\n\u3000\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u9178\u3088\u308a\u306f\u5b9f\u884c\u53ef\u80fd\u3068\u601d\u308f\u308c\u308b\u3002\u4fdd\u967a\u9069\u5fdc\u306e\u554f\u984c\u3082\u306a\u3044\u3002<br \/>\n\u3010\u2462\u91cd\u8981\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u30b3\u30b9\u30c8\u3084\u5bb3\u3092\u542b\u3081\u3066\u5168\u3066\u8a55\u4fa1\u3055\u308c\u305f\u304b\uff1f\u3011<br \/>\n\u3000\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u917835\u338e\u306f\u5b89\u304f\u3066314.7\u5186\u3002\u30c7\u30ce\u30b9\u30de\u30d660\u338e\u306f28482\u5186\u3002<br \/>\n\u30001\u5e74\u304c52\u9031\u3068\u3059\u308b\u3068\u3001\u30a2\u30ec\u30f3\u30c9\u30ed\u30f335\u338e\uff0816364\u5186\uff09\u300170\u338e\uff0832728\u5186\uff09\u3002<br \/>\n\u3000\u30c7\u30ce\u30b9\u30de\u30d660\u338e\u306f56964\u5186\u3002\u91d1\u984d\u7684\u306b\u306f\u304b\u306a\u308a\u5dee\u304c\u3042\u308b\u3002\u66f4\u306b\u30c7\u30ce\u30b9\u30de\u30d6\u306f\u9577\u671f\u4e88\u5f8c\u30fb\u526f\u4f5c\u7528\u304c\u660e\u3089\u304b\u3067\u306a\u3044\u3002<br \/>\n\u3000\u526f\u4f5c\u7528\u306f\u4e21\u7fa4\u9593\u306b\u5dee\u306f\u306a\u304b\u3063\u305f\u3002\u4f4e\u30ab\u30eb\u30b7\u30a6\u30e0\u8840\u75c7\u306f\u30c7\u30ce\u30b9\u30de\u30d6\u7fa4\u30671\u4f8b\u898b\u3089\u308c\u305f\u304c\u3001\u4e00\u6642\u7684\u306a\u3082\u306e\u3067\u3042\u3063\u305f\u3002\u9aa8\u6298\u306b\u3064\u3044\u3066\u306f\u526f\u4f5c\u7528\u3068\u3057\u3066\u4f55\u4f8b\u304b\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u304c\u6709\u610f\u5dee\u306f\u306a\u3057\u3002<br \/>\n\u3000FRAX\u3092\u8a08\u7b97\u3057\u3001\u5143\u3005\u306eT-score -6.22\u3067\u3001\u6700\u59270.087\u4e0a\u6607\u3057\u305f\u3068\u3059\u308b\u3068\u3001Hip fracture 44%\u219246%\u306b\u306a\u308b\u3002<br \/>\n\u3010\u2463\u60a3\u8005\u306e\u8003\u3048\u30fb\u55dc\u597d\u306f\u3069\u3046\u306a\u306e\u304b\uff1f\u3011<br \/>\n\u3000\u8a8d\u77e5\u75c7\u306e\u305f\u3081\u3001\u6b63\u78ba\u306b\u8a55\u4fa1\u306f\u96e3\u3057\u3044\u3002\u4eca\u5f8c\u306f\u65bd\u8a2d\u5165\u6240\u3082\u8003\u3048\u3066\u304a\u308a\u3001\u76ae\u4e0b\u6ce8\u5c04\u304c\u3042\u308b\u3053\u3068\u3067\u5165\u6240\u5236\u9650\u304c\u304b\u304b\u308b\u53ef\u80fd\u6027\u3082\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u901a\u9662\u304c\u53ef\u80fd\u3067\u3042\u308c\u3070\u65e9\u671d\u306b\u8d77\u304d\u3066\u98f2\u3080\u3088\u308a\u306f\u697d\u3068\u601d\u308f\u308c\u308b\u3002\u60a3\u8005\u306f\u8a8d\u77e5\u75c7\u306e\u305f\u3081\u3001\u671d\u304b\u3089\u85ac\u3092\u6301\u3063\u3066\u884c\u3063\u3066\u3044\u308b\u306e\u306f\u8fd1\u304f\u306b\u4f4f\u3080\u606f\u5b50\u3055\u3093\u3067\u3042\u308b\u3002\u65e9\u671d\u3068\u3001\u671d\u98df\u5f8c\u306e2\u56de\u306b\u5206\u3051\u3066\u85ac\u3092\u6301\u3063\u3066\u3044\u304f\u306e\u306f\u8ca0\u62c5\u306b\u306a\u3063\u3066\u304a\u308a\u3001\u5c0e\u5165\u306f\u8ca0\u62c5\u306e\u8efd\u6e1b\u306b\u3064\u306a\u304c\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n<p>\u4ed8\u8a18<br \/>\n\u2605FRAX\uff0810\u5e74\u9593\u306e\u9aa8\u6298\u767a\u751f\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066\uff09WHO<br \/>\n\u8ee2\u5012\u306b\u3088\u308b\u9854\u9762\u9aa8\u6298\u65e2\u5f80\u6b74\u3042\u308a<br \/>\n\u2605\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\u306b\u95a2\u3059\u308b\u8ad6\u6587<br \/>\nInfluence of patient perceptions and preferences for osteoporosis medication on adherence behavior in the Denosumab Adherence Preference Satisfaction study<br \/>\n\u26058\u5e74\u9593\u306e\u8ffd\u8de1\u7814\u7a76<br \/>\nThe effect of 8 or 5 years of denosumab treatment in postmenopausal women with osteoporosis: results from the FREEDOM Extension study.<br \/>\n\u2605\u975e\u52a3\u6027\u8a66\u9a13\u3068\u540c\u7b49\u6027\u8a66\u9a13\u306b\u3064\u3044\u3066<br \/>\n<a href=\"https:\/\/www.igaku-shoin.co.jp\/paperDetail.do?id=PA02971_04\">https:\/\/www.igaku-shoin.co.jp\/paperDetail.do?id=PA02971_04<\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2016\u5e742\u670810\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>STEP1\u3000\u81e8\u5e8a\u60a3\u8005\u306b\u5373\u3057\u305fPI(E)CO \u3010\u8a55\u4fa1\u3092\u884c\u3063\u305f\u65e5\u4ed8\u3011 \u30002016\u5e742\u67086\u65e5 \u3010\u81e8\u5e8a\u72b6\u6cc1\u306e\u30b5\u30de\u30ea\u30fc\u3011 \u300089\u6b73\u5973\u6027\u3002\u6b69\u884c\u306f\u554f\u984c\u306a\u3057\u3002\u9589\u7d4c\u5f8c\u3067\u3001\u9aa8\u7c97\u9b06\u75c7\u306b\u5bfe\u3057\u3066\u30d3\u30b9\u30db\u30b9\u30db\u30cd\u30fc\u30c8\u88fd\u5264\uff08BP\u85ac\uff09\u3092\u5185\u670d\u4e2d\u3002\u3057\u304b\u3057\u8a8d\u77e5\u75c7 &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=999\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u3010EBM\u306e\u5b66\u3073\u3011\u30a2\u30ec\u30f3\u30c9\u30ed\u30f3\u304b\u3089\u30c7\u30ce\u30b9\u30de\u30d6\u3078<\/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],"tags":[],"class_list":["post-999","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/999","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=999"}],"version-history":[{"count":5,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/999\/revisions"}],"predecessor-version":[{"id":1004,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/999\/revisions\/1004"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=999"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=999"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}