{"id":633,"date":"2013-11-26T14:00:00","date_gmt":"2013-11-26T05:00:00","guid":{"rendered":""},"modified":"2021-10-26T14:56:47","modified_gmt":"2021-10-26T05:56:47","slug":"journal-club","status":"publish","type":"post","link":"https:\/\/irrme.co.jp\/blog\/2013\/11\/26\/journal-club\/","title":{"rendered":"Long-Term Mortality after Screening for Colorectal Cancer"},"content":{"rendered":"<p>\u52c9\u5f37\u306e\u8a71\u3082\u3002\u4eca\u6708\u5f53\u9662\u3067\u7814\u4fee\u3057\u3066\u3044\u308b\u521d\u671f\u7814\u4fee\u533b2\u540d\u3068\u5f53\u9662\u306e\u5f8c\u671f\u7814\u4fee\u306a\u3069\u3067\u3001\u53ef\u80fd\u306a\u9650\u308a1\u9031\u9593\u306b1\u672coriginal \u306e\u8ad6\u6587\u3092\u8aad\u3080\u3088\u3046\u306b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<div>\n\u5148\u9031\u306e\u3082\u306e\u306f\u3001\u307e\u305f\u307e\u305fNEJM\u3088\u308a\u3002<\/div>\n<div>\n<\/p>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<span style=\"color: #595959; font-family: OTNEJMScalaSansLF; font-weight: 700;\">N Engl J Med 2013;369:1106-14.<br \/>\n<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<span style=\"font-family: 'OTNEJMQuadraat'; font-size: 18.000000pt;\">Long-Term Mortality after Screening<br \/>\nfor Colorectal Cancer&nbsp;<\/span><br \/>\n<span style=\"font-family: 'OTNEJMQuadraat'; font-size: 18.000000pt;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u5927\u8178\u764c\u691c\u8a3a\u3067\u672c\u5f53\u306b\u6b7b\u4ea1\u7387\u304c\u4e0b\u304c\u308b\u306e\u304b\uff1f<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u305d\u3093\u306a\u8ad6\u6587\u3067\u3059\u3002<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u30a2\u30e1\u30ea\u30ab\u3001\u30df\u30cd\u30bd\u30bf\u5dde\u3067\u884c\u308f\u308c\u305f\u3002<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">P:50~80\u6b73\u307e\u3067\u306e\u5065\u5eb7\u6210\u4eba\u3092\u5bfe\u8c61\u306b<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">E:\u6bce\u5e74\u5927\u8178\u764c\u691c\u8a3a\u3092\u53d7\u3051\u308b\u4eba\u3068<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">C:2\u5e74\u306b\u4e00\u5ea6\u306e\u4eba\u3068\u3001\u5168\u304f\u53d7\u3051\u306a\u3044\u4eba\u3092\u6bd4\u8f03\u3057\u3066<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">O:\u5927\u8178\u764c\u3067\u306e\u6b7b\u4ea1\u7387\u306b\u5dee\u304c\u3042\u308b\u304b<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">primary outcome\u3092\u300c\u5927\u8178\u764c\u3067\u306e\u6b7b\u4ea1\u7387\u300d<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">secondary outcome\u3092\u300c\u7279\u306b\u3001\u6027\u5225\u3084\u5e74\u9f62\u306b\u7279\u5fb4\u304c\u3042\u308b\u304b\u300d<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u3068\u3057\u3066\u3044\u308b\u3068\u3053\u308d\u304c\u306a\u304b\u306a\u304b\u306e\u30df\u30bd\u3067\u3059\u3002<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u6b7b\u4ea1\u3057\u305f\u5834\u5408\u306e\u300c\u75c5\u540d\u300d\u3092<\/span><span style=\"font-family: OTNEJMQuadraat;\">National Death Index (NDI; with the use of the NDI<br \/>\nPlus service)\u304b\u3089\u3001\u898b\u3064\u3051\u3066\u3044\u308b\u304c\u3001\u3057\u3063\u304b\u308a\u3068\u6700\u5f8c\u307e\u3067\u60a3\u8005\u3092\u8ffd\u8de1\u3057\u3066\u3044\u308b\u3002<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u5bfe\u8c61\u8005\u6570\u3082\u305d\u308c\u305e\u308c\u306e\u7fa4\u3092\u7d0415000\u4eba\u3068\u3057\u3066\u304a\u308a\u3001\u306a\u304b\u306a\u304b\u306epower\u304c\u3042\u308a\u307e\u3059\u3002<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u8a3a\u65ad\u57fa\u6e96\u306b\u3064\u3044\u3066\u306f\u8a18\u8f09\u304c\u306a\u304b\u3063\u305f\u3067\u3059\u304c\u3001\u5927\u8178\u5185\u8996\u93e1\u3067polyp\u306f\u5168\u90e8\u53d6\u308b\u305d\u3046\u3067\u3059\u3002(\u6050\u308b\u3079\u3057\u3001\u30df\u30cd\u30bd\u30bf\u5927\u5b66\u75c5\u9662)<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u51fa\u305f\u7d50\u679c\u3067\u3001\u9762\u767d\u3044\u306e\u306f\u3001<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u300c\u5927\u8178\u764c\u3067\u306e\u6b7b\u4ea1\u7387\u306f\u3084\u306f\u308a\u6bce\u5e74\u5065\u8a3a\u3092\u3059\u308c\u3070\u3059\u308b\u307b\u3069\u3001\u4e0b\u304c\u308b\u304c\u3001\u3069\u306e\u5e74\u4ee3\u306b\u304a\u3044\u3066\u3082\u69d8\u3005\u306a\u7406\u7531\u3067\u4ea1\u304f\u306a\u308b\u6b7b\u4ea1\u7387\u81ea\u4f53\u306f\u5909\u308f\u3089\u306a\u3044\u300d\u2192\u5927\u8178\u764c\u3067\u6b7b\u306a\u306a\u304f\u3066\u3082\u3001\u4ed6\u306e\u75c5\u6c17\u3067\u6b7b\u3093\u3067\u3057\u307e\u3046?!<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u300c60~69\u6b73\u306e\u7537\u6027\u3067\u306f\u3001\u7279\u306b\u5927\u8178\u764c\u3067\u306e\u6b7b\u4ea1\u7387\u306b\u6709\u610f\u306b\u5dee\u304c\u3042\u308b\u300d<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u3053\u306e2\u70b9\u3067\u3057\u305f\u3002<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u81ea\u4f53\u306f\u8a3a\u65ad\u6839\u62e0\u306b\u3064\u3044\u3066\u306f\u660e\u78ba\u306a\u8a18\u8f09\u306f\u306a\u304b\u3063\u305f\u3067\u3059\u304c\u3001\u305d\u308c\u307b\u3069\u554f\u984c\u306f\u306a\u304f\u3001\u30d0\u30a4\u30a2\u30b9\u306f\u304b\u304b\u308a\u306b\u304f\u305d\u3046\u3067\u3059\u3002<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u3055\u3066\u3001\u3053\u306e\u7d50\u679c\u3092\u5916\u7684\u59a5\u5f53\u6027\u306f\uff1f<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u3068\u554f\u308f\u308c\u308b\u3068\u3001<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u300c\u65e5\u672c\u4eba\u3067\u306f\u306a\u3044\u304c\u3001\u9000\u8077\u3057\u305f\u3070\u304b\u308a\u306e\u4eba(60\u4ee3)\u306f\u3001\u3084\u3063\u3071\u308a\u7a4d\u6975\u7684\u306b\u5065\u8a3a\u3092\u52e7\u3081\u305f\u65b9\u304c\u3044\u3044\u304b\u3002\u7279\u306b\u7537\u6027\u3002second life\u3092\u697d\u3057\u3080\u305f\u3081\u306b\u3082\u3002\u3000\u3067\u3082\u3001\u3042\u307e\u308a\u306b\u3082\u9ad8\u9f62\u3068\u306a\u308b\u3068\u3001\u305d\u308c\u4ee5\u5916\u306e\u75c5\u6c17\u3067\u4ea1\u304f\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u3088\u3063\u307d\u3069\u5143\u6c17\u306a\u4eba\u306f\u3084\u3063\u3066\u3082\u3044\u3044\u304c\u3001\u3042\u307e\u308a\u7a4d\u6975\u7684\u306b\u52e7\u3081\u306a\u304f\u3066\u3082\u3044\u3044\u306e\u304b\u306a\u3002<\/span><span style=\"font-family: OTNEJMQuadraat;\">\u300d<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u305d\u3093\u306a\u98a8\u306b\u8003\u3048\u3066\u307f\u307e\u3057\u305f\u3002<\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\">\u7686\u3055\u3093\u306f\u3069\u3046\u8003\u3048\u307e\u3059\u304b\u3002\u3053\u306e\u65e5\u672c\u306e\u9ad8\u9f62\u5316\u793e\u4f1a\u3001\u533b\u7642\u30b3\u30b9\u30c8\u3001\u4e88\u9632\u533b\u5b66(\u516c\u8846\u885b\u751f\u5b66)\u306e\u96e3\u3057\u3055\u3002<\/span><\/p>\n<div class=\"page\" title=\"Page 2\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<\/div>\n<\/div>\n<\/div>\n<p><span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><br \/>\n<span style=\"font-family: OTNEJMQuadraat;\"><br \/><\/span><\/p><\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u52c9\u5f37\u306e\u8a71\u3082\u3002\u4eca\u6708\u5f53\u9662\u3067\u7814\u4fee\u3057\u3066\u3044\u308b\u521d\u671f\u7814\u4fee\u533b2\u540d\u3068\u5f53\u9662\u306e\u5f8c\u671f\u7814\u4fee\u306a\u3069\u3067\u3001\u53ef\u80fd\u306a\u9650\u308a1\u9031\u9593\u306b1\u672coriginal &hellip; <\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[18],"class_list":["post-633","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-journal-club"],"_links":{"self":[{"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/posts\/633","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/comments?post=633"}],"version-history":[{"count":0,"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/posts\/633\/revisions"}],"wp:attachment":[{"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/media?parent=633"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/categories?post=633"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/irrme.co.jp\/blog\/wp-json\/wp\/v2\/tags?post=633"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}