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\u5927\u8c46\u306b\u306f\u5973\u6027\u30db\u30eb\u30e2\u30f3\u69d8\u306e\u4f5c\u7528\u304c\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u3044\u308b\u3002\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u306e\u3088\u3046\u306a\u5973\u6027\u30db\u30eb\u30e2\u30f3\u62ee\u6297\u4f5c\u7528\u306e\u3042\u308b\u6297\u304c\u3093\u5264\u3068\u540c\u69d8\u306b\u4e73\u304c\u3093\u306b\u5bfe\u3059\u308b\u6291\u5236\u52b9\u679c\u304c\u3042\u308b\u3002\u00a0<\/p>\n
\u5b9f\u306b\u4e0d\u601d\u8b70\u306a\u98df\u54c1\u3067\u3042\u308b\u3002\u304a\u305d\u3089\u304f\u306f\u5973\u6027\u30db\u30eb\u30e2\u30f3\u306e\u8abf\u6574\u4f5c\u7528\u304c\u3042\u308a\u3001\u304c\u3093\u60a3\u8005\u3055\u3093\u306e\u514d\u75ab\u304c\u6b63\u5e38\u5316\u3059\u308b\u3088\u3046\u306b\u5973\u6027\u30db\u30eb\u30e2\u30f3\u306e\u8abf\u6574\u3092\u3059\u308b\u50cd\u304d\u304c\u3042\u308b\u306e\u3060\u308d\u3046\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n
\u5f53\u9662\u3067\u3082\u5927\u8178\u304c\u3093\u3001\u4e73\u304c\u3093\u3001\u524d\u7acb\u817a\u304c\u3093\u306e\u60a3\u8005\u3055\u3093\u306b\u306f\u7d76\u5bfe\u7684\u306b\u52e7\u3081\u3066\u3044\u308b\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306e\u4e00\u3064\u3067\u3042\u308b\u3002
\n\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a<\/p>\n
http:\/\/www.dhcblog.com\/kamohara\/<\/p>\n
\u30a2\u30e1\u30ea\u30ab\u533b\u5e2b\u4f1a\u30b8\u30e3\u30fc\u30ca\u30eb\u306b\uff0c\u4e73\u304c\u3093\u30b5\u30d0\u30a4\u30d0\u30fc\uff08\u751f\u5b58\u8005\uff09\u306e\u4e88\u5f8c\uff08\u6b7b\u4ea1\u7387\u30fb\u518d\u767a\uff09\u3068\uff0c\u5927\u8c46\u98df\u54c1\u306e\u6442\u53d6\u3068\u306e\u95a2\u9023\u3092\u8abf\u3079\u305f\u7814\u7a76\u304c\uff0c\u7c73\u56fd\u306e\u30b0\u30eb\u30fc\u30d7\uff08Vanderbilt Epidemiology Center\uff09\u304b\u3089\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002\uff08JAMA. 2009 Dec 9;302(22):2437-43.\uff09<\/p>\n
\u5927\u8c46\u306b\u306f\uff0c\u5973\u6027\u30db\u30eb\u30e2\u30f3\u69d8\u4f5c\u7528\u3092\u6709\u3059\u308b\u690d\u7269\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u30fb\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u985e\u304c\u5b58\u5728\u3057\uff0c\u4e73\u304c\u3093\u306e\u4e88\u9632\u3084\u30ea\u30b9\u30af\u4f4e\u6e1b\u306b\u304a\u3051\u308b\u81e8\u5e8a\u7684\u610f\u7fa9\u304c\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\n\u4e00\u65b9\uff0c\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u69d8\u4f5c\u7528\u306b\u95a2\u3057\u3066\uff0c\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u3068\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u985e\u306e\u6f5c\u5728\u7684\u306a\u76f8\u4e92\u4f5c\u7528\u306b\u3088\u308b\u30ea\u30b9\u30af\uff0c\u3064\u307e\u308a\uff0c\u5927\u8c46\u98df\u54c1\u3084\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u985e\u304c\u4e73\u304c\u3093\u60a3\u8005\u306b\u304a\u3044\u3066\u30ea\u30b9\u30af\u3068\u306a\u308b\u306e\u3067\u306f\uff0c\u3068\u3044\u3046\u7406\u8ad6\u4e0a\u306e\u61f8\u5ff5\u3082\u3042\u308a\u307e\u3059\u3002
\n(\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u306f\u4e73\u304c\u3093\u6cbb\u7642\u5264\/\u6297\u304c\u3093\u5264\u3067\uff0c\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306b\u62ee\u6297\u3057\u307e\u3059\u3002)<\/p>\n
\u305d\u3053\u3067\uff0c\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\uff0c\u4e73\u304c\u3093\u306e\u4e88\u5f8c\u3068\u3057\u3066\u306e\u5168\u6b7b\u4ea1\u7387\u304a\u3088\u3073\u4e73\u304c\u3093\u518d\u767a\u7387\u3068\uff0c\u5927\u8c46\u98df\u54c1\u6442\u53d6\u3068\u306e\u95a2\u9023\u304c\u691c\u8a3c\u3055\u308c\u307e\u3057\u305f\u3002
\n\u5177\u4f53\u7684\u306b\u306f\uff0c\u4e2d\u56fd\u3067\u306e\u4e73\u304c\u3093\u30b5\u30d0\u30a4\u30d0\u30fc5042\u540d\u3092\u5bfe\u8c61\u306b\uff0c\u764c\u3068\u8a3a\u65ad\u5f8c\u306e\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\uff0c\u6cbb\u7642\uff0c\u75be\u75c5\u306e\u9032\u5c55\u3068\u3044\u3063\u305f\u60c5\u5831\u304c\uff0c\u8a3a\u65ad\u5f8c\u306e6\u30f5\u6708\u306e\u6642\u70b9\u3067\u8abf\u67fb\u3055\u308c\uff0c\u3055\u3089\u306b\uff0c\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u306e3\u70b9\uff08\u8a3a\u65ad\u5f8c18\u30f5\u6708\uff0c36\u30f5\u6708\uff0c60\u30f5\u6708\uff09\u3067\u518d\u8a55\u4fa1\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\n\uff08\u88ab\u9a13\u8005\u306f20\u6b73\u304b\u308975\u6b73\u30022002\u5e743\u6708\u304b\u30892006\u5e744\u6708\u306e\u9593\u306b\u4e73\u304c\u3093\u3068\u8a3a\u65ad\u3055\u308c\uff0c2009\u5e746\u6708\u307e\u3067\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3002\uff09
\n\uff08Shanghai Breast Cancer Survival Study\u3068\u3044\u3046\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3002\uff09<\/p>\n
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\n\u5916\u79d1\u7684\u306b\u4e73\u304c\u3093\u306e\u6cbb\u7642\u3092\u53d7\u3051\u305f5033\u4f8b\u304c\u89e3\u6790\u306e\u5bfe\u8c61\u3068\u306a\u308a\uff0c444\u4f8b\u306e\u6b7b\u4ea1\u3068\uff0c534\u4f8b\u306e\u518d\u767a\u3042\u308b\u3044\u306f\u4e73\u304c\u3093\u95a2\u9023\u6b7b\u304c\u898b\u51fa\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u30b3\u30c3\u30af\u30b9\u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u56de\u5e30\u5206\u6790\u306b\u3066\u89e3\u6790\u3055\u308c\u305f\u7d50\u679c\uff0c\u5927\u8c46\u98df\u54c1\u306e\u6442\u53d6\u91cf\uff08\u5927\u8c46\u30bf\u30f3\u30d1\u30af\u8cea\u3042\u308b\u3044\u306f\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u985e\u3067\u6e2c\u5b9a\u3055\u308c\u305f\u6442\u53d6\u91cf\uff09\u306f\uff0c\u5168\u6b7b\u4ea1\u7387\u304a\u3088\u3073\u4e73\u304c\u3093\u518d\u767a\u3068\u8ca0\u306e\u76f8\u95a2\u304c\u793a\u3055\u308c\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n
\u5927\u8c46\u30bf\u30f3\u30d1\u30af\u8cea\u306e\u6442\u53d6\u91cf\u306b\u3064\u3044\u30664\u5206\u4f4d\u3067\u6700\u9ad8\u4f4d\u306e\u7fa4(=\u6700\u3082\u591a\u304f\u306e\u91cf\u3092\u6442\u53d6\u3057\u305f\u7fa4)\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f\uff0c\u6700\u4f4e\u4f4d\u306e\u7fa4(=\u6700\u3082\u5c11\u306a\u3044\u91cf\u306e\u6442\u53d6\u7fa4)\u306b\u6bd4\u3079\u3066\uff0c\u5168\u6b7b\u4ea1\u7387\u304c0.71\uff0895\uff05CI 0.54-0.92\uff09\uff0c\u518d\u767a\u30ea\u30b9\u30af\u304c0.68\uff0895% CI, 0.54-0.87\uff09\u3067\u3057\u305f\u3002<\/p>\n
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\n\u4ee5\u4e0a\u306e\u30c7\u30fc\u30bf\u304b\u3089\uff0c\u5927\u8c46\u98df\u54c1\u306e\u6442\u53d6\u306f\uff0c\u4e73\u304c\u3093\u60a3\u8005(\u5973\u6027)\u306b\u304a\u3051\u308b\u6b7b\u4ea1\u7387\u3068\u304c\u3093\u518d\u767a\u7387\u3092\u6709\u610f\u306b\u4e0b\u3052\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u307e\u3059\u3002<\/p>\n
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\n(\u30a2\u30b0\u30ea\u30b3\u30f3\u578b\u3067\u306f\u306a\u304f\u3066)\u5927\u8c46\u98df\u54c1\u306b\u5b58\u5728\u3059\u308b\u5316\u5408\u7269\u306e\u5f62\u3067\u3042\u308b\u30b0\u30ea\u30b3\u30b7\u30c9\u578b(\u914d\u7cd6\u4f53\u578b)\u306e\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u985e\u3067\u3042\u308c\u3070\uff0c\u4e73\u304c\u3093\u306e\u4e88\u9632\u3060\u3051\u3067\u306f\u306a\u304f\u3066\uff0c\u4e73\u304c\u3093\u30b5\u30d0\u30a4\u30d0\u30fc\u306e\u6b7b\u4ea1\u7387\u4f4e\u4e0b\u3084\u518d\u767a\u4e88\u9632\u306b\u3082\u88dc\u5b8c\u7684\u306b\u5229\u7528\u3067\u304d\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002
\n(\u4eca\u56de\u306e\u7814\u7a76\u30c7\u30fc\u30bf\u306f\uff0c\u5927\u8c46\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3067\u306f\u306a\u304f\u3066\u5927\u8c46\u98df\u54c1\u3067\u3042\u308a\uff0c\u5927\u8c46\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306e\u52b9\u679c\u306b\u3064\u3044\u3066\u306f\u5225\u9014\uff0c\u81e8\u5e8a\u8a66\u9a13\u306b\u3088\u308b\u691c\u8a3c\u304c\u5fc5\u8981\u3067\u3042\u308b\uff0c\u3068\u3044\u3046\u6279\u5224\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002
\n\u305f\u3060\uff0c\u4e73\u304c\u3093\u30b5\u30d0\u30a4\u30d0\u30fc\u306e\u65b9\u3067\uff0c\u3044\u3064\u306b\u306a\u308b\u304b\u308f\u304b\u3089\u306a\u3044\u81e8\u5e8a\u8a66\u9a13\u306e\u7d50\u679c\u3092\u5f85\u3063\u3066\u3044\u3089\u308c\u306a\u3044\uff0c\u3068\u3044\u3046\u5834\u5408\u306b\u306f\uff0c\u9078\u629e\u80a2\u306e\u4e00\u3064\u3068\u3057\u3066\uff0c\u30b0\u30ea\u30b3\u30b7\u30c9\u578b\u306e\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8<\/a>\u304c\u3042\u308b\uff0c\u3068\u3044\u3046\u8a71\u3067\u3059\u3002)<\/p>\n","protected":false},"excerpt":{"rendered":"