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counterfactual 統計で判断します。治療ガイドラインはエビデンスに基づいて策定されますが、エビデンスは統計的な評価が必須です。罹患した患者さんにどうすべきかは、過去の同じような患者さんのデータから統計的に判断します

2021/03/15 リンク

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<iframe marginwidth="0" marginheight="0" src="https://b.hatena.ne.jp/entry.parts?url=https%3A%2F%2Ftwitter.com%2FtswaxAatkyoSSSS%2Fstatus%2F1370493167053668354" scrolling="no" frameborder="0" height="230" width="500"><div class="hatena-bookmark-detail-info"><div class="tategaki" style="margin-top:10px;width:100%;clear:left;"><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="char"">ゆ</span><span class="char"">う</span><span class="char"">ゆ</span><span class="char"">う</span><span class="char"">︵</span><span class="char"">自</span><span class="char"">遊</span><span class="char"">人</span><span class="char"">︶</span><span class="latin" style="display:block;width:19px;height:19px;"> </span><span class="latin" 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class="char"">か</span><span class="char"">は</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="char"">結</span><span class="char"">果</span><span class="char"">論</span><span class="char"">で</span><span class="char"">し</span><span class="kogaki">ょ</span><span class="char"">う</span><span class="char"">！</span><span class="char"">診</span><span class="char"">断</span><span class="char"">結</span><span class="char"">果</span><span class="char"">が</span><span class="char"">出</span><span class="char"">た</span><span class="char"">時</span><span class="char"">点</span><span class="char"">で</span><span class="char"">は</span><span class="char"">過</span><span class="char"">剰</span><span class="char"">診</span><span class="char"">断</span><span class="char"">か</span><span class="char"">ど</span><span class="char"">う</span><span class="char"">か</span><span class="char"">判</span><span class="char"">断</span><span class="char"">す</span><span class="char"">る</span><span class="char"">事</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="char"">は</span><span class="char"">出</span><span class="char"">来</span><span class="char"">な</span><span class="char"">い</span><span class="char"">た</span><span class="char"">め</span><span class="char"">に</span><span class="char"">治</span><span class="char"">療</span><span class="char"">す</span><span class="char"">る</span><span class="char"">の</span><span class="char"">が</span><span class="char"">現</span><span class="char"">在</span><span class="char"">の</span><span class="char"">医</span><span class="char"">療</span><span class="char"">ガ</span><span class="char"">イ</span><span class="char"">ド</span><span class="char"">ラ</span><span class="char"">イ</span><span class="char"">ン</span><span class="ku-ten">。</span><span class="char"">そ</span><span class="char"">こ</span><span class="char"">で</span><span class="char"">命</span><span class="char"">が</span><span class="char"">助</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="char"">か</span><span class="char"">る</span><span class="char"">も</span><span class="char"">の</span><span class="char"">も</span><span class="char"">い</span><span class="char"">る</span><span class="ku-ten">。</span><span class="char"">罹</span><span class="char"">患</span><span class="char"">し</span><span class="char"">た</span><span class="char"">患</span><span class="char"">者</span><span class="char"">に</span><span class="char"">と</span><span class="kogaki">っ</span><span class="char"">て</span><span class="char"">は</span><span class="char"">命</span><span class="char"">に</span><span class="char"">係</span><span class="char"">わ</span><span class="char"">る</span><span class="char"">重</span><span class="char"">大</span><span class="char"">事</span><span class="char"">項</span><span class="ku-ten">。</span><span class="char"">統</span><span class="char"">計</span><span class="char"">で</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="char"">片</span><span class="char"">づ</span><span class="char"">け</span><span class="char"">ら</span><span class="char"">れ</span><span class="char"">る</span><span class="char"">問</span><span class="char"">題</span><span class="char"">で</span><span class="char"">は</span><span class="cho-on" style="width:19px;height:19px;">…</span><span class="latin" style="display:block;width:19px;height:19px;"> </span><span class="latin" style="width:19px;height:19px;">h</span><span class="latin" style="width:19px;height:19px;">t</span><span class="latin" style="width:19px;height:19px;">t</span><span class="latin" style="width:19px;height:19px;">p</span><span class="latin" style="width:19px;height:19px;">s</span><span class="latin" style="width:19px;height:19px;">:</span><span class="latin" style="width:19px;height:19px;">/</span><span class="latin" style="width:19px;height:19px;">/</span><span class="latin" style="width:19px;height:19px;">t</span><span class="latin" style="width:19px;height:19px;">.</span><span class="latin" style="width:19px;height:19px;">c</span><span class="latin" style="width:19px;height:19px;">o</span><span class="latin" style="width:19px;height:19px;">/</span><span class="latin" style="width:19px;height:19px;">Z</span><span class="latin" style="width:19px;height:19px;">w</span><span class="latin" style="width:19px;height:19px;">k</span><span class="latin" style="width:19px;height:19px;">R</span><span class="latin" style="width:19px;height:19px;">l</span><span class="latin" style="width:19px;height:19px;">Q</span><span class="latin" style="width:19px;height:19px;">R</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="latin" style="width:19px;height:19px;">6</span><span class="latin" style="width:19px;height:19px;">K</span><span class="latin" style="width:19px;height:19px;">f</span><span class="latin" style="width:19px;height:19px;">"</span></a><a href="https://akarinohon.com/text/taketori.cgi/https://b.hatena.ne.jp/entry/s/twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="char"">は</span><span class="char"">て</span><span class="char"">な</span><span class="char"">ブ</span><span class="kogaki">ッ</span><span class="char"">ク</span><span class="char"">マ</span><span class="cho-on" style="width:19px;height:19px;">ー</span><span class="char"">ク</span><span class="latin" style="display:block;width:19px;height:19px;"> </span><span class="latin" style="width:19px;height:19px;">-</span><span class="latin" style="display:block;width:19px;height:19px;"> </span><span class="char"">ゆ</span><span class="char"">う</span><span class="char"">ゆ</span><span class="char"">う</span><span class="char"">︵</span><span class="char"">自</span><span class="char"">遊</span><span class="char"">人</span><span class="char"">︶</span><span class="latin" style="display:block;width:19px;height:19px;"> </span><span class="latin" style="width:19px;height:19px;">o</span><span class="latin" style="width:19px;height:19px;">n</span><span class="latin" style="display:block;width:19px;height:19px;"> </span><span class="latin" style="width:19px;height:19px;">T</span><span class="latin" style="width:19px;height:19px;">w</span><span class="latin" style="width:19px;height:19px;">i</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://b.hatena.ne.jp/entry/s/twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="latin" style="width:19px;height:19px;">t</span><span class="latin" style="width:19px;height:19px;">t</span><span class="latin" style="width:19px;height:19px;">e</span><span class="latin" style="width:19px;height:19px;">r</span><span class="latin" style="width:19px;height:19px;">:</span><span class="latin" style="display:block;width:19px;height:19px;"> </span><span class="latin" style="width:19px;height:19px;">"</span><span class="char"">過</span><span class="char"">剰</span><span class="char"">診</span><span class="char"">断</span><span class="char"">か</span><span class="char"">ど</span><span class="char"">う</span><span class="char"">か</span><span class="char"">は</span><span class="char"">結</span><span 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class="char"">ど</span><span class="char"">う</span><span class="char"">か</span><span class="char"">判</span><span class="char"">断</span><span class="char"">す</span><span class="char"">る</span><span class="char"">事</span><span class="char"">は</span><span class="char"">出</span><span class="char"">来</span><span class="char"">な</span><span class="char"">い</span><span class="char"">た</span><span class="char"">め</span><span class="char"">に</span><span class="char"">治</span><span class="char"">療</span><span class="char"">す</span><span class="char"">る</span><span class="char"">の</span><span class="char"">が</span><span class="char"">現</span><span class="char"">在</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://b.hatena.ne.jp/entry/s/twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="char"">の</span><span class="char"">医</span><span class="char"">療</span><span class="char"">ガ</span><span class="char"">イ</span><span class="char"">ド</span><span class="char"">ラ</span><span class="char"">イ</span><span class="char"">ン</span><span class="ku-ten">。</span><span class="char"">そ</span><span class="char"">こ</span><span class="char"">で</span><span class="char"">命</span><span class="char"">が</span><span class="char"">助</span><span class="char"">か</span><span class="char"">る</span><span class="char"">も</span><span class="char"">の</span><span class="char"">も</span><span class="char"">い</span><span class="char"">る</span><span class="ku-ten">。</span><span class="char"">罹</span><span class="char"">患</span><span class="char"">し</span><span class="char"">た</span><span class="char"">患</span><span class="char"">者</span><span class="char"">に</span><span class="char"">と</span><span class="kogaki">っ</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://b.hatena.ne.jp/entry/s/twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="char"">て</span><span class="char"">は</span><span class="char"">命</span><span class="char"">に</span><span class="char"">係</span><span class="char"">わ</span><span class="char"">る</span><span class="char"">重</span><span class="char"">大</span><span class="char"">事</span><span class="char"">項</span><span class="ku-ten">。</span><span class="char"">統</span><span class="char"">計</span><span class="char"">で</span><span class="char"">片</span><span class="char"">づ</span><span class="char"">け</span><span class="char"">ら</span><span class="char"">れ</span><span class="char"">る</span><span class="char"">問</span><span class="char"">題</span><span class="char"">で</span><span class="char"">は</span><span class="cho-on" style="width:19px;height:19px;">…</span><span class="latin" style="display:block;width:19px;height:19px;"> </span><span class="latin" style="width:19px;height:19px;">h</span><span class="latin" style="width:19px;height:19px;">t</span><span class="latin" style="width:19px;height:19px;">t</span><span class="latin" style="width:19px;height:19px;">p</span><span class="latin" style="width:19px;height:19px;">s</span></a></span><span class="tktr-gyo" style="height:640px;margin:0 0 180px 22px;font-size:19px;_width:19px;/width:19px;"><a href="https://akarinohon.com/text/taketori.cgi/https://b.hatena.ne.jp/entry/s/twitter.com/tswaxAatkyoSSSS/status/1370493167053668354" style="padding:0;text-decoration:none;display:block;border-top:none;border-bottom:none;margin:0;"><span class="latin" style="width:19px;height:19px;">:</span><span class="latin" 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ゆうゆう︵自遊人︶ on Twitter: "過剰診断かどうかは結果論でしょう！診断結果が出た時点では過剰診断かどうか判断する事は出来ないために治療するのが現在の医療ガイドライン。そこで命が助かるものもいる。罹患した患者にとっては命に係わる重大事項。統計で片づけられる問題では… https://t.co/ZwkRlQR6Kf"

過剰診断かどうかは結果論でしょう！診断結果が出た時点では過剰診断かどうか判断する事は出来ないため... 過剰診断かどうかは結果論でしょう！診断結果が出た時点では過剰診断かどうか判断する事は出来ないために治療するのが現在の医療ガイドライン。そこで命が助かるものもいる。罹患した患者にとっては命に係わる重大事項。統計で片づけられる問題では… https://t.co/ZwkRlQR6Kf