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ESAICガイドラインの方法論シリーズ：ガイドライン作成における標準

Ignacio Neumann¹, Arash Afshari, Roberta Sudy

¹From the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada (IN), Escuela de Medicina, Universidad San Sebastián Santiago, Chile (IN), The Department of Paediatric and Obstetric Anaesthesiology, Juliane Marie Centre, Rigshospitalet & Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark (AA), Division of Anaesthesiology, Department of acute care medicine, Geneva University Hospitals (RS), Department of anaesthesiology, pharmacology, intensive care and emergency medicine, Faculty of Medicine, University of Geneva, Switzerland (RS), The Department of Anaesthesiology, UZ Leuven, Leuven, Belgium (MVdV), The European Society of Anesthesiology and Intensive Care (ESAIC) (SD, PH), The University Hospital Würzburg, Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, Würzburg, Germany (PK), The Department of Anesthesiology, Intensive Care and Pain, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (IM), The Division of Anaesthesiology, Intensive Care and Emergency Medicine, Department of Anaesthesiology, University Medical Center Utrecht, Utrecht, The Netherlands (WB), The Department of Anaesthesia and Intensive Care University General Hospital of Valencia, European University of Valencia, Valencia, Spain (CSR).

European journal of anaesthesiology

|December 24, 2025

まとめ

欧州麻酔集中治療学会（ESAIC）は、GRADEアプローチを採用することにより、臨床ガイドライン開発を強化しています。これにより、患者ケアを改善するための厳密でエビデンスに基づいた推奨が保証されます。

科学分野:

麻酔学および集中治療医学
臨床ガイドライン開発
エビデンスに基づいた医療

背景:

臨床ガイドライン開発は、厳密性、透明性、ステークホルダーの関与への関心の高まりとともに進化してきました。
欧州麻酔集中治療学会（ESAIC）は、ガイドライン開発プロセスを移行中です。
この研究は、質の高いガイドライン作成に対するESAICのアプローチを詳述するシリーズの最初のものである。

研究の目的:

ESAICにおける質の高い臨床ガイドライン開発を導く主要原則を概説すること。
ESAICの推奨評価開発評価（GRADE）アプローチへの移行を詳細に説明すること。
ガイドライン作成における役割とプロセスの概要を提供すること。

主な方法:

2025年からGRADEアプローチを採用します。
中心的な方法論的原則の実施：系統的レビュー、多分野開発、利益相反管理。
エビデンスと推奨事項間の透明性を確保し、具体的かつ実行可能なアウトプットを提供します。

主要な成果:

ESAICはガイドラインの質と適用性を向上させるためにGRADEアプローチを採用します。
主な原則は、系統的レビュー、多分野からの意見、利益相反の管理を含みます。
推奨事項はエビデンスと明確に結び付けられ、具体的かつ実行可能なものになります。

結論:

ESAICは、厳密でエビデンスに基づいたガイドライン開発の基盤を確立しています。
GRADEの採用は、臨床ガイドラインの質と適用性の向上へのコミットメントを示しています。
概説された原則は、臨床実践における情報に基づいた意思決定をサポートします。

キーワード:

ガイドライン作成 GRADEアプローチエビデンスに基づいた医療臨床的意思決定 ESAIC

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