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4 Complementary and Alternative Medicine (National Center for Complementary and Alternative Medicine; NCCAM) Complementary and alternative medicine is a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine. (

5 NCCAM CAMNCCAM (Natural Products) (Mind and Body Medicine) (Manipulative and Body-Based Practices) (Other CAM practice) CAM

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13 Society for Integrative Oncology

14 Journal of Clinical Oncology

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21 Evidence-Based Medicine;EBM best research evidence patients preferences and actions clinical expertiseclinical state and circumstances EBM Evidence dose not make decision, people do. EBM EBM Haynes RB, et al. Physicians' and patients' choices in evidence based practice. BMJ. 324:1350, 2002.

22 Society for Integrative Oncology QOL QOL

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25 PubMed PubMed

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43 Hyodo I, Amano N, Eguchi K et al: Nationwide survey on complementary and alternative medicine in cancer patients in Japan. Journal of Clinical Oncology 23: , Hirai K, Komura K, Tokoro A, et al: Psychological and behavioral mechanisms influencing the use of complementary and alternative medicine (CAM) in cancer patients. Annals of Oncology 19:49-55, Deng GE, et al:: Evidence-Based Clinical Practice Guidelines for Integrative Oncology: Complementary Therapies and Botanicals. Journal of the Society for Integrative Oncology 7: , Food, Nutrition,Physical Activity,and the Prevention of Cancer:a Global Perspective. (World Cancer Research Fund), The American Institute for Cancer Research, OCCAM Society for Integrative Oncology

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CNJ (配布資料).ppt

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Ⅰ 章序論 りよい患者ケアのための意思決定を行うものである とされている ( 図 1) 3) 誤解されがちであるが, EBM を実践すること は, 科学的根拠を患者に当てはめる( 押しつける ) こと ではない 図 1に示すとおり, 意思決定においては, 科学的根拠のほかにも考慮すべき要因がある ま 1 2 クリニカル エビデンス 作成経過 2 1 米国医学研究所 (Institute of Medicine) によると, 診療ガイドラインとは, 患者ケアの最適化を目的とする推奨を含む文書である 診療ガイドラインはエビデンスの系統的レビューと, 複数の治療選択肢の益と害の評価によって作成される ( 原文 :Clinical practice guidelines are statements that

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