是非知っていてほしい適切な医療の考え方~EBMとは~

歯科に限った話ではなく医療全体に言えるお話しです。民間療法について。

私事ですが、父が数年前に癌で他界しております。その際に私の母がどこから聞いてきた知識かわかりませんが様々な民間療法の話信じて治療を東京に受けに行ったりしておりました。

私は同居しているわけではかったので、しっかりとした医師の元で適切な治療を受けていると思っていたので暫くこの事に気付かなかったのですが、ある日母がこんなことを言い出しました。

放射線治療は受けても身体に悪いだけで受けるとみじめな姿になって殺されてしまうと。

お医者さんの言う通りにしたら治るものも治らなくなると。

そして水素風呂に入って癌が治った人が沢山いるから水素風呂を買うんだと。

皆さんもこのようなお話ってここまでではなくても聞いた事があるんじゃないでしょうか?私の専門とする歯科の分野でよくあるのは、どう考えても他の歯やその他様々な事に悪い影響を与えて抜いた方が良い歯があるにも関わらず、それを放置して抜かないでいる先生の方が良い治療を提供していると勘違いしている患者さんが少なからずいらっしゃいます。前の先生は抜かなければいけないなんて言っていなかったと。

何をお伝えしたいかといいますと、皆さんが思う良い治療とは何を根拠に良いとしているかという事を少し考えて頂きたいと言う事です。

私達のような医療に携わる人間は、しっかりとした先生であればエビデンスといわれる裏付けに基づいて治療を行っております。何万人という人の過去の統計学的データーを研究する研究者がおり、そのデーターを日々の勉強で蓄えて患者さんに提供するのが基本です。



民間療法を信じるということは、世界中の素晴らしい研究者が自分のプライド、人生をかけて出した治療法を無視して、何を根拠としているかわからない治療を信じている事になります。あそこの偉い教授が言っていた等の話を私の母もしていたりしましたが、どんなに偉い先生であろうが、統計学的にみて治る可能性の高い治療を行っているのは民間療法ではなく、しっかりとしたエビデンスに基づいた治療となります。魔法のようなその先生しか言っていないような治療はそう簡単に存在しないのです。

冷静に考えて水素風呂で癌が完治するのであればどこの病院でも治療の一つの選択肢として採用されていると思いませんか?サプリメントで癌は治るのでしょうか?その程度の事で癌が治るのであればとっくに昔から研究され、標準医療として取り入れられているはずなのです。





現在の医療は優秀な医師の膨大な実験や臨床データから成り立っています。選択肢はあくまで患者さん自身にあるわけですが、お医者さんの言っている話をよく聞き、一般的に行われていない治療を選択する際は本当にエビデンスに基づく治療かどうかセカンドオピニオンをしても良いかもしれません。

世の中には歯科医師免許を持っている先生、大学の教授ですら根拠のない治療法を提唱する方がいます。

しかし、私達医療の世界では個人の成功体験や経験は何の価値もなく、何万人という被験者から得られる統計学的データの方が圧倒的に重要視されるのです。これがEBMと呼ばれます(根拠に基づいた医療)

これを読んで頂いた皆さんには、偉大な医療人達が積み上げてきた統計学的根拠のある治療を信じてほしいと思いここに書かせて頂きました。

これが皆さんが歯科医院を選択する上で参考にはならない可能性が高いのは重々承知ですが、長い人生で皆さまが治療を選択しなければならない時に参考にして頂ければと思います。

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