みなさんこんにちは！
先日、医師にとって学会の存在を解説しました。
そのなかで、私は学会へ参加するだけではなく、発表をすることの重要性を唱えさせていただきました。
では、どうやったら学会発表に「通る（＝採択される）」のでしょうか？
そのカギは抄録の工夫にありました。
今回は、苦手とする人も多いこの「抄録作成」についてお話しします。
「抄録（しょうろく）」って何？
今後3カ月後にある○○学会の地方会、演題出すから、抄録作って見せてな。
でも、いったいどんな発表を出せば・・・？
それをまとめて、症例報告にしておて。
学会発表は、こんなやり取りで突然降ってきます。
その後2-3日は当時のカルテを引っ張り出して、夜な夜な症例のまとめをしていきます。
集計を命じられた場合にはデータベースと睨めっこして、必要なデータを抽出していきます。
そこで最初に作成するのが今回の主役、抄録（しょうろく）というものになります。
「抄録」とは、その発表の要約である
まずは抄録と呼ばれる要約を提出し、それが審査員に認められれば晴れて学会発表という事になります。
学会の規模にもよりますが、
抄録を提出（つまり応募）すればほぼ100%採択される学会もあれば、
国際学会なのでは採択率30%台という極めて競争率の高い学会もあります。
たかが抄録、されど抄録で、低い採択率の演題では抄録勝負という事になります。
逆に採択されてしまえば、結果的に中身がどんなにつまらない内容でも、発表したもん勝ちという事になります。（極論ですが）
魅力的な抄録とは？
採択されやすい抄録を書くにあたって意識すべきは、
ダメな例：目の前にあるデータをただただ何の目的もなく羅列して集計する
良い例 ：審査員にとって意味のあるものと思ってもらえるまとめ方をする
これに尽きます。
審査をする側にとって、目の前にあるデータを書かれるだけのものは、言ってみれば
「今日は、お父さんと、お母さんと遊園地に行きました。楽しかったです。また行きたいです」みたいな小学校低学年の夏休みの作文みたいに映ってしまう事でしょう。
論文や学会発表も同じです。
「こんな症例いましたよ～」
とか
「数字を集めてみたらこんな結果になりましたよ～」
とか、他人から見たら全然興味ないです。
○○を疑問に思い、このような方法で調査したところ、その結果が裏付けられた。
何故そのようなことになったかというと、○○が考えられる
では次に浮かぶ質問は○○であり、それには○○の調査をすればいいのではないか
乞うご期待！
という話の流れが必要です。
ここで大事なのは、あくまで、抄録はこういう書き方をしてくださいという事です。
理想は、情報を収集する段階から上のような流れにできれば最高ですが、通常突発的にやってくる発表の抄録作りに計画性というものは無縁です。
いいですか、もう一度言います。
理想は、ちゃんとプライマリーエンドポイントを決めて行うstudyです。
ここでは、もし仮に
プライマリーエンドポイントとか組んでない状況（間に合わない状況）で発表を作らないといけないときに、目の前の場当たり的なデータを、いかに計画性をもった研究のような顔をしてプレゼンテーションの提出をできるか、ということを論じることとします。
大半はこのシチュエーションですからね、この能力必須ですよ。
この世界を生き抜いていくためには。
特に、最近は症例報告の一例報告では残念ながら提出できない時代ですからね。
抄録作成の本当の実力が試されるとき
自分が下っ端の医師であったときはよかったです。
必ず指導医が添削してくれますから。
先日、他の職種の抄録の作成を頼まれた時に、まさにその小学生レベルの抄録だったんです。
「とりあえず出して」と言われて、「とりあえず書きました」みたいな。
絶句でした。でも我慢、違う職種ですから。
そこで感じました。
自分も指導医にそう思われていたんだって。
抄録の質は指導医で決まる
そんなこんなで、殆ど元の文字が残らない新しい抄録ができたのは、私が真剣に取り組み始めて7日経ったところでした。
コメディカルのスタッフの抄録です、やっぱり通してあげたいじゃないですか。
それも、ポスターではなく主題（何百人の前で大きな画面のスライドショーでプレゼンする）の演題として。
どうやったら採択されるのか、真剣に考えたときに、それを言語化したのがこのノウハウです。
これ、結構実践的ですので是非、これから抄録作る研修医も、添削する指導医も、ご一読ください。
実践 抄録作成セミナー
まずはお手元に「とりあえず集計したデータ、統計」をご用意ください。
基本的には起承転結は、①背景・目的 ②方法 ③結果 ④結論ですよね。
ここで、最初に決められることがあります。
それは、④の結論です。
通常、ターゲットにするセッションには、司会者・座長がどんな演題を募集しているのかをきちんと読み込みましょう。大抵「こんな演題を募集します！」って書いてあります。
そして、徹底的に迎合しましょう。
そのスジにあう結語を用意するのです。
勿論、本心で思える結語にしないとだめですよ、納得して決めてくださいね。
① 司会者の意図を汲み、それに迎合する結語を決定する。
さて次は「結果」のところです。
結果のところでは、自身のもっている意見のうち、結語を支持するデータを抽出します。
大事なことは、
- 捏造、改ざん＝データを書き換える、ないことをあると言う
- 窃取＝他人の記録からパクる
これだけはやってはいけません
科学者として、最低限のマナーは守ってください。
あくまでも、自分がもっているデータが、それを支持しているのかという視点が必要です。
でも一個だけオマケをお教えします。
p<0.05なら優位差あり、それ以外は有意差なしと教わっていると思いますが、
p0.05-0.10ならば、「～～の傾向がある / ～ tend to ～」と書いていいと思います。
これはそれぞれの意見があると思いますが、私はきちんとp値か信頼区間を明示してこの言葉を使わせていただいています。
結果の項目で大事なのは、数字をできるだけ織り込むことです。
具体性は大事です。「それっぽい文字面だけの結果」では、その研究に対する新規性・希少性が落ちてしまいますからね。
背景の解析もきちんと入れられますよね。年齢、性別、基礎疾患・・・など。
② 「結果」ではできるだけ具体的な数字を入れる。
結語に対応するデータをきちんと示す。（～の傾向がある という言葉も有効）
さぁ、こうなるとあとは一息。
次に「方法」です。
方法はグダグダ書くのもいいんですが、自分が推奨するのは、対象者と調査期間、サンプリング（抽出方法）について書くことです。
「対象者は〇年〇月～〇月までの〇か月の間に〇〇の治療をうけた患者で、症例は〇〇法（連続抽出法など）で抽出した。 この患者を対象に、〇〇研究（コホート研究、観察研究など）を行った」
という型にハメてしまうのがいいでしょう。
読む側も、方法くらいは「サクサク」読める方がいいですからね。
③ 「方法」の項では型にはめた対象者、調査期間、抽出方法の記載を心がける
ハイ、あとは「背景」ですね。
もう、ここはほとんど埋めるだけですね。
「東京ディズ〇ーランドの〇に入るのはどれか？」級の簡単な話ですよ。
ここも、型にはめるのがいいでしょう。
④ 最後に「背景・目的」
- 1文目･･･序文（これまでの報告で分かっていること・2文目との対比になるように）
- 2文目･･･わかっていないことの確認
- 3文目･･･そのことを今回しました、その報告ですという趣旨の記載
1文目ですが、「〇〇病は〇〇で、〇〇に特徴のある疾患である」という言い方もOKですし、よりオススメなのは、「〇〇については、△△まではわかっている。」という言い方です。ついでにその後ろに（）をつけて論文や出展を入れるとプロっぽいです。
「〇〇についてはこれまで報告がある。（J.Gastroenterology 2019）」みたいな。
2文目に呼応するような内容だと、対比構造で分かりやすくなります。。。
最後の3文目は今回やってみました！（Youtuber風）という置き言葉。
そう考えると、ようは2文目だけ考えればいいということです。
さて、そこに最後のミソです。
いったん出来上がった抄録をもう一回見てください。
そこにアナタ自身や、アナタの施設のオリジナリティーはありますか？
他の施設にはないウリ（「〇〇部門が〇〇の治療にかかわる」、「こんな特徴がある」とか）が入っていますか？
実はそこが大事で、「アナタ（もしくはこの施設）だからできたstudy」であることは、採択に大変重要だと思います。
料理でいえば味付けです。
それを追加してみてください。
型もいい、起承転結もいい、独創性もある、すなわち三拍子そろった発表になるでしょう
⑤ 最後に
その施設もしくはアナタ自身の独自性が盛り込まれているかを確認する！
それこそ抄録の最大のウリ
最後に
学会発表の最初の関門である抄録作成について、私見を述べさせていただきました。
抄録は後々記録に載りますから、悔いのないものを作りたいですよね。
目指せ、アナタも抄録マスター！！
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