{"id":71750,"date":"2023-06-16T18:10:26","date_gmt":"2023-06-16T15:10:26","guid":{"rendered":"https:\/\/infois.ro\/?p=71750"},"modified":"2023-06-19T09:13:02","modified_gmt":"2023-06-19T06:13:02","slug":"planul-national-de-combatere-si-control-al-cancerului-dezbatut-saptamana-viitoare-la-iasi","status":"publish","type":"post","link":"http:\/\/infois.ro\/?p=71750","title":{"rendered":"Planul Na\u0163ional de Combatere \u015fi Control al Cancerului, dezb\u0103tut s\u0103pt\u0103m\u00e2na viitoare la Ia\u015fi"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-71751 alignleft\" src=\"http:\/\/infois.ro\/wp-content\/uploads\/2023\/06\/plan-combatere-cancer-390x177.jpg\" alt=\"\" width=\"390\" height=\"177\" srcset=\"http:\/\/infois.ro\/wp-content\/uploads\/2023\/06\/plan-combatere-cancer-390x177.jpg 390w, http:\/\/infois.ro\/wp-content\/uploads\/2023\/06\/plan-combatere-cancer.jpg 640w\" sizes=\"(max-width: 390px) 100vw, 390px\" \/><\/p>\n<p style=\"text-align: justify;\">\u00cen perioada 23-24 iunie, Ia\u015ful va g\u0103zdui cea de-a VI-a edi\u0163ie a Conferin\u021bei Na\u021bionale a Asocia\u021biei Melanom Rom\u00e2nia,\u00a0Inova\u021bia \u00een Melanom 2023- \u00cempreun\u0103 putem salva vie\u021bi. Evenimentul, programat la Hotel Traian, este axat pe\u00a0 solu\u021bii inovatoare de \u00eengrijire a pacien\u021bilor cu melanom \u0219i colaborare \u00een proiecte care combin\u0103 cercetarea \u0219i implementarea \u00een practic\u0103. O aten\u021bie sporit\u0103 va fi acordat\u0103 Planului Na\u021bional de Combatere \u0219i Control al Cancerului &#8211; PNCC, criteriilor de calitate \u00een \u00eengrijirea pacien\u021bilor oncologici \u0219i nout\u0103\u021bilor din\u00a0 cercetarea melanomului.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u201ePentru actualizarea\u00a0 PNCC am invitat pe Dl. Ministru, Prof. Dr. Alexandru Rafila s\u0103 se adreseze \u00een mod direct pacien\u021bilor, familiilor \u0219i sus\u021bin\u0103torilor no\u0219tri.\u201d\u00a0a anun\u021bat pre\u0219edinta Asocia\u021biei Melanom Rom\u00e2nia, Violeta Astratinei.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">Referitor la PNCC, Violeta Astratinei a afirmat c\u0103\u00a0\u201eAsocia\u021bia Melanom Rom\u00e2nia a trimis \u00a0la Minister <a href=\"https:\/\/www.melanomromania.org\/single-post\/primul-plan-de-cancer-din-rom%C3%A2nia-care-este-de-fapt-al-doilea-si-nu-este-ce-a%C8%99teptam\">propuneri de \u00eembun\u0103t\u0103\u021biri<\/a> ale primei versiuni de Plan \u00een ianuarie 2022.\u00a0Situa\u021bia pacien\u021bilor cu cancer este prea grav\u0103 c\u0103 s\u0103 plec\u0103m la drum nepreg\u0103ti\u021bi.\u201d\u00a0Rata mortalit\u0103\u021bii cauzate de cancer este \u00een continuare cu 7% mai mare \u00een Rom\u00e2nia dec\u00e2t media UE. Mul\u021bi pacien\u021bi tr\u0103iesc la limita s\u0103r\u0103ciei, f\u0103r\u0103 acces la spitale \u0219i tratamente. Pentru melanom, ECIS (European Cancer Information System) estimeaz\u0103 7,9 cazuri la 100 de mii de locuitori, iar \u00een cazul b\u0103rba\u021bilor, \u00eengrijor\u0103tor, at\u00e2t inciden\u021ba, c\u00e2t \u0219i mortalitatea sunt mai mari. \u00cen timp ce supravie\u021buirea pacien\u021bilor cu melanom dep\u0103\u0219e\u0219te 90% \u00een \u021b\u0103rile occidentale, \u00een Europa de Est, aceasta r\u0103m\u00e2ne sub 60%. \u00cen Rom\u00e2nia, distrugerile provocate de melanom \u0219i cancerele cutanate sunt greu de \u00een\u021beles \u00een absen\u021ba unui registru na\u021bional. Probleme exist\u0103 \u0219i cu diagnosticarea melanoamelor la copii \u0219i tineri \u0219i a melanoamelor oculare, care nu beneficiaz\u0103 de expertiz\u0103 specific\u0103 \u0219i nici de tratamente decontate sau studii clinice.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u201e\u00cen aceste condi\u021bii, am constat cu \u00eengrijorare c\u0103 \u00een Planul de Cancer elaborat anul trecut, pacien\u021bii cu melanom \u0219i alte cancere nu erau considera\u021bi. Mai mult dec\u00e2t at\u00e2t, cea mai slab\u0103 parte din vechiul PNCC s-a dovedit a fi capitolul de preven\u021bie \u0219i diagnosticare precoce. Ce viitor pot avea copiii no\u0219tri \u00een condi\u021biile \u00een care nu ne putem planifica cum se cuvine preven\u021bia? Medicina personalizat\u0103 se limita la c\u00e2teva paneluri de teste genetice decontate \u0219i acelea preferen\u021bial, numai pentru anumite indica\u021bii. Mai departe, cercetarea \u0219i studiile clinice nu se reg\u0103seau \u00een Plan. \u00cen melanom, de exemplu, 50% dintre pacien\u021bii cu boal\u0103 metastatic\u0103 r\u0103m\u00e2n f\u0103r\u0103 solu\u021bii terapeutice dup\u0103 numai dou\u0103 linii de tratament. V\u0103 imagina\u021bi ce \u00eenseamn\u0103 acest lucru pentru alte cancere, care nu au nicio solu\u021bie eficient\u0103 de tratament la \u00eendem\u00e2n\u0103! Nu a fost acceptabil pentru noi s\u0103 vedem diferen\u021bieri c\u00e2nd vine vorba de suferin\u021ba oamenilor\u201d, a precizat Violeta Astratinei.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">Plec\u00e2nd de la aceste observa\u021bii, Asocia\u021bia Melanom Rom\u00e2nia sus\u021bine \u00eembun\u0103t\u0103\u021birile \u0219i <a href=\"https:\/\/www.ms.ro\/ro\/informatii-de-interes-public\/noutati\/planul-na%C8%9Bional-de-combatere-%C8%99i-control-al-cancerului-pncc\/\">actuala versiune a PNCC<\/a> de la Ministerul S\u0103n\u0103t\u0103\u021bii \u0219i le consider\u0103 un act de responsabilitate fa\u021b\u0103 de pacientul rom\u00e2n \u0219i popula\u021bia la risc de cancer. \u00cen aceast\u0103 versiune ne-am reg\u0103sit propunerile adresate \u0219i credem c\u0103 este incluziv\u0103 pentru toate cancerele. Este introdus principiul de acces echitabil la servicii medicale pentru to\u021bi pacien\u021bii. Ideile din vechiul plan nu au fost pierdute, \u00eens\u0103 acum sunt fundamentate, exist\u0103 echilibru \u00eentre preven\u021bie, depistare precoce, tratament \u0219i calitatea vie\u021bii, urm\u00e2nd linia logic\u0103 din Planul European de Combatere al Cancerului. Exist\u0103 un obiectiv de creare a unui sistem integrat de colectare a datelor (registre, digitalizare \u0219i e-health) \u0219i suntem foarte \u00eenc\u00e2nta\u021bi de un capitol separat pentru cercetare \u0219i obiectivul de formare de resurse umane. Pe acest cadru clar structurat se poate demara practic orice ini\u021biativ\u0103 util\u0103 pacientului oncologic.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u201eEste greu de \u00een\u021beles de ce transformarea Planului de Cancer \u00eentr-un document decent a provocat o reac\u021bie at\u00e2t de violent\u0103 a societ\u0103\u021bii. O campanie nedreapt\u0103 de acuza\u021bii \u00eempotriva unor medici, care au salvat mii de pacien\u021bi \u00een practica lor medicala si prin cercetare! Prima versiune a trecut prin Parlament \u00een goana de a securiza fonduri europene. Acum \u00eens\u0103 suntem pu\u0219i \u00een situa\u021bia s\u0103 construim un sistem de s\u0103n\u0103tate modern din aproape nimic. S\u0103 ne uit\u0103m pu\u021bin la analiza de situa\u021bie din noul plan- sunt date care nu iart\u0103- te \u00eenfioar\u0103 \u00een ce situa\u021bie e \u021bara noastr\u0103 \u0219i pacientul rom\u00e2n, mai ales cel vulnerabil care tr\u0103ie\u0219te la limita s\u0103r\u0103ciei. Nu mai este loc de jum\u0103t\u0103\u021bi de m\u0103sur\u0103\u201d, afirm\u0103 Violeta Astratinei.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0Potrivit acesteia, partea bun\u0103 este c\u0103 \u00een acest moment s-ar putea s\u0103 avem combina\u021bia c\u00e2\u0219tig\u0103toare &#8211; voin\u021b\u0103 politic\u0103, infuzie de fonduri \u0219i un Plan coerent &#8211; pentru a schimba \u00een bine soarta pacien\u021bilor din Rom\u00e2nia, indiferent de cancerul de care sufer\u0103 \u0219i indiferent de starea lor material\u0103. Credem c\u0103 to\u021bi speciali\u0219tii trebuie s\u0103 citeasc\u0103 noul Plan \u0219i s\u0103 ofere numaidec\u00e2t propuneri dac\u0103 consider\u0103 c\u0103 sunt aspecte neacoperite.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">&#8220;S\u0103 nu uit\u0103m \u0219i c\u0103 \u00eembun\u0103t\u0103\u021birea \u00eengrijirii medicale poate fi \u00eenceput\u0103 chiar azi. Exist\u0103 criterii recunoscute interna\u021bional pentru \u00eengrijirea de calitate \u00een cancer (de ex. OECI, ECO) pe care le putem adopta, c\u0103 s\u0103 nu mai l\u0103s\u0103m pacien\u021bii s\u0103 aleag\u0103 la \u00eent\u00e2mplare unde se trateaz\u0103. Demersurile pentru digitalizarea s\u0103n\u0103t\u0103\u021bii au fost \u00eencepute \u00een concordan\u021b\u0103 cu direc\u021biile trasate de Spa\u021biul European al Datelor din S\u0103n\u0103tate. Recent au fost lansate proiecte europene de medicin\u0103 personalizat\u0103 ca <a href=\"https:\/\/www.matrix-fkb.no\/en\/pcm4eu\/home\">PCM4EU<\/a> \u0219i PRIME-ROSE, \u00een cadrul c\u0103rora\u00a0 putem s\u0103 \u00a0trat\u0103m to\u021bi pacien\u021bii rom\u00e2ni chiar \u00eenainte de a ob\u021bine decontarea testelor genetice \u0219i a tratamentelor \u021bintite. Vom vorbi despre aceste aspecte la conferin\u021ba noastr\u0103&#8221;, a mai spus Astratinei.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">Cu aceste subiecte complexe de abordat, anul acesta, Asocia\u021bia Melanom Rom\u00e2nia a decis s\u0103 organizeze conferin\u021ba la Ia\u0219i, al\u0103turi de peste 20 de speciali\u0219ti din Ia\u0219i, Bucure\u0219ti, Cluj-Napoca \u0219i Craiova. Vor fi prezen\u021bi \u0219i partenerii Asocia\u021biei din proiectul european MELCAYA dedicat copiilor \u0219i tinerilor afecta\u021bi de melanom.\u00a0\u201eDorim s\u0103 colabor\u0103m cu oameni cu idei reformatoare \u00een \u00eengrijirea oncologic\u0103 \u0219i mai ales speciali\u0219ti pe care i-am v\u0103zut de-a lungul timpului cu mintea \u0219i sufletul al\u0103turi de pacient.\u201d\u00a0Conferin\u021ba este deschis\u0103 pentru pacien\u021bi \u0219i familii, voluntari ai Asocia\u021biei \u0219i exper\u021bi din toate domeniile, interesa\u021bi s\u0103 ne sus\u021bin\u0103. 50% dintre pacien\u021bii \u0219i familiile prezente sufer\u0103 de melanom metastatic. Pacien\u021bi din toat\u0103 \u021bara au f\u0103cut efortul s\u0103 vin\u0103 \u00a0la Ia\u0219i pentru acest eveniment.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">Prin seriile de conferin\u021be despre melanom pe care le desf\u0103\u0219oar\u0103 an de an, al\u0103turi de strategiile sale de\u00a0advocacy\u00a0\u0219i suportul individual al pacientului, Asocia\u021bia Melanom Rom\u00e2nia \u00ee\u0219i dore\u0219te s\u0103 promoveze o \u00eengrijire de calitate, s\u0103 aduc\u0103 \u0219tiin\u021ba medical\u0103 mai aproape de pacientul de r\u00e2nd \u0219i s\u0103 colaboreze cu cei mai buni speciali\u0219ti din \u021bar\u0103 \u0219i str\u0103in\u0103tate pentru a identifica cele mai bune solu\u021bii de diagnostic \u0219i tratament disponibile la ora actual\u0103.<\/p>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>\u00cen perioada 23-24 iunie, Ia\u015ful va g\u0103zdui cea de-a VI-a edi\u0163ie a Conferin\u021bei Na\u021bionale a&#8230; <a class=\"meta-more\" href=\"http:\/\/infois.ro\/?p=71750\">more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":71751,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[41,24],"tags":[74,2385,255,6041,40,16683],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/71750"}],"collection":[{"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=71750"}],"version-history":[{"count":1,"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/71750\/revisions"}],"predecessor-version":[{"id":71752,"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/71750\/revisions\/71752"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/media\/71751"}],"wp:attachment":[{"href":"http:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=71750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=71750"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=71750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}