{"id":153673,"date":"2024-10-10T10:09:44","date_gmt":"2024-10-10T10:09:44","guid":{"rendered":"https:\/\/raed.academy\/?p=153673"},"modified":"2024-10-10T10:09:44","modified_gmt":"2024-10-10T10:09:44","slug":"la-marginacio-de-la-gent-gran-als-assajos-clinics","status":"publish","type":"post","link":"https:\/\/raed.academy\/ca\/la-marginacio-de-la-gent-gran-als-assajos-clinics\/","title":{"rendered":"La marginaci\u00f3 de la gent gran als assajos cl\u00ednics"},"content":{"rendered":"
\"Jos\u00e9

Dr. Jos\u00e9 Ram\u00f3n Calvo<\/p><\/div>\n

Jos\u00e9 Ram\u00f3n Calvo<\/strong><\/em><\/a>, assessor estrat\u00e8gic del Barcelona Supercomputing Center-Centre Nacional de Supercomputaci\u00f3<\/strong>, president del Comit\u00e8 M\u00e8dic<\/strong> de la secci\u00f3 Cu\u00eddate+<\/strong> del portal especialitzat 65ym\u00e1s<\/strong>, acad\u00e8mic corresponent de la Reial Acad\u00e8mia de Medicina del Pa\u00eds Basc<\/strong> i acad\u00e8mic de n\u00famero i president de l’Institut de Cooperaci\u00f3 Internacional<\/strong> de la Reial Acad\u00e8mia Europea de Doctors-Barcelona 1914<\/strong> (RAED), reflexiona sobre la marginaci\u00f3 de la gent gran als assajos cl\u00ednics en una entrevista publicada per 65ym\u00e1s el passat 30 de setembre. Aquesta publicaci\u00f3 ha fet un informe complet que confirma el poc pes d’aquest important i creixent segment de poblaci\u00f3 als pa\u00efsos occidentals en aquest tipus d’estudis que determinen l’evoluci\u00f3 dels sectors sanitari i farmac\u00e8utic.<\/p>\n

L’expert considera que l’exclusi\u00f3 de persones grans en assaigs cl\u00ednics es pot considerar una forma de discriminaci\u00f3 per edat, tot i que moltes vegades no \u00e9s intencional. El problema, segons la seva opini\u00f3, \u00e9s que aquesta pr\u00e0ctica limita la capacitat d’avaluar adequadament l’efic\u00e0cia, la dosi i els efectes adversos dels tractaments en aquesta poblaci\u00f3, que \u00e9s, efectivament, la que consumeix m\u00e9s medicaments. Per combatre’l, el president del Comit\u00e8 M\u00e8dic de Cu\u00eddate+ proposa regulacions m\u00e9s estrictes, amb obligacions perqu\u00e8 hi hagi m\u00e9s grans i es justifiquin els casos d’exclusi\u00f3, i nous dissenys amb protocols que considerin les necessitats i limitacions de la gent gran, com la polifarm\u00e0cia i la pres\u00e8ncia de m\u00e9s d’una malaltia. Per\u00f2 tamb\u00e9 considera important una tasca d’educaci\u00f3 i conscienciaci\u00f3 a la gent gran sobre la import\u00e0ncia de la seva participaci\u00f3 en aquests assajos, aix\u00ed com incentius per a la ind\u00fastria farmac\u00e8utica perqu\u00e8 incloguin gent gran en els seus estudis, com recull la publicaci\u00f3.<\/p>\n

\"\"“El tema de la inclusi\u00f3 de persones grans en assaigs cl\u00ednics est\u00e0 guanyant visibilitat en l’\u00e0mbit m\u00e8dic. Organitzacions com la Societat Espanyola de Geriatria i Gerontologia<\/strong> i moltes publicacions cient\u00edfiques estan abordant aquest problema i promovent la inclusi\u00f3 de persones grans en investigacions cl\u00edniques. Al meu entendre, les raons per a la baixa representaci\u00f3 de majors en assajos cl\u00ednics inclouen sobrecostos addicionals. \u00c9s a dir, incloure persones grans pot augmentar els costos a causa de la necessitat d’un seguiment m\u00e9s intensiu i la gesti\u00f3 de comorbilitats al fet que els grans tenen m\u00e9s comorbilitats i poden ser m\u00e9s propensos a efectes adversos, cosa que pot complicar la realitzaci\u00f3 dels assajos. Per\u00f2 a aix\u00f2 se suma que hist\u00f2ricament hi ha hagut menys inter\u00e8s a investigar com els medicaments afecten els grans, encara que aix\u00f2 est\u00e0 canviant sortosament i una bona prova d’aix\u00f2 \u00e9s el projecte Predict<\/strong> finan\u00e7at per la Uni\u00f3 Europea per abordar aquest problema”, explica Calvo.<\/p>\n

L’acad\u00e8mic advoca per la implementaci\u00f3 de pol\u00edtiques que obliguin a incloure gent gran als assajos cl\u00ednics, llevat que hi hagi una justificaci\u00f3 m\u00e8dica per a la seva exclusi\u00f3; dissenys d’assaigs adaptats; protocols que considerin les necessitats i limitacions de la gent gran, com la polifarm\u00e0cia i les comorbiditats; campanyes informatives per conscienciar la gent gran i els cuidadors sobre la import\u00e0ncia de la seva participaci\u00f3 en assajos cl\u00ednics, i l’establiment d’incentius a les empreses farmac\u00e8utiques perqu\u00e8 incloguin aquest important segment de la poblaci\u00f3 en els seus estudis. “Tot i que la ind\u00fastria farmac\u00e8utica, sens dubte, i les autoritats sanit\u00e0ries comunit\u00e0ries estan comen\u00e7ant a parar m\u00e9s atenci\u00f3 a les necessitats de la gent gran, encara queda molt per fer. La manca de representaci\u00f3 adequada en assajos cl\u00ednics suggereix que encara no se’ls t\u00e9 prou en compte, especialment considerant que s\u00f3n els principals consumidors de medicaments. Tot i aix\u00f2, hi ha un creixent reconeixement de la import\u00e0ncia d’incloure aquesta poblaci\u00f3 en la investigaci\u00f3 cl\u00ednica”, conclou el president de l’Institut de Cooperaci\u00f3 Internacional de la RAED.<\/p>\n

Llegiu l’entrevista<\/a><\/h2>\n","protected":false},"excerpt":{"rendered":"

Jos\u00e9 Ram\u00f3n Calvo reflexiona sobre la marginaci\u00f3 de la gent gran als assajos cl\u00ednics, i considera aquesta exclusi\u00f3 una forma de discriminaci\u00f3 per edat, en una entrevista per 65ym\u00e1s<\/p>\n","protected":false},"author":12,"featured_media":153702,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[455,442,225,233,213],"tags":[],"class_list":["post-153673","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ciencies-de-la-salut","category-ciencies-farmaceutiques-ciencies-de-la-salut","category-dret","category-economiques-i-empresarials","category-medicina-i-cirurgia","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nLa marginaci\u00f3 de la gent gran als assajos cl\u00ednics - Reial Acad\u00e8mia Europea de Doctors<\/title>\n<meta name=\"description\" content=\"Jos\u00e9 Ram\u00f3n Calvo reflexiona sobre la marginaci\u00f3 de la gent gran als assajos cl\u00ednics en una entrevista publicada per 65ym\u00e1s\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/raed.academy\/ca\/la-marginacio-de-la-gent-gran-als-assajos-clinics\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La marginaci\u00f3 de la gent gran als assajos cl\u00ednics - 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