{"id":220,"date":"2017-11-16T10:34:37","date_gmt":"2017-11-16T10:34:37","guid":{"rendered":"http:\/\/www.celiacscatalunya.org\/blog\/?p=220"},"modified":"2017-11-17T10:18:32","modified_gmt":"2017-11-17T10:18:32","slug":"celiacs-de-catalunya-per-la-millora-de-la-tassa-de-diagnostic-de-la-malaltia-celiaca-mc","status":"publish","type":"post","link":"https:\/\/www.celiacscatalunya.org\/blog\/celiacs-de-catalunya-per-la-millora-de-la-tassa-de-diagnostic-de-la-malaltia-celiaca-mc\/","title":{"rendered":"Cel\u00edacs de Catalunya per la millora de la tassa de diagn\u00f2stic de la Malaltia Cel\u00edaca (MC)"},"content":{"rendered":"<p style=\"text-align: justify;\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">L\u2019any 2008 el Ministerio de Sanidad y Consumo (MSC) va publicar la I edici\u00f3 del <strong>Protocol de Diagn\u00f2stic Preco\u00e7 de la malaltia cel\u00edaca (MC)<\/strong> que va quedar desactualitzat el 2012 en publicar la <a href=\"http:\/\/www.espghan.org\/\">Societat Europea de Gastroenterologia, Hepatologia i Nutrici\u00f3 Pedi\u00e0trica<\/a> (<strong>ESPGHAN<\/strong>) una actualitzaci\u00f3 de la Guia per al Diagn\u00f2stic de la Malaltia Cel\u00edaca en la qual s\u2019establien nous criteris.<\/span><\/p>\n<p><span style=\"font-size: 10pt;\"><!--more--><\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Entre els nous criteris, podem assenyalar la necessitat de reunir almenys 4 dels criteris 5 seg\u00fcents per la confirmaci\u00f3 del diagn\u00f2stic en adults:<\/span><\/p>\n<p><span style=\"font-size: 10pt;\"><img data-attachment-id=\"221\" data-permalink=\"https:\/\/www.celiacscatalunya.org\/blog\/celiacs-de-catalunya-per-la-millora-de-la-tassa-de-diagnostic-de-la-malaltia-celiaca-mc\/tabla-consens\/\" data-orig-file=\"https:\/\/i2.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2017\/11\/Tabla-Consens.png?fit=400%2C114&amp;ssl=1\" data-orig-size=\"400,114\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla Consens\" data-image-description=\"\" data-medium-file=\"https:\/\/i2.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2017\/11\/Tabla-Consens.png?fit=300%2C86&amp;ssl=1\" data-large-file=\"https:\/\/i2.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2017\/11\/Tabla-Consens.png?fit=400%2C114&amp;ssl=1\" decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-221 size-full\" src=\"https:\/\/i2.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2017\/11\/Tabla-Consens.png?resize=400%2C114&#038;ssl=1\" alt=\"\" width=\"400\" height=\"114\" srcset=\"https:\/\/i2.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2017\/11\/Tabla-Consens.png?w=400&amp;ssl=1 400w, https:\/\/i2.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2017\/11\/Tabla-Consens.png?resize=300%2C86&amp;ssl=1 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" data-recalc-dims=\"1\" \/><\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">I tamb\u00e9 la possibilitat de no realitzar el diagn\u00f2stic sense bi\u00f2psia en infants i adolescents amb simptomatologia que a m\u00e9s a m\u00e9s mostrin uns valors d\u2019antitransglutaminasa (ATGT \u2013 IgA) deu vegades per sobre el l\u00edmit m\u00e0xim establert i confirmats pels anticossos antiendomisi i una gen\u00e8tica positiva.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Altre aspecte molt rellevant \u00e9s la <strong>NO reintroducci\u00f3 de gluten per confirmar el diagn\u00f2stic<\/strong>. \u00a0<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Arran de la publicaci\u00f3 d\u2019aquesta Guia i tenint present que el <strong>Protocol de Diagn\u00f2stic<\/strong> del Ministerio de Sanidad quedava desfasat i que la mitjana de temps fins al diagn\u00f2stic de la MC en adults encara \u00e9s de 7 anys, <strong>l\u2019any 2015<\/strong> <a href=\"https:\/\/www.celiacscatalunya.org\/\">Cel\u00edacs de Catalunya<\/a> juntament amb l\u2019<a href=\"http:\/\/salutpublica.gencat.cat\/ca\/inici\/\">Ag\u00e8ncia Catalana de Salut P\u00fablica<\/a> <strong>(ACSPCAT)<\/strong> vam impulsar l\u2019elaboraci\u00f3 del <a href=\"https:\/\/www.celiacscatalunya.org\/pdfs\/Document%20de%20consens%20M.%20Celiaca%202016.pdf\"><strong>Document de Consens de la Malaltia Cel\u00edaca<\/strong><\/a> en el qual van participar tamb\u00e9 la <a href=\"http:\/\/www.camfic.cat\/\">Societat Catalana de Medicina Familiar i Comunit\u00e0ria<\/a> <strong>(CAMFIC)<\/strong>, la <a href=\"http:\/\/www.scdigestologia.org\/\">Societat Catalana de Digestologia<\/a> i la <a href=\"http:\/\/www.scpediatria.cat\/\">Societat Catalana de Pediatria<\/a> aix\u00ed com representants de diferents hospitals de refer\u00e8ncia de Catalunya. \u00a0<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Aquest document <strong>es va publicar<\/strong> <strong>el 2016<\/strong> i \u00e9s pioner, en no existir fins al moment cap document semblant a nivell europeu, editat per oferir eines als metges d\u2019atenci\u00f3 prim\u00e0ria per tal que puguin tenir la sospita de malaltia cel\u00edaca davant determinades situacions.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Al llarg d\u2019aquell any es va <strong>presentar al Congr\u00e9s de la <a href=\"http:\/\/www.seec.es\/\">Societat Espanyola de Malaltia Cel\u00edaca<\/a> (SEEC) <\/strong>i tamb\u00e9 es van organitzar des de l\u2019ASPCAT presentacions en totes les capitals de prov\u00edncia de Catalunya i una formaci\u00f3 on line que ja va per la II edici\u00f3.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Durant aquest <strong>2017<\/strong>, a m\u00e9s a m\u00e9s formem part del grup de treball per <strong>actualitzar el Protocol de Diagn\u00f2stic de la Malaltia Cel\u00edaca<\/strong> del <a href=\"https:\/\/www.msssi.gob.es\/\">Ministerio de Sanidad<\/a>, integrat tamb\u00e9 per altres associacions de pacients i amb qui hem mantingut diferents reunions per presentar la realitat del malalt cel\u00edac i les necessitats vigents pel que fa al diagn\u00f2stic i tamb\u00e9 la necessitat d\u2019establir un Protocol de Seguiment, ara per ara inexistent.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Per realitzar aquesta actualitzaci\u00f3 del Protocol, el Ministerio de Sanidad\u00a0 va realitzar una enquesta durant el mes de Juliol, publicada mitjan\u00e7ant les xarxes socials de les associacions, a partir de la qual pretenia con\u00e8ixer de primera m\u00e0 la situaci\u00f3 actual dels pacients cel\u00edacs que va rebre 4046 respostes.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Basant-se en aquests resultats i en la col\u00b7laboraci\u00f3 de les associacions i especialistes en la mat\u00e8ria ja s\u2019ha comen\u00e7at l\u2019esborrany del nou protocol de diagnosis de la celiaquia, del qual es preveu tenir la <strong>versi\u00f3 definitiva a principis de 2018<\/strong>.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Cel\u00edacs de Catalunya continuar\u00e0 posant fil a l\u2019agulla per aconseguir les millores necess\u00e0ries per reduir l\u2019elevada tassa d\u2019infradiagnostic de la celiaquia que actualment s\u2019estima \u00e9s del 80%.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019any 2008 el Ministerio de Sanidad y Consumo (MSC) va publicar la I edici\u00f3 del Protocol de Diagn\u00f2stic Preco\u00e7 de la malaltia cel\u00edaca (MC) que va quedar desactualitzat el 2012 en publicar la Societat Europea de Gastroenterologia, Hepatologia i Nutrici\u00f3 Pedi\u00e0trica (ESPGHAN) una actualitzaci\u00f3 de la Guia per al Diagn\u00f2stic de la Malaltia Cel\u00edaca en [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":222,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","jetpack_publicize_message":""},"categories":[22,10,33],"tags":[15,28,44,66,38,65],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2017\/11\/tassa-diagnostic-e1510830195134.png?fit=300%2C279&ssl=1","jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9jMUf-3y","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/posts\/220"}],"collection":[{"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/comments?post=220"}],"version-history":[{"count":7,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/posts\/220\/revisions"}],"predecessor-version":[{"id":229,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/posts\/220\/revisions\/229"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/media\/222"}],"wp:attachment":[{"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/media?parent=220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/categories?post=220"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/tags?post=220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}