{"id":84360,"date":"2026-03-19T18:14:00","date_gmt":"2026-03-19T18:14:00","guid":{"rendered":"https:\/\/www.cofb.org\/?p=84360"},"modified":"2026-03-19T18:25:24","modified_gmt":"2026-03-19T18:25:24","slug":"15-anys-fent-pinya-per-prevenir-el-cancer-de-colon-i-recte-a-barcelona","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2026\/03\/19\/15-anys-fent-pinya-per-prevenir-el-cancer-de-colon-i-recte-a-barcelona\/","title":{"rendered":"15 anys fent pinya per prevenir el c\u00e0ncer de c\u00f2lon i recte a Barcelona"},"content":{"rendered":"\n

El programa de detecci\u00f3 preco\u00e7 del c\u00e0ncer de c\u00f2lon i recte de la ciutat de Barcelona arriba als 15 anys convertit en un model d\u2019\u00e8xit. Un cop finalitzat el programa pilot a l\u2019Hospitalet de Llobregat, es va posar en marxa l\u2019any 2010 a les \u00e0rees integrals de salut (AIS) de Barcelona Esquerra i de Litoral Mar de la ciutat de Barcelona, impulsat pel Departament de Salut i liderat per l\u2019Hospital del Mar i l\u2019Hospital Cl\u00ednic de Barcelona, amb la col\u00b7laboraci\u00f3 del COFB, la participaci\u00f3 de l\u2019Hospital de la Santa Creu i Sant Pau i de l\u2019Hospital de la Vall d\u2019Hebron. El 2015 el programa es va estendre a la resta de la ciutat. En aquests 15 anys, s\u2019han detectat prop de 2.000 c\u00e0ncers de c\u00f2lon i recte, i s\u2019ha convidat a participar-hi a prop de 2,6 milions de persones.<\/p>\n\n\n\n

Per celebrar aquesta efem\u00e8ride, el 18 de mar\u00e7 es va celebrar a l\u2019Hospital del Mar la jornada 15 anys fent pinya contra el <\/em><\/strong>c\u00e0ncer de c\u00f2lon i recte <\/em><\/strong><\/a>a Barcelona<\/em>,<\/strong> la qual ha servit per repassar la tasca portada a terme i reflexionar sobre els reptes de futur de la prevenci\u00f3 del c\u00e0ncer de c\u00f2lon i recte. En la inauguraci\u00f3 de la jornada, la consellera de Salut, Olga Pan\u00e9, va destacar que d\u2019aquest programa \u201cavui podem dir que \u00e9s una pol\u00edtica de salut p\u00fablica consolidada que salva vides cada any\u201d <\/strong>i que \u201cl\u2019experi\u00e8ncia acumulada a Barcelona ha perm\u00e8s aprendre, millorar processos i consolidar un model que avui \u00e9s referent\u201d. <\/strong>En aquest sentit, la consellera va fer un reconeixement als professionals farmac\u00e8utics: \u201cVull agrair al COFB i a les farm\u00e0cies la feina tan rellevant que fan. S\u00f3n agents sanitaris amb una capil\u00b7laritat inigualable al nostre entorn social\u201d<\/strong>.<\/p>\n\n\n\n

\"\"<\/a>
La consellera de Salut, Olga Pan\u00e9, en la jornada dels 15 anys del Programa de prevenci\u00f3 del c\u00e0ncer de c\u00f2lon i recte de Barcelona. <\/figcaption><\/figure>\n\n\n\n

La consellera Pan\u00e9 va afirmar que \u201cel cribratge colorectal \u00e9s una eina clau per reduir desigualtats: garanteix que totes les persones, independentment del seu origen o situaci\u00f3 socioecon\u00f2mica, puguin accedir a un servei de detecci\u00f3 preco\u00e7 de qualitat\u201d<\/strong>. Pan\u00e9 va recordar que \u201cen aquests 15 anys, m\u00e9s de 3,6 milions de persones han participat en el cribratge, fet que ha perm\u00e8s una detecci\u00f3 preco\u00e7 sostinguda i d\u2019alt impacte poblacional\u201d<\/strong>, i que \u201ccom a resultat, s\u2019han detectat 6.359 tumors, majorit\u00e0riament en fases inicials, i s\u2019han extirpat 58.000 p\u00f2lips de risc intermedi o alt, evitant possibles evolucions cap al c\u00e0ncer colorectal.\u201d<\/strong> Olga Pan\u00e9 va afegir que \u201cdes de Salut continuem apostant per la innovaci\u00f3 en diagn\u00f2stic i an\u00e0lisi, aix\u00ed com sistemes d\u2019informaci\u00f3 m\u00e9s robustos i de noves tecnologies, per millorar encara m\u00e9s la precisi\u00f3 i l\u2019efici\u00e8ncia d\u2019aquest i altres programes de detecci\u00f3 preco\u00e7.\u201d<\/strong><\/p>\n\n\n\n

M\u00e9s d\u2019un mili\u00f3 de tests<\/strong><\/h2>\n\n\n\n

El programa es dirigeix a homes i dones d\u2019entre 50 i 69 anys, de la ciutat de Barcelona<\/strong>, que reben al seu domicili una carta convidant-los a participar. En aquests quinze anys, se n\u2019han enviat gaireb\u00e9 2,6 milions d\u2019aquestes cartes i m\u00e9s de 100.000 trucades telef\u00f2niques i 28.000 correus electr\u00f2nics. Aix\u00f2 s\u2019ha convertit en 1.195.000 visites a les farm\u00e0cies. Les persones que decideixen participar-hi poden recollir el material per fer a casa seva una senzilla prova de detecci\u00f3 de sang oculta en femta, que s\u2019ha de retornar a la mateixa farm\u00e0cia. En total, s\u2019han fet 1,15 milions de tests. Les proves es fan cada dos anys.<\/p>\n\n\n\n

En els casos positius, gaireb\u00e9 54.000 des de la implantaci\u00f3 del programa, se cita a la persona a una visita d\u2019infermeria i es proposa una colonosc\u00f2pia per explorar l\u2019interior del budell, amb sedaci\u00f3 i baix risc de complicacions. Amb aquesta intervenci\u00f3 es poden extirpar els possibles p\u00f2lips presents, lesions precanceroses que tenen potencial de convertir-se en c\u00e0ncer, o detectar el tumor en estadis inicials. En total, s\u2019han portat a terme 48.000 d\u2019aquestes proves, detectant 21.500 lesions preneopl\u00e0siques i gaireb\u00e9 1.900 tumors.<\/p>\n\n\n

\n

Els farmac\u00e8utics\/ques, actors clau en el cribratge del c\u00e0ncer de c\u00f2lon i recte<\/h3>\n

Merc\u00e8 Barau, vocal d’Oficina de Farm\u00e0cia del COFB, va participar a la taula “M\u00e9s que un punt de lliurament: 15 anys de formaci\u00f3 i qualitat en la xarxa de farm\u00e0cies”,<\/strong> on va destacar que “el paper dels farmac\u00e8utics\/ques \u00e9s clau per afavorir la participaci\u00f3: facilitem informaci\u00f3, motivem quan hi ha dubtes, expliquem com fer-ho, recordem que cal tornar el kit i garantim la qualitat de la mostra<\/strong>“. Per la seva banda, Ariadna Cervi\u00e0, farmac\u00e8utica del Departament de Projectes i Recerca del COFB, va centrar la seva intervenci\u00f3 parlant de<\/span>\u00a0“M\u00e9s enll\u00e0 del kit: El paper de la farm\u00e0cia en la sensibilitzaci\u00f3 i l’adher\u00e8ncia”.<\/strong> “La farm\u00e0cia \u00e9s el primer contacte sanitari per a les persones que participen en el cribratge. Alguns dels aspectes que m\u00e9s destaquen els usuaris s\u00f3n el consell que dona el farmac\u00e8utic i la comoditat de recollir la mostra a la farm\u00e0cia<\/strong>“, va concretar.\u00a0<\/span><\/p>\n

\"La<\/a>
La vocalia d’Oficina de Farm\u00e0cia del COFB, Merc\u00e8 Barau, i la farmac\u00e8utica del Departament de Projectes i Recerca del COFB, Ariadna Cervi\u00e0 van destacar el paper del farmac\u00e8utic en el cribratge.<\/figcaption><\/figure>\n<\/div>\n\n\n

\u201cEl programa ha mantingut est\u00e0ndards de qualitat molt elevats de manera sostinguda, gr\u00e0cies a un monitoratge rigor\u00f3s de tot el proc\u00e9s: des del proc\u00e9s d\u2019invitaci\u00f3 a la poblaci\u00f3, el circuit de les proves de cribratge de les farm\u00e0cies al laboratori, i fins a l\u2019activitat endosc\u00f2pica i el seguiment posterior\u201d<\/strong>, va explicar la Dra. Andrea Bur\u00f3n, coordinadora a l\u2019Hospital del Mar del programa de cribratge de c\u00e0ncer de c\u00f2lon i recte. Aquesta supervisi\u00f3 cont\u00ednua ha garantit la seguretat i la fiabilitat del circuit en el seu conjunt. Un altre punt clau \u00e9s la cultura de transpar\u00e8ncia i avaluaci\u00f3 cont\u00ednua, amb seguiment regular dels resultats i rendiment de comptes davant l\u2019administraci\u00f3 i la ciutadania.<\/p>\n\n\n\n

La implantaci\u00f3 del cribratge de c\u00e0ncer de c\u00f2lon i recte a la ciutat de Barcelona ha demostrat ser un \u00e8xit en el camp de la detecci\u00f3 preco\u00e7, tant en relaci\u00f3 amb el nombre de tumors diagnosticats com les lesions precanceroses detectades i en seguiment per l\u2019Atenci\u00f3 Prim\u00e0ria. \u201cTot aix\u00f2 \u00e9s fruit d\u2019un treball molt intens que ha implicat milers de cartes, trucades i correus electr\u00f2nics, aix\u00ed com un volum molt elevat de visites i colonosc\u00f2pies, que han fet possible assolir aquests resultats\u201d<\/strong>, va assegurar el Dr. Antoni Castells, coordinador del programa a l\u2019Hospital Cl\u00ednic de Barcelona.<\/p>\n\n\n\n

El programa ha consolidat un model de treball transversal i multidisciplinari, capa\u00e7 de coordinar m\u00faltiples perfils professionals i institucions dins un sistema sanitari complex. Aquesta coordinaci\u00f3 s\u2019ha fet evident tant en l\u2019\u00e0mbit assistencial, com ara a les proves complement\u00e0ries, l\u2019endosc\u00f2pia i la participaci\u00f3 de l\u2019Atenci\u00f3 Prim\u00e0ria i de les farm\u00e0cies, com en el suport no assistencial. Tots aquests serveis contribueixen a un circuit que acompanya el participant des del primer contacte fins al resultat final. En aquest sentit, tamb\u00e9 destaca per la seva capacitat d\u2019adaptaci\u00f3 i resili\u00e8ncia davant situacions adverses, fins i tot en contextos de crisi sist\u00e8mica com la pand\u00e8mia de la COVID-19.<\/p>\n\n\n\n

El repte de la participaci\u00f3<\/strong><\/h2>\n\n\n\n

En aquests moments, la participaci\u00f3 al programa frega el 50% de les persones que reben la carta a casa seva. L\u2019objectiu \u00e9s elevar aquesta xifra fins al 65%, la recomanada per les guies europees de cribratge poblacional en c\u00e0ncer. Per aconseguir-ho caldr\u00e0 un esfor\u00e7 conjunt de tots els implicats. D\u2019altra banda, es volen focalitzar esfor\u00e7os en \u00e0rees de la ciutat de Barcelona amb menor penetraci\u00f3 del programa, barris de menor nivell socioecon\u00f2mic, per assegurar una equitat real en l\u2019acc\u00e9s al cribratge. Tamb\u00e9 s\u2019aposta per la millora continuada dels canals d\u2019informaci\u00f3 digital i la integraci\u00f3 de les dades per optimitzar la tra\u00e7abilitat del proc\u00e9s i oferir una millor experi\u00e8ncia a la ciutadania.<\/p>\n\n\n

\n

La import\u00e0ncia del treball en xarxa de manera coordinada<\/h3>\n

A la cloenda, el president del COFB, Jordi Casas, va posar en valor que “aquest programa posa de manifest la import\u00e0ncia que tots els agents implicats treballem en xarxa de manera coordinada”. Tamb\u00e9 va afirmar que \u00e9s un clar exemple de com aquesta col\u00b7laboraci\u00f3 \u00e9s clau per a la prevenci\u00f3 de la malaltia i la promoci\u00f3 de la salut, millorant el pron\u00f2stic del curs de les malalties i la qualitat de vida dels pacients”. \u201cLes farm\u00e0cies comunit\u00e0ries, gr\u00e0cies a la seva capil\u00b7laritat i proximitat amb la ciutadania, s\u00f3n molt m\u00e9s que un punt de lliurament de kits<\/em>. Esdevenen establiments de salut clau per fer m\u00e9s accessible el programa i augmentar-ne la participaci\u00f3. Alhora, els farmac\u00e8utics, com a agents sanitaris, contribu\u00efm a millorar la salut de la poblaci\u00f3 treballant en l\u2019\u00e0mbit de la prevenci\u00f3, amb l\u2019objectiu d\u2019evitar haver d\u2019actuar posteriorment en el de la malaltia\u201d.<\/strong><\/p>\n

\"\"<\/a>
El president del COFB, Jordi Casas, en un moment de la clausura.<\/figcaption><\/figure>\n<\/div>\n\n\n

El c\u00e0ncer de c\u00f2lon i recte i el cribratge poblacional<\/strong><\/h2>\n\n\n\n

El c\u00e0ncer de c\u00f2lon i recte \u00e9s el m\u00e9s freq\u00fcent entre homes i dones de m\u00e9s de 50 anys. A Catalunya es diagnostiquen uns 7.000 casos cada any, segons dades del Pla Director d\u2019Oncologia de l\u2019any 2023, amb una superviv\u00e8ncia al cap de cinc anys del 56% en homes i del 61% en dones. Es tracta d\u2019un tipus de tumor que, en moltes ocasions, no dona s\u00edmptomes fins que la malaltia est\u00e0 avan\u00e7ada. En aquest sentit, la detecci\u00f3 preco\u00e7 a trav\u00e9s de mostres de femta per buscar-hi restes de sang, \u00e9s vital. Els programes de cribratge permeten no nom\u00e9s detectar de forma preco\u00e7 el c\u00e0ncer desenvolupat, sin\u00f3 les lesions que poden convertir-se en un tumor. Per aquest motiu, \u00e9s tan important participar en aquestes iniciatives, ja que si es detecta a temps aquest c\u00e0ncer, \u00e9s m\u00e9s f\u00e0cil de tractar i t\u00e9 moltes m\u00e9s probabilitats de curaci\u00f3.<\/p>\n","protected":false},"excerpt":{"rendered":"

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