{"id":19166,"date":"2026-10-13T09:46:33","date_gmt":"2026-10-13T07:46:33","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=19166"},"modified":"2026-10-13T09:53:36","modified_gmt":"2026-10-13T07:53:36","slug":"viitorul-reumatologiei-inseamna-diagnostic-precoce-tratament-personalizat-si-acces-echitabil-la-ingrijire","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/viitorul-reumatologiei-inseamna-diagnostic-precoce-tratament-personalizat-si-acces-echitabil-la-ingrijire\/","title":{"rendered":"Viitorul reumatologiei \u00eenseamn\u0103 diagnostic precoce, tratament personalizat \u0219i acces echitabil la \u00eengrijire"},"content":{"rendered":"<p><strong>Prof. Univ. Dr. Elena Rezu\u0219 Fost Pre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Reumatologie (octombrie 2023 \u2013 octombrie 2025)<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>Congresul Na\u021bional de Reumatologie aduce \u00een prim-plan cele mai recente direc\u021bii de diagnostic \u0219i tratament \u00een bolile imuno-inflamatorii reumatismale, de la terapiile \u021bintite \u0219i medicina personalizat\u0103 p\u00e2n\u0103 la utilizarea inteligen\u021bei artificiale \u00een practica medical\u0103. Pentru speciali\u0219ti, aceste evolu\u021bii \u00eenseamn\u0103 nu doar acces la noi op\u021biuni terapeutice, ci \u0219i necesitatea de a reg\u00e2ndi modul \u00een care sunt identifica\u021bi \u0219i monitoriza\u021bi pacien\u021bii. \u00cen Rom\u00e2nia, una dintre provoc\u0103rile importante r\u0103m\u00e2ne \u00eens\u0103 diagnosticarea c\u00e2t mai timpurie a bolii \u0219i accesul rapid \u0219i echitabil la \u00eengrijire specializat\u0103.<\/em><\/p>\n<p style=\"text-align: justify;\"><em>\u00a0<\/em><em>\u00cen acest context, am discutat cu Dna.Prof. Univ. Dr. Elena Rezu\u0219, fost pre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Reumatologie \u00een perioada octombrie 2023 \u2013 octombrie 2025, despre principalele teme ale Congresului Na\u021bional de Reumatologie, despre schimb\u0103rile produse \u00een specialitate \u00een ultimii ani \u0219i despre ceea ce ar trebui s\u0103 se schimbe \u00een continuare pentru ca pacien\u021bii cu boli reumatice s\u0103 beneficieze de un diagnostic precoce, tratamente moderne \u0219i o abordare medical\u0103 c\u00e2t mai apropiat\u0103 de nevoile fiec\u0103ruia.<\/em><\/p>\n<p style=\"text-align: justify;\"><strong><em>Congresul Na\u021bional de Reumatologie este unul dintre cele mai importante evenimente \u0219tiin\u021bifice dedicate specialit\u0103\u021bii din Rom\u00e2nia. Care sunt principalele teme \u0219i nout\u0103\u021bi medicale care vor fi abordate \u00een cadrul acestei edi\u021bii \u0219i ce considera\u021bi c\u0103 va prezenta cel mai mare interes pentru participan\u021bi?<\/em><\/strong><\/p>\n<p style=\"text-align: justify;\">Congresul Na\u021bional de Reumatologie, ajuns la a XXXII-a edi\u021bie, r\u0103m\u00e2ne principalul forum \u0219tiin\u021bific al specialit\u0103\u021bii noastre.<\/p>\n<p style=\"text-align: justify;\">Manifestarea din acest an, care se va desf\u0103\u0219ura \u00een intervalul 25-26 noiembrie la Poiana Bra\u0219ov, este cadrul ideal pentru relevarea dinamicii conceptuale, \u00een plan diagnostic \u0219i terapeutic, a bolilor imuno-inflamatorii reumatismale, cu un impact semnificativ asupra definirii conceptului de medicin\u0103 personalizat\u0103.<\/p>\n<p style=\"text-align: justify;\">Trei direc\u021bii domin\u0103 programul \u0219tiin\u021bific\u00a0:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Prima este extinderea terapiilor \u021bintite dincolo de indica\u021biile clasice: inhibitorii de JAK \u00ee\u0219i confirm\u0103 eficacitatea \u00een arterita cu celule gigante \u0219i \u00een polimialgia reumatic\u0103, iar primele compara\u021bii directe \u00eentre agen\u021bi biologici \u00eencep s\u0103 ofere argumente pentru ierarhizarea terapeutic\u0103 bazat\u0103 pe dovezi\u00a0;<\/li>\n<li>A doua este schimbarea de paradigm\u0103 \u00een boala Sj\u00f6gren, de la \u201esindrom\u201d la boal\u0103 de sine st\u0103t\u0103toare, cu implica\u021bii directe asupra diagnosticului precoce al formelor extraglandulare\u00a0;<\/li>\n<li>A treia este riscul cardiovascular asociat bolilor reumatice autoimune, care \u00eei impune reumatologului un rol activ \u00een screeningul comorbidit\u0103\u021bilor.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Nu \u00een ultimul r\u00e2nd, integrarea inteligen\u021bei artificiale \u00een practica clinic\u0103 \u2014 de la interpretarea imagistic\u0103 la predic\u021bia r\u0103spunsului terapeutic \u2014 va genera dezbateri consistente, la fel ca terapiile celulare emergente (CAR-T, anticorpi bispecifici) transferate din onco-hematologie.<\/p>\n<p style=\"text-align: justify;\">Cred c\u0103 interesul cel mai mare al participan\u021bilor se va \u00eendrepta c\u0103tre sesiunile cu aplicabilitate clinic\u0103 imediat\u0103: pozi\u021bionarea noilor molecule \u00een raport cu resursele \u0219i protocoalele terapeutice disponibile \u00een Rom\u00e2nia, actualizarea ghidurilor de practic\u0103 \u0219i dezbaterile de caz clinic, acolo unde teoria se confrunt\u0103 cu realitatea din cabinet.<\/p>\n<p style=\"text-align: justify;\">Congresul r\u0103m\u00e2ne, an de an, un spa\u021biu esen\u021bial de formare continu\u0103 \u0219i de coeziune profesional\u0103 pentru comunitatea reumatologilor din \u021bara noastr\u0103.<\/p>\n<p style=\"text-align: justify;\"><strong><em>Diagnosticul precoce este esen\u021bial \u00een multe dintre bolile reumatice. Unde considera\u021bi c\u0103 exist\u0103 \u00eenc\u0103 dificult\u0103\u021bi \u00een Rom\u00e2nia \u0219i ce ar putea fi \u00eembun\u0103t\u0103\u021bit \u00een managementul pacientului cu boli reumatice?<\/em><\/strong><\/p>\n<p style=\"text-align: justify;\">Diagnosticul precoce, \u00een Rom\u00e2nia, r\u0103m\u00e2ne una dintre cele mai mari provoc\u0103ri ale specialit\u0103\u021bii noastre. Conceptul de \u201efereastr\u0103 de oportunitate terapeutic\u0103\u201d, larg sus\u021binut de recomand\u0103rile EULAR, presupune orientarea c\u0103tre reumatolog \u00een primele s\u0103pt\u0103m\u00e2ni de la debutul simptomelor \u0219i ini\u021bierea prompt\u0103 a tratamentului, pentru a preveni leziunile structurale ireversibile. Realitatea din practica clinic\u0103 arat\u0103, \u00eens\u0103, o situa\u021bie diferit\u0103: \u00eent\u00e2rzierile de diagnostic r\u0103m\u00e2n semnificative \u00een poliartrita reumatoid\u0103, spondilita anchilozant\u0103 \u0219i artrita psoriazic\u0103, iar intervalul de la debutul bolii p\u00e2n\u0103 la ini\u021bierea terapiei biologice se poate prelungi considerabil, uneori cu mult peste limitele recomandate.<\/p>\n<p style=\"text-align: justify;\">Cauzele acestor \u00eent\u00e2rzieri sunt multiple \u0219i se cumuleaz\u0103. Pe de o parte, distribu\u021bia teritorial\u0103 a reumatologilor r\u0103m\u00e2ne profund inegal\u0103 \u2014 exist\u0103 \u00eenc\u0103 jude\u021be f\u0103r\u0103 niciun specialist, iar marea majoritate a medicilor sunt concentra\u021bi \u00een marile centre universitare (Bucure\u0219ti, Ia\u0219i, Cluj-Napoca), ceea ce \u00eenseamn\u0103 timpi de a\u0219teptare lungi pentru pacien\u021bii din mediul rural sau din zonele defavorizate. Pe de alt\u0103 parte, medicul de familie, adesea supraaglomerat \u0219i insuficient familiarizat cu semnele de debut ale bolilor inflamatorii reumatice, tinde s\u0103 trateze simptomatic \u2014 cu antialgice sau antiinflamatoare \u2014 \u00eenainte de a orienta pacientul c\u0103tre un specialist. Nu \u00een ultimul r\u00e2nd, pacien\u021bii \u00een\u0219i\u0219i contribuie uneori la \u00eent\u00e2rziere, fie din lips\u0103 de informare, fie din teama fa\u021b\u0103 de tratamentele imunomodulatoare, ajung\u00e2nd frecvent mai \u00eent\u00e2i la ortoped sau la medicul de recuperare.<\/p>\n<p style=\"text-align: justify;\">Aceste \u00eent\u00e2rzieri au consecin\u021be directe asupra managementului bolii: majoritatea pacien\u021bilor ajung la reumatolog cu leziuni structurale deja instalate, ceea ce face ca obiectivul terapeutic \u2014 remisiunea sau activitatea sc\u0103zut\u0103 a bolii \u2014 s\u0103 fie mult mai greu de atins.<\/p>\n<p style=\"text-align: justify;\">Ce ar putea fi \u00eembun\u0103t\u0103\u021bit \u00een managementul pacientului cu boli reumatice?<\/p>\n<p style=\"text-align: justify;\">Cred c\u0103 priorit\u0103\u021bile sunt formarea continu\u0103 a medicilor de familie pentru recunoa\u0219terea semnalelor de alarm\u0103 caracteristice bolilor imuno-inflamatorii cronice reumatismale, extinderea re\u021belei teritoriale de reumatologie \u0219i stimularea reziden\u021biatului \u00een specialitate, dezvoltarea unor circuite rapide de tip \u201eearly arthritis clinic\u201d pentru pacien\u021bii cu artrit\u0103 de debut, precum \u0219i facilitarea accesului la ecografie musculo-scheletal\u0103, inclusiv prin telemedicin\u0103 \u0219i programe de mentorat pentru centrele f\u0103r\u0103 specialist. La acestea se adaug\u0103 simplificarea \u0219i uniformizarea protocoalelor terapeutice na\u021bionale, consolidarea registrelor de boal\u0103 pentru monitorizarea real\u0103 a intervalului diagnostic, precum \u0219i campanii sus\u021binute de educa\u021bie a pacien\u021bilor \u0219i a medicilor de familie, derulate \u00eempreun\u0103 cu organiza\u021biile de pacien\u021bi. Un diagnostic precoce corect, sus\u021binut de \u00eentregul sistem de s\u0103n\u0103tate, r\u0103m\u00e2ne, \u00een opinia mea, cea mai eficient\u0103 investi\u021bie pentru reducerea dizabilit\u0103\u021bii pe termen lung.<\/p>\n<p style=\"text-align: justify;\"><strong><em>Privind perioada \u00een care v-a\u021bi aflat la conducerea Societ\u0103\u021bii Rom\u00e2ne de Reumatologie (octombrie 2023 \u2013 octombrie 2025), cum a\u021bi perceput evolu\u021bia specialit\u0103\u021bii \u0219i care sunt schimb\u0103rile pe care le considera\u021bi cele mai importante pentru reumatologia rom\u00e2neasc\u0103?<\/em><\/strong><\/p>\n<p style=\"text-align: justify;\">Perioada \u00een care am avut onoarea de a fi Pre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Reumatologie, octombrie 2023 \u2013 octombrie 2025, a coincis cu un moment de consolidare real\u0103 a specialit\u0103\u021bii \u00een Rom\u00e2nia. Am asistat la o aliniere tot mai str\u00e2ns\u0103 a protocoalelor terapeutice na\u021bionale la recomand\u0103rile EULAR, prin actualizarea \u0219i extinderea listei de molecule rambursate \u2014 de la inhibitorii de JAK la noi agen\u021bi biologici pentru spondilartrite \u0219i artrita psoriazic\u0103, \u0219i la terapia \u021bintit\u0103 pentru arterita cu celule gigante \u2014 precum \u0219i prin introducerea unui protocol dedicat artritei idiopatice juvenile.<\/p>\n<p style=\"text-align: justify;\">Un alt progres important a fost consolidarea Registrului Rom\u00e2n de Reumatologie, care ofer\u0103 ast\u0103zi o imagine mai fidel\u0103 a practicii clinice reale \u0219i sus\u021bine deciziile de politic\u0103 sanitar\u0103 cu date, nu doar cu opinii. Am urm\u0103rit, de asemenea, o colaborare mai str\u00e2ns\u0103 \u00eentre Societate \u0219i Comisia de Reumatologie a Ministerului S\u0103n\u0103t\u0103\u021bii, esen\u021bial\u0103 pentru actualizarea rapid\u0103 a protocoalelor terapeutice.<\/p>\n<p style=\"text-align: justify;\">R\u0103m\u00e2n, totu\u0219i, provoc\u0103ri structurale \u2014 num\u0103rul insuficient de reumatologi \u0219i distribu\u021bia lor inegal\u0103 pe teritoriul \u021b\u0103rii \u2014 pe care le consider o prioritate pentru perioada urm\u0103toare. Dincolo de aceste realiz\u0103ri punctuale, cred c\u0103 cea mai important\u0103 schimbare este de natur\u0103 cultural\u0103: reumatologia rom\u00e2neasc\u0103 a c\u00e2\u0219tigat vizibilitate \u0219i \u00eencredere, at\u00e2t \u00een r\u00e2ndul autorit\u0103\u021bilor, c\u00e2t \u0219i al pacien\u021bilor, ca specialitate capabil\u0103 s\u0103 ofere un standard european de \u00eengrijire.<\/p>\n<p style=\"text-align: justify;\"><strong><em>Privind spre viitor, cum v-a\u021bi dori s\u0103 evolueze reumatologia \u00een Rom\u00e2nia \u0219i managementul pacientului cu boli reumatice?<\/em><\/strong><\/p>\n<p style=\"text-align: justify;\">Mi-a\u0219 dori, \u00een primul r\u00e2nd, ca diagnosticul precoce s\u0103 devin\u0103 regul\u0103, nu excep\u021bie, ceea ce presupune o re\u021bea de reumatologi suficient de numeroas\u0103 numeric \u0219i echilibrat\u0103 teritorial, astfel \u00eenc\u00e2t niciun jude\u021b s\u0103 nu mai r\u0103m\u00e2n\u0103 f\u0103r\u0103 un specialist. Aceasta r\u0103m\u00e2ne, \u00een opinia mea, condi\u021bia fundamental\u0103 pentru orice alt\u0103 \u00eembun\u0103t\u0103\u021bire a managementului bolii.<\/p>\n<p style=\"text-align: justify;\">Pe termen mediu, sper la o integrare mai ampl\u0103 a instrumentelor moderne \u00een practica curent\u0103 \u2014 ecografie musculo-scheletal\u0103 extins\u0103 la nivel teritorial, inteligen\u021b\u0103 artificial\u0103 pentru interpretare imagistic\u0103 \u0219i predic\u021bia r\u0103spunsului terapeutic, precum \u0219i registre na\u021bionale complete, capabile s\u0103 sus\u021bin\u0103 decizii de politic\u0103 sanitar\u0103 bazate pe date reale, nu doar pe estim\u0103ri. O medicin\u0103 de precizie, adaptat\u0103 profilului fiec\u0103rui pacient, ar trebui s\u0103 devin\u0103 standard, nu o excep\u021bie rezervat\u0103 centrelor mari.<\/p>\n<p style=\"text-align: justify;\">Nu \u00een ultimul r\u00e2nd, \u00eemi doresc un management cu adev\u0103rat integrat al pacientului reumatologic \u2014 o colaborare fireasc\u0103, interdisciplinar\u0103 \u00eentre reumatolog \u0219i celelalte specialit\u0103\u021bi medicale pentru gestionarea comorbidit\u0103\u021bilor, al\u0103turi de o educa\u021bie sus\u021binut\u0103 a pacien\u021bilor, care s\u0103 le permit\u0103 s\u0103 recunoasc\u0103 din timp semnele bolii \u0219i s\u0103 r\u0103m\u00e2n\u0103 parteneri activi \u00een tratament.<\/p>\n<p style=\"text-align: justify;\">Cred profund c\u0103 viitorul specialit\u0103\u021bii noastre, reumatologia, depinde deopotriv\u0103 de efortul nostru de a asimila progresele \u0219tiin\u021bifice remarcabile din domeniu \u0219i de condi\u021biile f\u0103r\u0103 de care acest efort r\u0103m\u00e2ne incomplet: sus\u021binerea institu\u021bional\u0103, politici coerente de s\u0103n\u0103tate public\u0103 \u0219i implicarea activ\u0103 a pacientului reumatismal, prin programe de con\u0219tientizare, \u00eentr-un plan terapeutic autentic \u0219i personalizat. Numai astfel efortul nostru colectiv \u00ee\u0219i va putea \u00eemplini menirea pentru to\u021bi cei angaja\u021bi \u00een aceast\u0103 nobil\u0103 misiune \u2014 aceea de a trata \u0219i de a oferi pacien\u021bilor cu patologie imuno-inflamatorie reumatismal\u0103 o calitate a vie\u021bii pe m\u0103sura demnit\u0103\u021bii lor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prof. Univ. Dr. Elena Rezu\u0219 Fost Pre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Reumatologie (octombrie 2023 \u2013 octombrie 2025) Congresul Na\u021bional de Reumatologie aduce \u00een prim-plan cele mai recente direc\u021bii de diagnostic [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":19173,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276],"tags":[],"class_list":["post-19166","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Viitorul reumatologiei \u00eenseamn\u0103 diagnostic precoce, tratament personalizat \u0219i acces echitabil la \u00eengrijire - Jurmed - 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