{"id":21088,"date":"2014-07-24T04:33:00","date_gmt":"2014-07-24T02:33:00","guid":{"rendered":"https:\/\/www.opc.cat\/puede-la-tecnologia-arreglar-la-medicina-2\/"},"modified":"2014-07-24T04:33:00","modified_gmt":"2014-07-24T02:33:00","slug":"puede-la-tecnologia-arreglar-la-medicina-2","status":"publish","type":"post","link":"https:\/\/www.opc.cat\/es\/puede-la-tecnologia-arreglar-la-medicina-2\/","title":{"rendered":"\u00bfPuede la tecnolog\u00eda arreglar la medicina?"},"content":{"rendered":"

<\/p>\n

\nPor  Nanette Byres. MIT Technology Review<\/a><\/i><\/div>\n
\n<\/a>Despu\u00e9s de d\u00e9cadas de retraso tecnol\u00f3gico, la medicina ha entrado en la edad de los datos. Las tecnolog\u00edas m\u00f3viles, los sensores, la secuenciaci\u00f3n del genoma y \u200b\u200blos avances en el software de an\u00e1lisis hacen posible la captura de grandes cantidades de informaci\u00f3n sobre nuestra constituci\u00f3n individual y el ambiente que nos rodea. La suma de esta informaci\u00f3n podr\u00eda transformar la medicina, convirtiendo un campo dirigido a tratar al paciente medio en uno que se adapte a cada persona y traspase m\u00e1s control y responsabilidad desde los m\u00e9dicos a los pacientes.<\/p>\n

La cuesti\u00f3n es: \u00bfpodr\u00edan los grandes vol\u00famenes de datos mejorar la atenci\u00f3n sanitaria?<\/p>\n

\u00abSe est\u00e1 recopilando una gran cantidad de datos. Eso no es suficiente\u00bb, se\u00f1ala el director interino de la Unidad de Servicios de Informaci\u00f3n en la Escuela de Medicina de la Universidad de California en San Francisco (EEUU), Ed Martin. \u00abDe lo que se trata realmente es de crear aplicaciones para poder hacer cosas con esos datos\u00bb.<\/p>\n

La oportunidad de negocio para dar sentido a los datos, valorada potencialmente entre 300.000 y 450.000 millones de d\u00f3lares al a\u00f1o (222.000 y 333.000 millones de euros) seg\u00fan la consultora McKinsey & Company, est\u00e1 llevando a empresas bien establecidas como Apple, Qualcomm e IBM a invertir en tecnolog\u00edas que van desde aplicaciones de captura de datos en tel\u00e9fonos inteligentes a sistemas de an\u00e1lisis valorados en miles de millones de d\u00f3lares. Tambi\u00e9n est\u00e1 motivando un creciente entusiasmo entre las start-up. Empresas de capital de riesgo como Greylock Partners y Kleiner Perkins Caufield & Byers, as\u00ed como los fondos de riesgo corporativo de Google, Samsung, Merck y otras empresas, han invertido m\u00e1s de 3.000 millones de d\u00f3lares (2.220 millones de euros) en tecnolog\u00eda de la informaci\u00f3n de la salud desde el inicio de 2013, lo que seg\u00fan datos de Mercom Capital Group supone una r\u00e1pida aceleraci\u00f3n frente a a\u00f1os anteriores.<\/p>\n

Este Business Report de MIT Technology Review examina las tecnolog\u00edas y las empresas con m\u00e1s probabilidades de sobrevivir al boom y los desaf\u00edos a los que se enfrentar\u00e1n a medida que impulsen la reestructuraci\u00f3n de la atenci\u00f3n sanitaria.<\/p>\n

Los grupos que controlan la mayor\u00eda de los datos m\u00e9dicos hoy d\u00eda son las compa\u00f1\u00edas de seguros y los proveedores de servicios sanitarios, y el an\u00e1lisis que hacen de los datos ya est\u00e1 empezando a cambiar la atenci\u00f3n sanitaria. Express Scripts, que gestiona los beneficios de farmacia de 90 millones de miembros en EEUU y procesa 1.400 millones de recetas m\u00e9dicas al a\u00f1o, ha hecho un an\u00e1lisis de los datos procedentes de consultorios m\u00e9dicos, farmacias y laboratorios para detectar patrones que podr\u00edan alertar a los m\u00e9dicos sobre la posibilidad de interacciones adversas a medicamentos y otras cuestiones relacionadas con las recetas m\u00e9dicas. Hoy d\u00eda los m\u00e9dicos pueden saber con 12 meses de anticipaci\u00f3n, y con una precisi\u00f3n del 98%, qu\u00e9 pacientes podr\u00edan dejar de tomar sus medicamentos. Tomar medidas para evitar este problema podr\u00eda mejorar la salud de los pacientes y reducir los 317.000 millones de d\u00f3lares (234.000 millones de euros) que se gastan en EEUU cada a\u00f1o en visitas a urgencias innecesarias y otros tratamientos.<\/p>\n

Hoy d\u00eda muchas empresas y profesionales de la salud a\u00f1aden capas de informaci\u00f3n adicionales para crear un tipo de medicina cada vez m\u00e1s precisa y espec\u00edfica de cada paciente. Por ejemplo, las nuevas tecnolog\u00edas m\u00f3viles podr\u00edan proporcionar informaci\u00f3n sobre los comportamientos y la salud diarios de un paciente, dando oportunidades a los proveedores de atenci\u00f3n de influir en los pacientes con mucha m\u00e1s frecuencia. Los datos aportados por los historiales de salud electr\u00f3nicos agregar\u00edan opiniones m\u00e9dicas, resultados de pruebas y antecedentes cl\u00ednicos. Los datos gen\u00e9ticos podr\u00edan ofrecer pistas sobre si los pacientes est\u00e1n predispuestos a ciertas afecciones o sobre c\u00f3mo podr\u00edan reaccionar ante los tratamientos.<\/p>\n

\u00abQueremos creer que la mayor\u00eda de cosas que hacemos en medicina est\u00e1n basadas en evidencias\u00bb, se\u00f1ala el director gerente de Rock Health, Malay Gandhi, cuya empresa financia start-up de servicios de salud. \u00abAlgunas s\u00ed, pero la mayor\u00eda no\u00bb. Para \u00e9l, la medicina tiene la oportunidad de ser m\u00e1s anal\u00edtica y basarse en evidencias.<\/p>\n

Los datos tambi\u00e9n est\u00e1n cambiando el rol de los pacientes, ofreci\u00e9ndoles la oportunidad de desempe\u00f1ar un papel m\u00e1s importante en su propio cuidado. Una forma es mediante el uso de tecnolog\u00eda m\u00f3vil para supervisar los patrones de sue\u00f1o, ritmo card\u00edaco, los niveles de actividad y cosas por el estilo. Se est\u00e1n desarrollando dispositivos a\u00fan m\u00e1s avanzados, capaces de vigilar continuamente m\u00e9tricas de gran importancia como el ox\u00edgeno en sangre, los niveles de glucosa e incluso el estr\u00e9s. Adem\u00e1s, empresas como Apple tienen la esperanza de convertirse en almacenes de toda esta informaci\u00f3n, ofreciendo a los consumidores nuevas formas de hacer un seguimiento de su salud y quiz\u00e1 mejorarla.<\/p>\n

Este tipo de informaci\u00f3n podr\u00eda ser \u00fatil e interesante para cualquier usuario, pero puede convertirse en esencial para los millones de personas que viven con enfermedades cr\u00f3nicas como la diabetes, las enfermedades del coraz\u00f3n y la depresi\u00f3n. WellDoc tiene un sistema de \u00abasesoramiento al paciente\u00bb al que s\u00f3lo se puede acceder con receta m\u00e9dica y est\u00e1 aprobado por la Administraci\u00f3n Estadounidense del Medicamento (FDA), que asesora a los usuarios sobre la cantidad de insulina que deben tomar seg\u00fan la informaci\u00f3n registrada en sus tel\u00e9fonos inteligentes: niveles de az\u00facar en sangre, comidas recientes y ejercicio. Tambi\u00e9n ofrece mensajes de \u00e1nimo personalizados y proporciona al m\u00e9dico del paciente recomendaciones de tratamiento basadas en los datos y en pautas m\u00e9dicas establecidas. Una caracter\u00edstica actualmente en desarrollo permitir\u00eda al sistema predecir una reacci\u00f3n hipogluc\u00e9mica y ayudar a los usuarios a evitarla.<\/p>\n

Ginger.io utiliza los datos recogidos (con permiso) del tel\u00e9fono y otros sensores para evaluar el comportamiento de las personas con enfermedades mentales como la depresi\u00f3n. \u00bfEst\u00e1n llamando a sus seres queridos, o durmiendo lo suficiente? Cuando un paciente muestra signos de estar pasando por dificultades, el sistema puede enviar una alerta.<\/p>\n

Con el tiempo, ambas compa\u00f1\u00edas agregar\u00e1n esta informaci\u00f3n para ayudar a los m\u00e9dicos a estudiar y mejorar el tratamiento en general. \u00abEs como uno de los mayores ensayos cl\u00ednicos de la historia\u00bb, se\u00f1ala el jefe de estrategia y director comercial de WellDoc, Chris Bergstrom. \u00abY ni siquiera se lleva a cabo en un entorno artificial: es en tiempo real\u00bb.<\/p>\n

Las familias afectadas por el s\u00edndrome de Phelan-McDermid, una rara afecci\u00f3n en la que una supresi\u00f3n en el cromosoma 22 provoca problemas como d\u00e9ficit de aprendizaje y memoria, est\u00e1n construyendo una base de datos de informaci\u00f3n a partir de pruebas gen\u00f3micas, historiales m\u00e9dicos cl\u00ednicos, extensos estudios e historiales familiares y mucho m\u00e1s. El objetivo es crear un almac\u00e9n central donde los investigadores puedan examinar m\u00faltiples fuentes de datos simult\u00e1neamente. Esto se vuelve cada vez m\u00e1s importante a medida que los investigadores comienzan a ver las conexiones entre el Phelan-McDermid, el autismo y otras afecciones. Otra ventaja: muchos datos que en su d\u00eda estaban encerrados en laboratorios de investigaci\u00f3n acad\u00e9mica ahora estar\u00e1n disponibles para todos los expertos.<\/p>\n

\u00abGran parte de los datos ya est\u00e1n disponibles\u00bb, se\u00f1ala Megan O’Boyle, cuya hija Shannon fue diagnosticada en 2001, apenas dos a\u00f1os despu\u00e9s de que el cromosoma 22 fuera secuenciado. \u00abEst\u00e1n ah\u00ed esperando a que los usemos\u00bb.<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

Por  Nanette Byres. MIT Technology Review Despu\u00e9s de d\u00e9cadas de retraso tecnol\u00f3gico, la medicina ha entrado en la edad de los datos. Las tecnolog\u00edas m\u00f3viles, los sensores, la secuenciaci\u00f3n del genoma y \u200b\u200blos avances en el software de an\u00e1lisis hacen posible la captura de grandes cantidades de informaci\u00f3n sobre nuestra constituci\u00f3n individual y el ambiente que 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