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巴勒斯坦肿瘤专家对二氢嘧啶脱氢酶检测的认知与见解

Oncology Specialists' Perceptions and Insights Into Dihydropyrimidine Dehydrogenase Testing in Palestine.

作者信息

Dweib Mohammad, Hallak Hussein, Hour Hani, Alzeer Asmahan, Fatafta Raya, Albaw Leen

机构信息

College of Public Health, Al-Quds University, Jerusalem, Palestine.

College of Pharmacy and Medical Sciences, Hebron University, Hebron, Palestine.

出版信息

Cancer Rep (Hoboken). 2025 Jun;8(6):e70251. doi: 10.1002/cnr2.70251.

Abstract

BACKGROUND

This study evaluated awareness, prevalence, and utilization of dihydropyrimidine dehydrogenase (DPD) testing and pharmacogenomics among oncologists, residents, and clinical pharmacists working in Palestinian hospitals.

AIM

This study aimed to assess the knowledge and opinions of HCPsspecializing in oncology in Palestine regarding screening for DPYD testing prior to prescribing FP.

METHODS

A cross-sectional survey was distributed to 106 HCPs across various hospitals in Palestine.

RESULTS

A notable deficiency in training and implementation of pharmacogenomics was observed, with over 70% of participants lacking formal training in the field. Although there is high awareness of DPD deficiency and its impact, fewer than 50% of participants screen for DPD deficiency prior to prescribing fluoropyrimidines (FP). Standardization and promotion of DPD testing are low, and guidelines for prescribing FP are lacking, leading to variations in clinical practice.

CONCLUSION

These findings highlight the need for enhanced training, standardized protocols, and increased awareness to improve patient safety and outcomes in cancer treatment in Palestine.

摘要

背景

本研究评估了在巴勒斯坦医院工作的肿瘤学家、住院医师和临床药剂师对二氢嘧啶脱氢酶(DPD)检测及药物基因组学的知晓度、普及率和应用情况。

目的

本研究旨在评估巴勒斯坦肿瘤专科医护人员在开具氟尿嘧啶(FP)前进行DPYD检测筛查的知识和观点。

方法

对巴勒斯坦各医院的106名医护人员开展了一项横断面调查。

结果

观察到在药物基因组学的培训和实施方面存在显著不足,超过70%的参与者缺乏该领域的正规培训。尽管对DPD缺乏及其影响的知晓度较高,但不到50%的参与者在开具氟尿嘧啶(FP)前筛查DPD缺乏情况。DPD检测的标准化和推广程度较低,且缺乏开具FP的指南,导致临床实践存在差异。

结论

这些发现凸显了加强培训、制定标准化方案以及提高认识的必要性,以改善巴勒斯坦癌症治疗中的患者安全和治疗效果。

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