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Pharmacogenetic testing in Italy: results of a nationwide survey by the Joint Working Group for the pharmacogenetics implementation in Italy - PubMed

6 hours ago
  • #Italy survey
  • #oncology testing
  • #pharmacogenetics
  • Pharmacogenetic testing in Italy is primarily conducted in public institutions, with 82% based in general or research hospitals.
  • Testing focuses on oncology, specifically DPYD (94%) and UGT1A1 (84%) for fluoropyrimidine and irinotecan therapies.
  • There is high adherence to national (SIF/AIOM) and international (CPIC/DPWG) guidelines, but variable compliance with AMP Tier 1 analytical standards.
  • Pharmacological counseling is limited, offered by only 29% of laboratories, mainly through clinical pharmacology units.
  • Marked geographical disparities exist, with pharmacogenetic activity concentrated in Northern Italy, indicating inequitable access.
  • The survey highlights a need for a coordinated national framework to standardize practices and ensure evidence-based pharmacogenetic care.