Approach to the Patient: Preventing Adrenal Crisis Through Patient and Clinician Education

J Clin Endocrinol Metab. 2023 Jun 16;108(7):1797-1805. doi: 10.1210/clinem/dgad003.

Abstract

Adrenal crisis continues to be an important cause of death despite being a preventable condition. Significant deficits in patient education in the prevention of adrenal crisis have been identified as a contributor to adrenal crisis risk, despite the importance of patient education being highlighted in international guidelines. Deficits in clinician education have also been identified as risk factors for adrenal crisis although they have not been addressed. We use 3 clinical cases to highlight the role of both patient and clinician education in the prevention of adrenal crisis, review what is known about education related to adrenal insufficiency and provide a possible approach to addressing education deficits with the aim of reducing the risk of adrenal crisis through both patient and clinician education.

Keywords: adrenal crisis; adrenal insufficiency; clinician education; patient education.

MeSH terms

  • Acute Disease
  • Adrenal Insufficiency* / diagnosis
  • Adrenal Insufficiency* / etiology
  • Adrenal Insufficiency* / prevention & control
  • Educational Status
  • Humans
  • Risk Factors