The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Cortisone replacement therapy in endocrine disorders – quality of self‐care
Abstract
Objective Some endocrine disorders make cortisone replacement therapy (CRT) mandatory. Patients need to be well informed about the therapy and to be able to adapt the dose in case of stress, trauma or surgery. It is unknown where the patients mainly get their information from and what their preferences in learning about the disease are, as well as what their ideas are on how to improve the knowledge transfer. Study design We used an anonymized questionnaire to evaluate these objectives as well as the patients' present state of knowledge. Patients and methods A total of 338 patients with Addison's disease, hypopituitarism or adrenogenital syndrome (mean age 39.8 +/- 21.1 years, mean duration of disease 11.4 +/- 10.8 years) took part in the study. Results Spoken information by doctors is the main source of information for the patients (89%). Apart from counselling by physicians, journals of self-help groups (66%), brochures/guidebooks (60%) and the Internet (45%) are important sources of information. Asked for suggestions for further improvement of knowledge transfer, information available on paper is still the first choice (65%). 51.9% of the questions about CRT were answered correctly. 24% of the patients reported hospitalizations because of Addisonian crisis. Conclusion Information transfer by doctors is the main source of information for the patients. The low patient numbers make the development of structured education programmes unlikely. Given that only the half of the an…
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“However, it has been shown that a high percentage of patients (46%) were not sufficiently skilled in steroid management with physical stress (152).”
From Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline (2016) · cites this paper as [152]
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Bornstein, S. R., Allolio, B., Arlt, W., Barthel, A., Don-Wauchope, A., Hammer, G. D., Husebye, E. S., Merke, D. P., Murad, M. H., Stratakis, C. A., et al. (2016) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2015-1710 · Cited by 1,769
“%) were not sufficiently skilled in steroid management with physical stress (152).”
BackgroundExtensive expertise in endocrinology: adrenal crisis
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Exploring inpatient hospitalizations and morbidity in patients with adrenal insufficiency
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Metadata
- Authors
- Harsch, I. A., Schuller, A., Hahn, E. G., & Hensen, J.
- Affiliations
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- KRH Klinikum Nordstadt (DE)
- Corresponding author
- Harsch, Igor A.
- ORCID
- Harsch, Igor A.
- Venue
- Journal of Evaluation in Clinical Practice
- Publisher
- Wiley
- Published
- 2010-05-25
- Volume
- 16
- Issue
- 3
- Pages
- 492-498
- ISSN
- 1356-1294 (ISSN-L)
- 1365-2753
- OpenAlex
- W2142831607
- Cited by
- 31
- References
- 3
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 6 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Evaluation in Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- Addison's disease, hypopituitarism, adrenogenital syndrome, patient self-care, patient education, health information sources, patient knowledge, adrenal crisis, knowledge transfer, self-help groups
- MeSH terms
- Addison Disease, Adolescent, Adrenocortical Hyperfunction, Adult, Cortisone, Endocrine System Diseases, Female, Germany, Humans, Male, Middle Aged, Quality of Health Care, Surveys and Questionnaires, Self Care, Young Adult
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