Management of adrenal insufficiency: A survey of perceptions and practices of physicians from the Middle East and North Africa

Salem Beshyah; Khawla Ali

doi:10.4103/jdep.jdep_12_21

Journal of Diabetes and Endocrine Practice, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Journal of Diabetes and Endocrine Practice 2021; 04(03): 125-130
DOI: 10.4103/jdep.jdep_12_21

Original Article

Management of adrenal insufficiency: A survey of perceptions and practices of physicians from the Middle East and North Africa

Salem Beshyah

¹Department of Medicine, Dubai Medical College, Dubai

,

Khawla Ali

²Department of Medicine, Royal College of Surgeons in Ireland Medical University of Bahrain, Busaiteen

› Institutsangaben

Abstract

Introduction: Treatment of adrenal insufficiency (AI) requires correct lifelong use of glucocorticoids (GCs) with early dose adjustments to cover the increased demand in stress to avoid life-threatening emergencies. Objectives: We determine the current specific knowledge of physicians in a convenience sample on the pathophysiological and clinical aspects of AI in the two regions of North Africa and the Middle East. Materials and Methods: Participants (n = 96) were invited to complete an electronic questionnaire with various possible answers on the subject of multiple-choice questions covering physiology, pharmacology, and clinical management and define respondents' professional profiles. Results: The present study suggests that in the investigated settings, physicians' knowledge of physiology and pharmacology GCs, medical replacement strategies in AI, and prevention of adrenal crisis may be insufficient. Great knowledge gaps were demonstrated. Conclusions: There is a need for continuous structured education and training on AI in both general medical and endocrine forums.

Keywords

Adrenal crisis - adrenal insufficiency - glucocorticoid replacement therapy - hydrocortisone - prednisolone

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Referenzen

References
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