{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:45:47Z","timestamp":1791895547089,"version":"4.3.4"},"reference-count":33,"publisher":"The Endocrine Society","issue":"7","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>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.<\/jats:p>","DOI":"10.1210\/clinem\/dgad003","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T18:22:02Z","timestamp":1673461322000},"page":"1797-1805","source":"Crossref","is-referenced-by-count":16,"title":["Approach to the Patient: Preventing Adrenal Crisis Through Patient and Clinician Education"],"prefix":"10.1210","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3226-8322","authenticated-orcid":false,"given":"Alexandra","family":"Ahmet","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Endocrinology, Children's Hospital of Eastern Ontario , Ottawa, ON K1H 8L1 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshu","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Endocrinology and Diabetes, Children's Hospital of Richmond, Virginia Commonwealth University , Richmond, VA 23298 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6916-0318","authenticated-orcid":false,"given":"Janine","family":"Malcolm","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Endocrinology and Metabolism, The Ottawa Hospital , Ottawa, Ontario K1H 7W9 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathrine","family":"Constantacos","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Endocrinology, Brenner Children's Hospital, Wake Forest University School of Medicine , Winston Salem, NC 27157 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"80","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"issue":"9","key":"2023061601041981700_dgad003-B1","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1056\/NEJMra1807486","article-title":"Adrenal crisis","volume":"381","author":"Rushworth","year":"2019","journal-title":"N Engl J Med"},{"issue":"2","key":"2023061601041981700_dgad003-B2","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1210\/jc.2014-3191","article-title":"High incidence of adrenal crisis in educated patients with chronic adrenal insufficiency: a prospective study","volume":"100","author":"Hahner","year":"2015","journal-title":"J Clin Endocrinol Metab"},{"issue":"3","key":"2023061601041981700_dgad003-B3","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1530\/EJE-09-0884","article-title":"Epidemiology of adrenal crisis in chronic adrenal insufficiency: the need for new prevention strategies","volume":"162","author":"Hahner","year":"2010","journal-title":"Eur J Endocrinol"},{"issue":"3","key":"2023061601041981700_dgad003-B4","doi-asserted-by":"crossref","first-page":"339.e1","DOI":"10.1016\/j.amjmed.2015.08.021","article-title":"Adrenal crisis: still a deadly event in the 21st century","volume":"129","author":"Puar","year":"2016","journal-title":"Am J Med"},{"key":"2023061601041981700_dgad003-B5","doi-asserted-by":"crossref","first-page":"757566","DOI":"10.3389\/fendo.2021.757566","article-title":"Acute illness and death in children with adrenal insufficiency","volume":"12","author":"Worth","year":"2021","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"2","key":"2023061601041981700_dgad003-B6","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1210\/jc.2015-1710","article-title":"Diagnosis and treatment of primary adrenal insufficiency: an endocrine society clinical practice guideline","volume":"101","author":"Bornstein","year":"2016","journal-title":"J Clin Endocrinol Metab"},{"issue":"4","key":"2023061601041981700_dgad003-B7","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1507\/endocrj.EJ16-0429","article-title":"Self-management in adrenal insufficiency - 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