Endocrine Abstracts

Background: In November 2017, a nurse-led Adrenal Incidentaloma (AI) clinic was launched at the University Hospital of Wales (UHW), Cardiff, based upon the 2016 European Society of Endocrinology AI management guidelines.Objectives: To evaluate the effectiveness of a nurse-led clinic in managing AI patients at UHW.Methods: Retrospective analysis of electronic records of patients see...

Introduction: In the UK, most adult patients with growth hormone deficiency (GHD) continue with growth hormone (GH) treatment indefinitely, even when they do not report any benefits from treatment. To date, the optimal duration of GH treatment in adults has not been established. We conducted a survey of UK endocrine clinicians between 01/06/2022 and 31/08/2022 to understand current practices regarding GH treatment discontinuation in adults with GHD.<p clas...

Background: Evidence shows that in an emergency, prompt and appropriate treatment of patients with adrenal insufficiency (AI) significantly improves outcomes and mortality risk. However, patient feedback and evidence suggest shortfalls in care and treatment of AI due to lack of knowledge and understanding from clinical staff. The aim of this survey was to explore frontline nursing knowledge and understanding of AI, to identify gaps for future training purposes...

Adrenal insufficiency is often under recognised which leads to adrenal crisis and death if not treated promptly. The NHS Improvement national patient safety alert (NatPSA) identified several actions an organisation needs to implement including introduction of the new steroid emergency card, identifying the patients at risk of adrenal insufficiency and those who require adrenal function assessment. This is also endorsed by Healthcare Improvement Scotland....

Background: Patient Support Groups (PSG) play a key role in the support, education, research and training for patients and clinicians alike, as well as providing invaluable input to key documents e.g. Defining the Future of Endocrinology (DfE), highlighting the importance of a closer working relationship with SfE.About the PSG Network: Established in Sept 2021, the network includes representation from SfE affiliated PSG ...

Endocrine nursing practice has been changing, with the advent of more autonomous roles, involving nurse led clinics and independent prescribing, with more complex clinical case management. However, recent research highlights the emphasis on optimum patient care, but scope of practice is not always clear, leading to unequal balance in skills and capabilities, qualifications, and Agenda for Change (AfC) bandings. This study explored the remit, job components, and capabilities of...