Endocrine Abstracts

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....

Introduction: Our endocrine service introduced a nurse led parathyroid clinic to provide an efficient pathway for patients referred with hypercalcaemia.This benefits patients and clinical staff.Materials/Methods: Patients referred with a raised calcium level are vetted by the endocrine consultants and directed to the nurse led clinic. The patients are seen within 6 weeks using a standard proforma and checklist. Relevant investigations to include renal fu...

Using nurse led clinics (including telephone and virtual reviews) in NHS Grampian to improve patient satisfaction following a diagnosis of hyperthyroidism.Aims: To reduce waiting times for patients with hyperthyroidism, nurse led clinics were introduced. Telephone and virtual follow up reviews are offered after commencement of thyroid treatment (e.g. anti-thyroid medication or radioactive iodine (RAI)). Nurse-led thyroid clinics aim to i...

Aims: Recent Endocrine Society Guidelines (2016) suggest establishing the aetiology of primary adrenal insufficiency (PAI) and screening for other autoimmune conditions. The aim of our audit was to compare current practice against these recommendations.Methods: We identified patients seen in clinic over 18 months between January 2015 and May 2016. The data was collected by reviewing electronic and paper records.Results: Eighty-thre...

Aims: Adrenal crisis (AC) is a life- threatening condition with an incidence of 6–10 adrenal crises per 100 patient year in European populations. The aim of our study is to identify the prevalence of adrenal crisis in our clinic population and assess the preventative measures in use.Methods: Data was obtained from electronic records and paper records were reviewed in adrenal crisis patients.Results: There were 230 patients wit...