ACTH Stimulation Testing Is Often Unnecessary After Appropriate Patient Preparation Prior to Screening Cortisol Measurement | Synapse
March 3, 2026Open Access
ACTH Stimulation Testing Is Often Unnecessary After Appropriate Patient Preparation Prior to Screening Cortisol Measurement
Key Points
Less need for acth stimulation testing can be achieved with proper patient preparation before cortisol measurement.
A lower cortisol threshold is proposed, potentially reducing unnecessary tests by a significant margin.
Careful preparation helps streamline the screening process, focusing on adrenal insufficiency more accurately.
Changes in testing protocols may reduce healthcare costs and improve patient experiences in the long run.
Abstract
Careful attention to pre-test patient preparation and implementation of a lower cortisol threshold may significantly reduce the number of stimulation tests needed to screen for AI.