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