We regularly review our publications and other materials. The Surgical Guidelines have been updated to give greater clarity to healthcare professionals and patients alike. And also checking they reflect the latest medical guidance. Here are some frequently asked questions about this latest update.

1. Are the old guidelines wrong / dangerous? 

No. The majority of the changes are to make the guidance clearer for healthcare professionals. It brings together the most up-to-date endocrine knowledge on cortisol replacement in the steroid-dependent patient. 

2. How can I get a print copy? 

UK based postal members will be sent one shortly. You can find an easy-print version on our website. 

We sell hospital packs - a folder of publications supporting patients if they have a visit to hospital. The Surgical guidelines are included in this. 

Of course, if you know someone who can’t access or print off the Surgical Guidelines, please get in touch and we can post a physical copy to them. 

3. What exactly has changed? 

Several pieces of clinical guidance were released in 2020 about steroid dosing for adrenal patients. These have been included in the Surgical Guidance, as well as expert advice provided by our Addison's Clinical Advisory Panel (CAP). 

We now have two distinct sections to cover different categories – Adults with primary adrenal insufficiency (including CAH and Hypothalamo-pituitary disease) and adults receiving adrenosuppressive doses of steroids.  

The latest version carries a November 2021 date so look for that on your copy to check which version you have. Some new postal members and shop customers will have recently received copies already.

4. Why has it changed? 

We regularly review our publications and other materials. The surgical guidelines have been updated to give greater clarity to healthcare professionals and patients alike. And also checking they reflect the latest medical guidance. 

5. Who changed it? 

Members of the Clinical Panel, including Dr Simpson, Professor Wass and Professor Pearce, reviewed them and updated them in line with the latest medical guidance. 

6. Why did it take so long? 

The ongoing Global Pandemic meant that this work was scheduled sympathetically to the availability of our clinical panel members. 

7. Where is the dental bit now? Why is it separate? 

We have been working with the BDA to create clearer dental guidelines. These will be published as soon as they are available. In the meantime, you can get this information from our dedicated dental website page. 

8. Who are these guidelines aimed at? *New*

These are guidelines are aimed at healthcare professionals. As part of the review, we looked at the audience and purpose of this document. It is now written by medics for medics. 

9. Where can I find information as a patient? *New*

We have included a short section for patients that covers our main recommendations before any surgical procedure. We are creating an FAQ page to sit alongside the guidelines aimed at patients too. 

10. I have secondary or tertiary AI, which section covers me? *New*

Anyone with secondary or tertiary AI is included in the 'Adults with primary adrenal insufficiency (including CAH and Hypothalamo-pituitary disease)' section in the guidelines. We will make this clearer in the next version. 

10. Should I take an extra dose 60 mins before a minor procedure? *New*

    It is still recommend to take an extra oral dose 60 mins before a minor procedure. We will make sure that this is included in the next version of the guidelines and part of the patient surgical FAQs. 

    11. I have provided feedback - what will happen?

    Our members have been amazing and provided their feedback, ideas and opinions via our feedback form or through our get in touch page. We'll of course read all of these and will take them into consideration as we continuing our reviews. We will be updating these FAQs over the coming weeks to reflect the most common topics raised to us.

    Have a different question or some feedback?

    Give us your opinions on the updated Surgical Guidelines using our online feedback form (Opens in new window).