Continuous data are summarized as median and interquartile ranges. Categorical data are presented as frequencies and percentages. All P-values <0.05 were considered significant.
a Recovery of the HPA-axis was considered to be achieved when an 8AM serum cortisol was ≥10 μg/dL (≥276 nmol/L) at 24h after the last administered dose of GC.
Mild GWS: Symptoms did not limit ADLs or IADLs; Moderate GWS: Symptoms somewhat limited IADLs but not ADLs; Severe: Symptoms significantly limited ADLs and IADLs; Adrenal crisis: Patients required hospital admission for intravenous GC administration due to hemodynamic instability and without evidence of another underlying etiology.
Abbreviations used: ADL, activity of daily living; CS, Cushing syndrome; GC, Glucocorticoid; GWS, glucocorticoid withdrawal symptoms; HPA, hypothalamic-pituitary-adrenal, IADL, instrumental activity of daily living; MACE, mild autonomous cortisol excess.