Stephen Greene, MD, FACC, FHFSA
Articles by Stephen Greene, MD, FACC, FHFSA

Addressing Potential Barriers to Implementing Hypercortisolism Screening in Practice
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss potential barriers to screening for hypercortisolism in primary care and specialty settings, ways to address these barriers, when a patient should be referred to endocrinology after screening, and how primary care clinicians and specialists can collaborate effectively to identify, screen, and refer patients with hypercortisolism to optimize patient care.

Importance of Multispecialty Communication in Hypercortisolism Management and Referrals
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss the role of primary care clinicians in identifying and screening patients for hypercortisolism, how hypercortisolism affects mental health and how primary care clinicians can identify at-risk patients, and how hypercortisolism contributes to osteoporosis and an increased risk of fractures.

Effect of Hypercortisolism on Cardiovascular and Diabetes Care
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss how hypercortisolism contributes to treatment-resistant hypertension and other cardiovascular diseases, the impact of treating hypercortisolism on cardiovascular risks, when cardiologists should suspect hypercortisolism as a contributing factor to cardiovascular disease, the role of hypercortisolism in type 2 diabetes, how it complicates the management of type 2 diabetes and impacts long-term glucose control, and when endocrinologists should suspect hypercortisolism in their patients with type 2 diabetes.

Dexamethasone Suppression to Identify Hypercortisolism
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss risk factors and laboratory abnormalities that might raise clinical suspicion for hypercortisolism and who should be screened for hypercortisolism.

Who to Screen for Hypercortisolism
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss risk factors and laboratory abnormalities that might raise clinical suspicion for hypercortisolism and who should be screened for hypercortisolism

Importance of Primary Care in Identification and Screening for Hypercortisolism
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss how the clinical presentation of hypercortisolism differs in the primary care vs specialist setting, highlighting earlier signs/symptoms vs overt disease, and review recent data on the prevalence of hypercortisolism, including its higher occurrence in patients with difficult-to-control diabetes, difficult-to-control hypertension, and cardiovascular disease.

Overcoming Inertia in Hypercortisolism Identification
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss how hypercortisolism affects health care utilization and costs for patients, comparing it with patients with other chronic diseases, and how our understanding of the clinical presentation of hypercortisolism has evolved, distinguishing overt hallmark symptoms from nonspecific features overlapping with chronic disease.

Key Learnings From the CATALYST Study on Hypercortisolism Prevalence
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss the challenges of identifying and diagnosing hypercortisolism, the reasons behind its often-delayed diagnosis, the impact of a wide spectrum of clinical signs and symptoms on clinicians’ ability to diagnose the condition, and recent data on the prevalence of hypercortisolism in at-risk populations, including those with difficult-to-control diabetes, hypertension, and cardiovascular disease.

Advances in the Understanding of Hypercortisolism
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss the long-term health impacts of hypercortisolism, including unresolved comorbidities and increased mortality risk, the consequences of delayed diagnosis, and how the understanding of its clinical presentation has evolved.

Defining Hypercortisolism and Its Impact on Physical and Mental Health
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss the physical impact of hypercortisolism on a patient, how the condition affects overall health, and the long-term risks that remain even after remission, including incomplete resolution of comorbidities, reduced quality of life, and increased mortality risk.

Practical Strategies for Identifying and Screening for Hypercortisolism
ByPamela Kushner, MD, FAAFP ,John Anderson, MD,John Buse, MD, PhD ,Stephen Greene, MD, FACC, FHFSA ,Davida Kruger, MSN, APN-C, BC-ADM Experts discuss practical strategies for identifying and screening for hypercortisolism.