
Opinion|Videos|April 16, 2025
Key Learnings From the CATALYST Study on Hypercortisolism Prevalence
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.
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Episodes in this series

Video content above is prompted by the following:
- What are some of the challenges of identifying and diagnosing hypercortisolism?
- The diagnosis of hypercortisolism is often delayed by several years. Why do you think that the diagnosis of hypercortisolism is often delayed or missed?
- Hypercortisolism presents with a wide spectrum of clinical signs and symptoms. How does this affect clinicians’ ability to diagnose this condition?
- The prevalence of hypercortisolism in certain at-risk patients is higher than previously thought. Can you discuss some of the recent data on hypercortisolism prevalence?
- Prevalence of hypercortisolism in patients with difficult-to-control diabetes was 24%.
- Prevalence of hypercortisolism in patients with difficult-to-control diabetes and difficult-to-control hypertension was 40%.
- Patients with cardiovascular disease had a higher prevalence of hypercortisolism than those without (33.3% vs 20.9%).
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