- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Jennifer M. Cunningham, MD (University of Chicago Medical Center)
Description: This updated edition of a general endocrine textbook presents normal endocrine function at both the molecular and clinical levels, as well as states of endocrine pathology. It is a significant update from the prior version published in 1998.
Purpose: The purpose is to update the previous edition using a fresh approach to the presentation of the essentials of clinical endocrinology. The stated goal is to incorporate molecular and physiological science into scholarly yet practical presentations on disease management. New authors were invited to prepare many of the chapters, so this work is more than just adding new information to previously written chapters. Overall, the book is successful in achieving its goals, although there certainly is variability from chapter to chapter in the practical use of the extensive knowledge.
Audience: The authors do not specify an audience, but clearly it is appropriate for a wide range of readers, from students to practitioners of endocrinology. For students, it would be particularly beneficial in its presentation of basic endocrine physiology, as well as a reference for different disease states. For endocrine practitioners, it is useful for the details it gives regarding many of the disease states as well as the controversies and pitfalls in testing for these. For non-endocrine practitioners, however, the details may obscure the basics of the endocrine evaluations for specific disease states and they may find this book less user-friendly.
Features: Most chapters begin with an explanation of the physiology and/or pathophysiology of the endocrine organ and its disease states. The authors then discuss the clinical characteristics, including treatment and diagnosis, of endocrine disease states. The scope of topics is excellent, including chapters on such subjects as endocrinology and aging and endocrine responsive cancer as opposed to organization simply by individual endocrine organs. The book differs from others in the length of its chapters, which are broken down into smaller sections and subsections. The purpose seems to be to locate all items related to a given subject within the same chapter. However, this can make it somewhat cumbersome to use, and readers in search of a particular topic will find the index far more helpful than the table of contents, which lists only the major chapter headings. The figures and illustrations are of good quality and are given adequate emphasis. Inexplicably, there is a large section of color photographs and figures after chapter 12. These are of good quality but unlikely to be appreciated by most readers due to their seemingly random location in the book. They should be placed, with appropriate notation in the table of contents, at the back or front of the book. Despite the book's stated goals, there is a lot of variability among chapters regarding clinical utility. The thyroid neoplasia section of Chapter 13 seems to focus on guiding a practitioner in patient management, with subsections labeled follow-up strategy. The section on menopause, on the other hand, fails to comment on any of the very relevant nonhormonal treatments available for menopausal symptoms.
Assessment: Overall, this is a quality book and provides a good update in the major areas of endocrinology. Its presentation of the science of endocrinology is excellent. The clinical application of this science is excellent in some chapters but difficult to distinguish in others. It is certainly a worthwhile contribution to the field, but those in search of practical direction regarding disease management may need to consult other books as well, depending on the subject matter.