Adrenal venous sampling could be omitted before surgery inpPatients with Conn's adenoma confirmed by computed tomography and higher normal aldosterone concentration after saline infusion test

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F22%3A00083400" target="_blank" >RIV/00023001:_____/22:00083400 - isvavai.cz</a>

Výsledek na webu

<a href="http://file:///C:/Users/mati/AppData/Local/Temp/diagnostics-12-01718.pdf" target="_blank" >http://file:///C:/Users/mati/AppData/Local/Temp/diagnostics-12-01718.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3390/diagnostics12071718" target="_blank" >10.3390/diagnostics12071718</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Adrenal venous sampling could be omitted before surgery inpPatients with Conn's adenoma confirmed by computed tomography and higher normal aldosterone concentration after saline infusion test

Popis výsledku v původním jazyce

Purpose: Adrenal venous sampling (AVS) performed to distinguish unilateral and bilateral primary aldosteronism (PA) is invasive and poorly standardized. This study aimed to identify non-invasive characteristics that can select the patients with unilateral PA who could bypass AVS before surgery. Methods: A single-center study collected a total of 450 patients with PA. Development and validation cohorts included 242 and 208 patients. The AVS was successful in 150 and 138 patients from the cohorts, and the unilateral PA was found in 96 and 94 patients, respectively. Clinical factors independently associated with lateralized AVS in multivariable logistic regression were used to construct a unilateral PA prediction score (SCORE). Results: The proposed SCORE was calculated as a sum of the prevalence of adrenal nodule on computed tomography (2 points) and plasma/serum aldosterone concentration &gt;= 165 ng/L after the saline infusion test (SIT) (1 point). Importantly, the SCORE = 3 points identified 48% of unilateral PA patients with a specificity of 100% in the development cohort. The zero rate of false-positive classifications was preserved with the same cut-off value in the validation cohort. Conclusions: AVS could be omitted before surgery in patients with typical Conn &apos; s adenoma provided the aldosterone concentration &gt;= 165 ng/L after the SIT.

Název v anglickém jazyce

Adrenal venous sampling could be omitted before surgery inpPatients with Conn's adenoma confirmed by computed tomography and higher normal aldosterone concentration after saline infusion test

Popis výsledku anglicky

Purpose: Adrenal venous sampling (AVS) performed to distinguish unilateral and bilateral primary aldosteronism (PA) is invasive and poorly standardized. This study aimed to identify non-invasive characteristics that can select the patients with unilateral PA who could bypass AVS before surgery. Methods: A single-center study collected a total of 450 patients with PA. Development and validation cohorts included 242 and 208 patients. The AVS was successful in 150 and 138 patients from the cohorts, and the unilateral PA was found in 96 and 94 patients, respectively. Clinical factors independently associated with lateralized AVS in multivariable logistic regression were used to construct a unilateral PA prediction score (SCORE). Results: The proposed SCORE was calculated as a sum of the prevalence of adrenal nodule on computed tomography (2 points) and plasma/serum aldosterone concentration &gt;= 165 ng/L after the saline infusion test (SIT) (1 point). Importantly, the SCORE = 3 points identified 48% of unilateral PA patients with a specificity of 100% in the development cohort. The zero rate of false-positive classifications was preserved with the same cut-off value in the validation cohort. Conclusions: AVS could be omitted before surgery in patients with typical Conn &apos; s adenoma provided the aldosterone concentration &gt;= 165 ng/L after the SIT.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Diagnostics

ISSN

2075-4418

e-ISSN

2075-4418

Svazek periodika

12

Číslo periodika v rámci svazku

7

Stát vydavatele periodika

CH - Švýcarská konfederace

Počet stran výsledku

14

Strana od-do

"art. no. 1718"

Kód UT WoS článku

000833205000001

EID výsledku v databázi Scopus

2-s2.0-85137377745