Trends in blood pressure-related outcomes after adrenalectomy in patients with primary aldosteronism: A systematic review

Diederik P D Suurd; Wessel M C M Vorselaars; Dirk-Jan Van Beek; Wilko Spiering; Inne H M Borel Rinkes; Gerlof D Valk; Menno R Vriens

doi:10.1016/j.amjsurg.2020.12.003

Trends in blood pressure-related outcomes after adrenalectomy in patients with primary aldosteronism: A systematic review

Diederik P D Suurd, Wessel M C M Vorselaars, Dirk-Jan Van Beek, Wilko Spiering, Inne H M Borel Rinkes, Gerlof D Valk, Menno R Vriens

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Abstract

BACKGROUND: Decrease in blood pressure (BP) is the major goal of adrenalectomy for primary aldosteronism. Nevertheless, the optimal timing to assess these outcomes and the needed duration of follow-up are uncertain. We systematically reviewed the literature regarding trends in BP-related outcomes during follow-up after adrenalectomy.

METHODS: A systematic literature search of medical literature from PubMed, Embase and the Cochrane Library regarding BP-related outcomes (i.e. cure of hypertension rates, BP and antihypertensives) was performed. The Quality In Prognosis Studies risk of bias tool was used.

RESULTS: Of the 2057 identified records, 13 articles met the inclusion criteria. Overall study quality was low. In multiple studies, the biggest decrease in BP was shown within the first month(s) after adrenalectomy and afterwards BP often remained stable during long-term follow-up.

CONCLUSIONS: Based on the available studies one might suggest that long follow-up is unnecessary, since outcomes seem to stabilize within the first months.

Original language	English
Pages (from-to)	297-304
Number of pages	8
Journal	American Journal of Surgery
Volume	222
Issue number	2
Early online date	3 Dec 2020
DOIs	https://doi.org/10.1016/j.amjsurg.2020.12.003
Publication status	Published - Aug 2021

Keywords

Adrenalectomy
Blood pressure
Follow-up
Hypertension
Primary aldosteronism

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10.1016/j.amjsurg.2020.12.003

1-s2.0-S0002961020307819-mainFinal published version, 681 KBLicence: CC BY

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title = "Trends in blood pressure-related outcomes after adrenalectomy in patients with primary aldosteronism: A systematic review",

abstract = "BACKGROUND: Decrease in blood pressure (BP) is the major goal of adrenalectomy for primary aldosteronism. Nevertheless, the optimal timing to assess these outcomes and the needed duration of follow-up are uncertain. We systematically reviewed the literature regarding trends in BP-related outcomes during follow-up after adrenalectomy.METHODS: A systematic literature search of medical literature from PubMed, Embase and the Cochrane Library regarding BP-related outcomes (i.e. cure of hypertension rates, BP and antihypertensives) was performed. The Quality In Prognosis Studies risk of bias tool was used.RESULTS: Of the 2057 identified records, 13 articles met the inclusion criteria. Overall study quality was low. In multiple studies, the biggest decrease in BP was shown within the first month(s) after adrenalectomy and afterwards BP often remained stable during long-term follow-up.CONCLUSIONS: Based on the available studies one might suggest that long follow-up is unnecessary, since outcomes seem to stabilize within the first months.",

keywords = "Adrenalectomy, Blood pressure, Follow-up, Hypertension, Primary aldosteronism",

author = "Suurd, {Diederik P D} and Vorselaars, {Wessel M C M} and {Van Beek}, Dirk-Jan and Wilko Spiering and {Borel Rinkes}, {Inne H M} and Valk, {Gerlof D} and Vriens, {Menno R}",

year = "2021",

month = aug,

doi = "10.1016/j.amjsurg.2020.12.003",

language = "English",

volume = "222",

pages = "297--304",

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T1 - Trends in blood pressure-related outcomes after adrenalectomy in patients with primary aldosteronism

T2 - A systematic review

AU - Suurd, Diederik P D

AU - Vorselaars, Wessel M C M

AU - Van Beek, Dirk-Jan

AU - Spiering, Wilko

AU - Borel Rinkes, Inne H M

AU - Valk, Gerlof D

AU - Vriens, Menno R

PY - 2021/8

Y1 - 2021/8

N2 - BACKGROUND: Decrease in blood pressure (BP) is the major goal of adrenalectomy for primary aldosteronism. Nevertheless, the optimal timing to assess these outcomes and the needed duration of follow-up are uncertain. We systematically reviewed the literature regarding trends in BP-related outcomes during follow-up after adrenalectomy.METHODS: A systematic literature search of medical literature from PubMed, Embase and the Cochrane Library regarding BP-related outcomes (i.e. cure of hypertension rates, BP and antihypertensives) was performed. The Quality In Prognosis Studies risk of bias tool was used.RESULTS: Of the 2057 identified records, 13 articles met the inclusion criteria. Overall study quality was low. In multiple studies, the biggest decrease in BP was shown within the first month(s) after adrenalectomy and afterwards BP often remained stable during long-term follow-up.CONCLUSIONS: Based on the available studies one might suggest that long follow-up is unnecessary, since outcomes seem to stabilize within the first months.

AB - BACKGROUND: Decrease in blood pressure (BP) is the major goal of adrenalectomy for primary aldosteronism. Nevertheless, the optimal timing to assess these outcomes and the needed duration of follow-up are uncertain. We systematically reviewed the literature regarding trends in BP-related outcomes during follow-up after adrenalectomy.METHODS: A systematic literature search of medical literature from PubMed, Embase and the Cochrane Library regarding BP-related outcomes (i.e. cure of hypertension rates, BP and antihypertensives) was performed. The Quality In Prognosis Studies risk of bias tool was used.RESULTS: Of the 2057 identified records, 13 articles met the inclusion criteria. Overall study quality was low. In multiple studies, the biggest decrease in BP was shown within the first month(s) after adrenalectomy and afterwards BP often remained stable during long-term follow-up.CONCLUSIONS: Based on the available studies one might suggest that long follow-up is unnecessary, since outcomes seem to stabilize within the first months.

KW - Adrenalectomy

KW - Blood pressure

KW - Follow-up

KW - Hypertension

KW - Primary aldosteronism

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DO - 10.1016/j.amjsurg.2020.12.003

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EP - 304

JO - American Journal of Surgery

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ER -

Trends in blood pressure-related outcomes after adrenalectomy in patients with primary aldosteronism: A systematic review

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