Evidence map›Paper›PMID 30359120›Full record

ReviewCirculation2018

Primary Aldosteronism: Practical Approach to Diagnosis and Management.

James Brian Byrd, Adina F Turcu, Richard J Auchus

Open access · bronzeAbstract readReview
In one paragraph

Review in Circulation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 1 synthesis or guideline pooled it, 159 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Effect of collection timing on selectivity index in unstimulated adrenal venous sampling: discovery and validation.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  10. Article
  11. Journal of human hypertension · 2026
    Article
  12. Is It Time to Retire Aldosterone Suppression Testing?American journal of hypertension · 2026
    Review
  13. Article
  14. Review
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 3 countries.

James Brian ByrdDivision of Cardiovascular Medicine (J.B.B.).
Adina F TurcuDivision of Metabolism, Endocrinology, and Diabetes (A.F.T., R.J.A.).
Richard J AuchusDivision of Metabolism, Endocrinology, and Diabetes (A.F.T., R.J.A.).
Diabetes Australia · AUCardiovascular Research Center · BR

Funding

A Novel Biomarker of Mineralocorticoid Receptor ActivationK23HL128909 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BYRD, JAMES BRIAN · 2016 to 2020
$972k
The contemporary endocrinology of congenital adrenal hyperplasiaK08DK109116 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TURCU, ADINA F · 2016 to 2020
$832k
Streamlined Diagnostic Strategy for Primary AldosteronismR21DK103183 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AUCHUS, RICHARD J., RAINEY, WILLIAM E · 2015 to 2016
$426k
NHLBI NIH HHS K23 HL128909NIDDK NIH HHS K08 DK109116NIDDK NIH HHS R21 DK103183
6 · The paper itself

Abstract

Primary aldosteronism (PA) is the most common form of secondary hypertension. In many cases, somatic mutations in ion channels and pumps within adrenal cells initiate the pathogenesis of PA, and this mechanism might explain why PA is so common and suggests that milder and evolving forms of PA must exist. Compared with primary hypertension, PA causes more end-organ damage and is associated with excess cardiovascular morbidity, including heart failure, stroke, nonfatal myocardial infarction, and atrial fibrillation. Screening is simple and readily available, and targeted therapy improves blood pressure control and mitigates cardiovascular morbidity. Despite these imperatives, screening rates for PA are low, and mineralocorticoid-receptor antagonists are underused for hypertension treatment. After the evidence for the prevalence of PA and its associated cardiovascular morbidity is summarized, a practical approach to PA screening, referral, and management is described. All physicians who treat hypertension should routinely screen appropriate patients for PA.

Indexed as

Blood PressureHyperaldosteronismHypertensionAdrenalectomyAdrenal GlandsAldosteroneAntihypertensive AgentsHumansMineralocorticoid Receptor AntagonistsRisk AssessmentRisk FactorsTreatment OutcomeAldosteroneAntihypertensive AgentsMineralocorticoid Receptor Antagonistsadrenal cortexaldosteronehyperaldosteronismhypertensionreceptors, mineralocorticoidreninrenin-angiotensin system

Identifiers

PMID30359120
PMCPMC6205759
OpenAlexW2890839470

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.