Evidence map›Paper›PMID 33033458›Full record

ArticleJournal of medical biochemistry2020

Biochemical and clinical characteristics of patients with primary aldosteronism: Single centre experience.

Nataša Vujačić, Ivan Paunović, Aleksandar Diklić, Vladan Živaljević, Nikola Slijepčević, Nevena Kalezić, Mirjana Stojković, Miloš Stojanović, Biljana Beleslin, Miloš Žarković and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of medical biochemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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

11 authors at 2 institutions in 1 country.

Nataša VujačićClinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade.
Ivan PaunovićClinical Center of Serbia, Center of Endocrine Surgery, Belgrade.
Aleksandar DiklićClinical Center of Serbia, Center of Endocrine Surgery, Belgrade.
Vladan ŽivaljevićClinical Center of Serbia, Center of Endocrine Surgery, Belgrade.
Nikola SlijepčevićClinical Center of Serbia, Center of Endocrine Surgery, Belgrade.
Nevena KalezićClinical Center of Serbia, Clinic of Anesthesiology and Reanimation, Belgrade.
Mirjana StojkovićClinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade.
Miloš StojanovićClinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade.
Biljana BeleslinClinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade.
Miloš ŽarkovićClinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade.
Jasmina ĆirićClinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Belgrade.
Center for Health, Exercise and Sport Sciences · RSCentar za Promociju Nauke · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary aldosteronism (PA) is associated with increased prevalence of metabolic disorders (impaired glucose and lipid metabolism and insulin resistance), but also with more frequent cardiovascular, renal and central nervous system complications.

methodsBiochemical and clinical parameters were retrospectively analysed for 40 patients with PA caused by aldosterone-producing adenoma (APA) and compared to the control groups of 40 patients with nonfunctioning adrenal adenoma (NFA) and essential hypertension (HT), and 20 patients with adrenal Cushing syndrome (CS) or subclinical CS (SCS).

resultsSystolic, diastolic and mean arterial blood pressures were significantly higher in the PA group (p=0.004; p=0.002; p=0.001, respectively) than in NFA+HT group. PA patients had longer hypertension history (p=0.001) than patients with hypercorticism and all had hypokalaemia. This group showed the smallest mean tumour diameter (p<0.001). The metabolic syndrome was significantly less common in the PA group (37.5% vs. 70% in CS+SCS and 65% in NFA+HT group; p=0.015), although there was no significant difference in any of the analysed metabolic parameters between groups. PA group was found to have the most patients with glucose intolerance (81.8%), although the difference was not significant. The mean BMI for all three groups was in the overweight range. Patients with PA had higher microalbuminuria and a higher tendency for cardiovascular, renal and cerebrovascular events, but the difference was not significant.

conclusionsOur results support the importance of the early recognition of primary aldosteronism on the bases of clinical presentation, as well as an increased screening intensity.

Indexed as

adrenal tumourbiochemical parametersclinical presentationCushing syndromehypertensionprimary aldosteronism

Identifiers

PMID33033458
PMCPMC7526022
OpenAlexW2970124001

What OpenQuestion holds

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LicenceCC BY
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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.