Evidence map›Paper›PMID 34081226›Full record

ReviewCurrent cardiology reports2021

Therapeutic Outcomes with Surgical and Medical Management of Primary Aldosteronism.

Heather Wachtel, Douglas L Fraker

Open access · greenAbstract readReview
In one paragraph

Review in Current cardiology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. AVS-referenced diagnostic performance ofFrontiers in endocrinology · 2026
    Pooled it
  2. Pooled it
  3. Observational
  4. Primary aldosteronism and long-term outcomes using PAMO definition.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  5. Article
  6. Review
  7. Primary Aldosteronism Surgery Outcomes Under Current Blood Pressure Guidelines.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. The value of targeted CXCR4Frontiers in endocrinology · 2025
    Article
  12. Article
  13. First, a seat; then, an upgrade.Journal of human hypertension · 2024
    Article
  14. Clinical value ofEJNMMI research · 2024
    Article
  15. Review
  16. What We Know about and What Is New in Primary Aldosteronism.International journal of molecular sciences · 2024
    Review
  17. Review
  18. Review
  19. Article
  20. 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

2 authors at 1 institution in 1 country.

Heather WachtelDivision of Endocrine and Oncologic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Silverstein Pavilion, Philadelphia, PA, 19104, USA. heather.wachtel@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0003-3786-3638
Douglas L FrakerDivision of Endocrine and Oncologic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Silverstein Pavilion, Philadelphia, PA, 19104, USA.
Hospital of the University of Pennsylvania · US

Funding

Institutional Clinical and Translational Science AwardKL2TR001879 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$13.7M
NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
NCATS NIH HHS KL2 TR001879NCATS NIH HHS TL1 TR001880
6 · The paper itself

Abstract

purpose of reviewPrimary aldosteronism (PA) is the most common cause of secondary hypertension and is significantly under-diagnosed. Delays in diagnosis and treatment can lead to cardiovascular morbidity and mortality. The goal of this study is to review the management of PA, with a focus on medical and surgical treatment outcomes. RECENT

findingsPA causes cardiovascular dysfunction in excess of degree of hypertension. Adrenalectomy demonstrates a therapeutic advantage over mineralocorticoid antagonist (MRA) therapy, after controlling for degree of hypertension and subtype of PA. Higher rates of atrial fibrillation, heart failure, stroke, and incidence of chronic kidney disease are observed in subjects treated with MRAs than in subjects treated with adrenalectomy. The therapeutic benefit of surgery may reflect definitive resolution of excess aldosterone. Complete mineralocorticoid blockade may achieve similar benefit to adrenalectomy. Adrenalectomy is the most effective treatment for unilateral PA. Biomarkers for MRA therapy might inform optimal medical therapy of bilateral adrenal hyperplasia.

Indexed as

HyperaldosteronismHypertensionAdrenalectomyAldosteroneHumansMineralocorticoid Receptor AntagonistsTreatment OutcomeAldosteroneMineralocorticoid Receptor AntagonistsAdrenalectomyAdrenal hyperplasiaAdrenal vein samplingAldosteronomaConn’s syndromePrimary aldosteronismSecondary hypertension

Identifiers

PMID34081226
PMCPMC8341292
OpenAlexW3165836980

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.