Research Article

Biochemical Evaluation by Confirmatory Tests after Unilateral Adrenalectomy for Primary Aldosteronism

Table 2

Definition of the biochemical outcome by confirmatory tests in PASO criteria.

ARR (>20) basal PACComplete
Partial and decrease
Absent and decrease

CCTComplete decrease
PartialND
Absent decrease

SITComplete ng/dL
PartialPAC 5.0-10.0 ng/dL
Absent ng/dL

FUTComplete ng/mL/h
PartialND
Absent ng/mL/h

U-AldoComplete<10 μg/day
Partial10~12 μg/day
Absent>2 μg/day

Criteria shown by Ref. [8] are adopted in this study. PASO: primary aldosteronism surgical outcome; ARR: aldosterone-renin ratio; PAC: plasma aldosterone concentration; CCT: captopril challenge test; SIT: saline infusion test; FUT: furosemide upright test; U-Aldo: 24 h urine aldosterone; ND: not defined. FUT is not included in the PASO criteria; therefore, the diagnostic criteria of the Japan Endocrine Society are adopted. U-Aldo is determined according to the criteria for the oral salt loading test in the PASO criteria. BP, estimated glomerular filtration rate (eGFR), basal PRA, and basal PAC levels were measured before and after Adx. Data are presented as the deviation. The statistical significance of the differences in clinical data values was assessed using the Wilcoxon signed-rank test or Fisher’s exact test. Statistical significance was set at . JMP Pro version 16.2.0 (SAS Institute Japan Ltd., Tokyo, Japan) was used for the statistical analysis.