Research Article

Biochemical Evaluation by Confirmatory Tests after Unilateral Adrenalectomy for Primary Aldosteronism

Table 5

Patient characteristics of the biochemical outcome by ARR.

VariablesBiochemical outcome by ARR value
ARR completeARR partial/absent

Number of patients11 (69%)5 (31%)
Age at Adx (year)0.427

Before AdxFemale/male sex6/53/20.635
Presence of hypokalemia (%)63200.141
SBP (mmHg)0.494
DBP (mmHg)0.821
Medication (defined daily dose)0.568
eGFR (mL/min/1.73 m2)0.428
Basal PRA (ng/mL/h)0.642
Basal PAC (ng/dL)0.257
Basal ARR0.821
U-Aldo (μg/day)0.350
AVS (yes/no)10/15/00.688
AVS (yes/no)10/13/20.156
Tumor detected by CT (yes/no)8/34/11.000
Side for Adx (left/right)5/65/00.058

After AdxEvaluation time after Adx (month)0.422
Histological diagnosis (adenoma/cortical nodule)9/25/00.458
Presence of hypokalemia (%)001.000
SBP (mmHg)0.331
DBP (mmHg)0.909
Medication (defined daily dose)0.950
eGFR (mL/min/1.73 m2)0.734
Basal PRA (ng/mL/h)0.020
Basal PAC (ng/dL)0.047
Basal ARR0.002
U-Aldo (μg/day)0.428

Adx: unilateral adrenalectomy; SBP: systolic blood pressure; DBP: diastolic blood pressure; Medication: antihypertensive medication; eGFR: estimated glomerular filtration rate; PRA: plasma renin activity; PAC: plasma aldosterone concentration; ARR: aldosterone-renin ratio; U-Aldo: 24 h urine aldosterone; AVS: adrenal venous sampling; LR: lateralized ratio; CR: contralateral ratio; CT: computed tomography. Data are presented as deviation. The Wilcoxon signed-rank test or Fisher’s exact test is performed. value < 0.05.