Diederik P D Suurd1, Wessel M C M Vorselaars1, Dirk-Jan Van Beek1, Wilko Spiering2, Inne H M Borel Rinkes1, Gerlof D Valk3, Menno R Vriens4. 1. Department of Surgical Oncology and Endocrine Surgery, University Medical Center Utrecht, Utrecht, the Netherlands. 2. Department of Vascular Medicine, University Medical Center Utrecht, Utrecht, the Netherlands. 3. Department of Endocrine Oncology, University Medical Center Utrecht, Utrecht, the Netherlands. 4. Department of Surgical Oncology and Endocrine Surgery, University Medical Center Utrecht, Utrecht, the Netherlands. Electronic address: mvriens@umcutrecht.nl.
Abstract
BACKGROUND: Decrease in blood pressure (BP) is the major goal of adrenalectomy for primary aldosteronism. Nevertheless, the optimal timing to assess these outcomes and the needed duration of follow-up are uncertain. We systematically reviewed the literature regarding trends in BP-related outcomes during follow-up after adrenalectomy. METHODS: A systematic literature search of medical literature from PubMed, Embase and the Cochrane Library regarding BP-related outcomes (i.e. cure of hypertension rates, BP and antihypertensives) was performed. The Quality In Prognosis Studies risk of bias tool was used. RESULTS: Of the 2057 identified records, 13 articles met the inclusion criteria. Overall study quality was low. In multiple studies, the biggest decrease in BP was shown within the first month(s) after adrenalectomy and afterwards BP often remained stable during long-term follow-up. CONCLUSIONS: Based on the available studies one might suggest that long follow-up is unnecessary, since outcomes seem to stabilize within the first months.
BACKGROUND: Decrease in blood pressure (BP) is the major goal of adrenalectomy for primary aldosteronism. Nevertheless, the optimal timing to assess these outcomes and the needed duration of follow-up are uncertain. We systematically reviewed the literature regarding trends in BP-related outcomes during follow-up after adrenalectomy. METHODS: A systematic literature search of medical literature from PubMed, Embase and the Cochrane Library regarding BP-related outcomes (i.e. cure of hypertension rates, BP and antihypertensives) was performed. The Quality In Prognosis Studies risk of bias tool was used. RESULTS: Of the 2057 identified records, 13 articles met the inclusion criteria. Overall study quality was low. In multiple studies, the biggest decrease in BP was shown within the first month(s) after adrenalectomy and afterwards BP often remained stable during long-term follow-up. CONCLUSIONS: Based on the available studies one might suggest that long follow-up is unnecessary, since outcomes seem to stabilize within the first months.
Authors: Diederik P D Suurd; Wouter P Visscher; Wessel M C M Vorselaars; Dirk-Jan van Beek; Wilko Spiering; Inne H M Borel Rinkes; Gerlof D Valk; Menno R Vriens Journal: Ann Med Surg (Lond) Date: 2021-04-20
Authors: Diederik P D Suurd; Wessel M C M Vorselaars; Dirk-Jan Van Beek; Inne H M Borel Rinkes; Wilko Spiering; Gerlof D Valk; Menno R Vriens Journal: Ann Surg Date: 2022-07-27 Impact factor: 13.787