Aldosterone-producing adenoma is associated with urolithiasis in primary aldosteronism
Primary aldosteronism (PA) is associated with urolithiasis as it causes hypercalciuria and hypocitraturia. However, the influence of different subtypes of PA on urinary stone formation remains unclear. This study aimed to evaluate the association between aldosterone-producing adenoma (APA) and the b...
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| Format: | Article |
| Language: | English |
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Bioscientifica
2023-08-01
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| Series: | Endocrine Connections |
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| Online Access: | https://ec.bioscientifica.com/view/journals/ec/12/9/EC-23-0056.xml |
| _version_ | 1828717270177677312 |
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| author | Victor Jing-Wei Kang Bo-Ching Lee Jia-Zheng Huang Vin-Cent Wu Yen-Hung Lin Chin-Chen Chang |
| author_facet | Victor Jing-Wei Kang Bo-Ching Lee Jia-Zheng Huang Vin-Cent Wu Yen-Hung Lin Chin-Chen Chang |
| author_sort | Victor Jing-Wei Kang |
| collection | DOAJ |
| description | Primary aldosteronism (PA) is associated with urolithiasis as it causes hypercalciuria and hypocitraturia. However, the influence of different subtypes of PA on urinary stone formation remains unclear. This study aimed to evaluate the association between aldosterone-producing adenoma (APA) and the burden of urolithiasis in patients with PA. In the present study, we enrolled 312 patients with PA from a prospectively maintained database, of whom 179 had APA. Clinical, biochemical, and imaging data (including the presence, volume, and density of urinary stones on abdominal computed tomography) were compared between groups, with employment of propensity score matching (PSM) analysis to balance possible confounding factors. Kaplan–Meier analysis was used to estimate the acute renal colic event during follow-up. After PSM for age, sex, serum calcium, phosphate, blood urea nitrogen, creatinine, and uric acid, the APA and non-APA groups had 106 patients each. Patients with APA had higher serum intact parathyroid hormone (iPTH) (79.1 ± 45.0 vs 56.1 ± 30.3, P < 0.001) and a higher prevalence of urolithiasis (27.4% vs 12.3%, P = 0.006) than non-APA patients. During follow-up, a higher incidence of acute renal colic events was noted in the APA group than the non-APA group (P = 0.011); this association remained significant (P = 0.038) after adjustment for age and sex in Cox-regression analysis. Our data suggest that APA is associated with a heavier burden of urolithiasis and higher incidence of renal colic events compared to the non-APA subtype of PA. |
| first_indexed | 2024-03-12T14:25:35Z |
| format | Article |
| id | doaj.art-ba3e90a07c15427f81ea1e919f8dbc6d |
| institution | Directory Open Access Journal |
| issn | 2049-3614 |
| language | English |
| last_indexed | 2024-03-12T14:25:35Z |
| publishDate | 2023-08-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | Endocrine Connections |
| spelling | doaj.art-ba3e90a07c15427f81ea1e919f8dbc6d2023-08-18T09:59:50ZengBioscientificaEndocrine Connections2049-36142023-08-0112916https://doi.org/10.1530/EC-23-0056Aldosterone-producing adenoma is associated with urolithiasis in primary aldosteronismVictor Jing-Wei Kang0Bo-Ching Lee1Jia-Zheng Huang2Vin-Cent Wu3Yen-Hung Lin4Chin-Chen Chang5Departments of Medical Imaging, National Taiwan University Hospital, Taipei, TaiwanDepartments of Medical Imaging, National Taiwan University Hospital, Taipei, TaiwanDepartments of Medical Imaging, National Taiwan University Hospital, Taipei, TaiwanDepartments of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartments of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartments of Medical Imaging, National Taiwan University Hospital, Taipei, TaiwanPrimary aldosteronism (PA) is associated with urolithiasis as it causes hypercalciuria and hypocitraturia. However, the influence of different subtypes of PA on urinary stone formation remains unclear. This study aimed to evaluate the association between aldosterone-producing adenoma (APA) and the burden of urolithiasis in patients with PA. In the present study, we enrolled 312 patients with PA from a prospectively maintained database, of whom 179 had APA. Clinical, biochemical, and imaging data (including the presence, volume, and density of urinary stones on abdominal computed tomography) were compared between groups, with employment of propensity score matching (PSM) analysis to balance possible confounding factors. Kaplan–Meier analysis was used to estimate the acute renal colic event during follow-up. After PSM for age, sex, serum calcium, phosphate, blood urea nitrogen, creatinine, and uric acid, the APA and non-APA groups had 106 patients each. Patients with APA had higher serum intact parathyroid hormone (iPTH) (79.1 ± 45.0 vs 56.1 ± 30.3, P < 0.001) and a higher prevalence of urolithiasis (27.4% vs 12.3%, P = 0.006) than non-APA patients. During follow-up, a higher incidence of acute renal colic events was noted in the APA group than the non-APA group (P = 0.011); this association remained significant (P = 0.038) after adjustment for age and sex in Cox-regression analysis. Our data suggest that APA is associated with a heavier burden of urolithiasis and higher incidence of renal colic events compared to the non-APA subtype of PA.https://ec.bioscientifica.com/view/journals/ec/12/9/EC-23-0056.xmlhypertensionhumansprimary aldosteronismrenal stone |
| spellingShingle | Victor Jing-Wei Kang Bo-Ching Lee Jia-Zheng Huang Vin-Cent Wu Yen-Hung Lin Chin-Chen Chang Aldosterone-producing adenoma is associated with urolithiasis in primary aldosteronism Endocrine Connections hypertension humans primary aldosteronism renal stone |
| title | Aldosterone-producing adenoma is associated with urolithiasis in primary aldosteronism |
| title_full | Aldosterone-producing adenoma is associated with urolithiasis in primary aldosteronism |
| title_fullStr | Aldosterone-producing adenoma is associated with urolithiasis in primary aldosteronism |
| title_full_unstemmed | Aldosterone-producing adenoma is associated with urolithiasis in primary aldosteronism |
| title_short | Aldosterone-producing adenoma is associated with urolithiasis in primary aldosteronism |
| title_sort | aldosterone producing adenoma is associated with urolithiasis in primary aldosteronism |
| topic | hypertension humans primary aldosteronism renal stone |
| url | https://ec.bioscientifica.com/view/journals/ec/12/9/EC-23-0056.xml |
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