Abstract | INTRODUCTION: METHODS: We conducted a retrospective cohort study, recruiting patients undergoing laparoscopic adrenal tumor resection for adrenal incidentaloma with hypertension and normal hormone levels. Demographic, clinical, treatment, and laboratory data were collected and compared. We used univariable and multivariable logistic regression methods to identify the predictive factors of postoperative hypertension resolution. RESULTS: Of the 171 patients in our study, 130 (76.0%) patients performed a resolution of hypertension, and 57 (33.3%) patients had a significant reduction. Multivariate logistic regression analysis showed that the male sex (odds ratio (OR) 0.305, 95% confidence interval (CI): 0.098-0.948, p = 0.040), body mass index (BMI) (OR 0.973, 95% CI: 0.670-0.938, p = 0.007), aldosterone and plasma renin activity ratio (APR) in erect position (OR 1.206, 95% CI: 1.042-1.397, p = 0.012), and preoperative systolic pressure (OR 1.044, 95% CI: 1.009-1.080, p = 0.014), were significantly associated with the outcomes of hypertension resolution. DISCUSSION/CONCLUSION:
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Authors | Jing Wang, Yunpeng Zhu, Zhixian Wang, Chang Liu, Shiliang Liu, Xing Li, Ruibao Chen, Ying Zhan, Shaogang Wang, Xiaoyong Zeng |
Journal | Urologia internationalis
(Urol Int)
Vol. 107
Issue 2
Pg. 193-201
( 2023)
ISSN: 1423-0399 [Electronic] Switzerland |
PMID | 35671712
(Publication Type: Journal Article)
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Copyright | The Author(s). Published by S. Karger AG, Basel. |
Chemical References |
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Topics |
- Female
- Humans
- Male
- Adrenal Gland Neoplasms
(complications, surgery)
- Retrospective Studies
- Hypertension
(complications)
- Aldosterone
- Laparoscopy
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