Zarnegar et al reported the Aldosteronoma Resolution Score (ARS) to evaluate a patient with aldosteronoma undergoing adrenalectomy. The authors are from Weill Cornell Medical College, Mayo Clinic, Columbia University and University of California San Francisco.
Patient selection: adrenalectomy for aldosteronoma
Outcome: resolution of hypertension after surgery
Parameters:
(1) number of antihypertensive medications
(2) body mass index in kg per sq m
(3) number of years with hypertension
(4) sex
Parameter
Finding
Points
number of antihypertensive drugs
<= 2
2
>= 3
0
body mass index
<= 25 kg per sq m
1
> 25 kg per sq m
0
years with hypertension
<= 6
1
> 6
0
sex
male
0
female
1
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• The higher the score the more likely that symptoms will resolve after surgery.
Score
Resolution of Hypertension
0 or 1
14-28%
2 or 3
44-46%
4 or 5
75-80%
Performance:
• The area under the ROC curve is reported as 0.91.
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