https://scholars.lib.ntu.edu.tw/handle/123456789/479404
標題: | Targeted treatment of primary aldosteronism – The consensus of Taiwan Society of Aldosteronism | 作者: | KUO-HOW HUANG Yu C.-C. Hu Y.-H. CHIN-CHEN CHANG CHIEH-KAI CHAN Shih-Cheng Liao Tsai Y.-C. SHIH-CHIEH CHUEH VIN-CENT WU YEN-HUNG LIN Lin J.-H. Wang W.-J. Wu C.-H. Er L.-K. Chang C.-H. Chang Y.-L. YI-LWUN HO Chang H.-W. LIAN-YU LIN Hu F.-C. KAO-LANG LIU SHUO-MENG WANG CHING-CHU LU RUOH-FANG YEN KWAN-DUN WU TAIPAI, Taiwan Primary Aldosteronism Investigator |
公開日期: | 2019 | 卷: | 118 | 期: | 1P1 | 起(迄)頁: | 72-82 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: Even with the increasing recognition of primary aldosteronism (PA) as a cause of refractory hypertension and an issue of public health, the consensus of its optimal surgical or medical treatment in Taiwan has not been reached. Our objective was to develop a clinical practice guideline that is feasible for real-world management of PA patients in Taiwan. Methods: The Taiwan Society of Aldosteronism (TSA) Task Force recognized the above-mentioned issues and reached this Taiwan PA consensus at its inaugural meeting, in order to provide updated information of internationally acceptable standards, and also to incorporate our local disease characteristics and constraints into PA management. Results: In patients with lateralized PA, including aldosterone producing adenoma (APA), laparoscopic adrenalectomy is the ‘gold standard’ of treatment. Mini-laparoscopic and laparoendoscopic single-site approaches are feasible only in highly experienced surgeons. Patients with bilateral adrenal hyperplasia or those not suitable for surgery should be treated by mineralocorticoid receptor antagonists. The outcome data of PA patient management from the literature, especially from PA patients in Taiwan, are reviewed. Mental health screening is helpful in early detection and management of psychopathology among PA patients. Conclusion: We hope this consensus will provide a guideline to help medical professionals to manage PA patients in Taiwan to achieve a better quality of care. ? 2018 |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/479404 | ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2018.01.006 | SDG/關鍵字: | alcohol; epithelial sodium channel blocking agent; eplerenone; finerenone; glucocorticoid; mineralocorticoid antagonist; spironolactone; mineralocorticoid antagonist; adrenal hyperplasia; adrenalectomy; all cause mortality; Article; cardiovascular mortality; clinical practice; familial hyperaldosteronism; human; hyperaldosteronism; laparoendoscopic single site surgery; laparoscopic adrenalectomy; laparoscopic surgery; long term survival; outcome assessment; patient care; pharmacological parameters; postoperative period; practice guideline; pregnancy; primary hyperaldosteronism; psychosomatics; radiofrequency ablation; robot assisted endoscopic adrenalectomy; robot assisted surgery; screening; surgical technique; Taiwan; consensus; hyperaldosteronism; laparoscopy; medical society; mental health; meta analysis (topic); procedures; Adrenalectomy; Consensus; Humans; Hyperaldosteronism; Laparoscopy; Mental Health; Meta-Analysis as Topic; Mineralocorticoid Receptor Antagonists; Societies, Medical; Systematic Reviews as Topic; Taiwan |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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