Evidence map›Paper›PMID 37647894›Full record

ArticleThe Journal of clinical endocrinology and metabolism2024

Approach to the Patient: Reninoma.

Annabelle G Hayes, Michael Stowasser, Mahesh M Umapathysivam, Henrik Falhammar, David J Torpy

Erratum issuedAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Annabelle G HayesEndocrine and Metabolic Unit, Royal Adelaide Hospital, Adelaide, South Australia 5000, Australia.ORCID 0000-0002-7596-6980
Michael StowasserEndocrine Hypertension Research Centre, University of Queensland Diamantina Institute, Brisbane, Queensland 4102, Australia.ORCID 0000-0002-4317-8584
Mahesh M UmapathysivamEndocrine and Metabolic Unit, Royal Adelaide Hospital, Adelaide, South Australia 5000, Australia.ORCID 0000-0001-8959-5239
Henrik FalhammarDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm SE-171 76, Sweden.ORCID 0000-0002-5622-6987
David J TorpyEndocrine and Metabolic Unit, Royal Adelaide Hospital, Adelaide, South Australia 5000, Australia.ORCID 0000-0002-5069-0981

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A reninoma is a functional tumor of afferent arteriolar juxtaglomerular cells that secretes the enzyme renin, leading to hyperactivation of the renin-angiotensin-aldosterone system. Reninoma is a potentially curable cause of pathological secondary hyperaldosteronism that results in often severe hypertension and hypokalemia. The lack of suppression of plasma renin contrasts sharply with the much more common primary aldosteronism, but diagnosis is often prompted by screening for that condition. The major differential diagnosis of reninoma is renovascular hypertension. Fewer than 200 cases of reninoma have been described. Reninomas have been reported across a broad demographic but have a 2:1 predilection for women, often of childbearing age. Aldosterone receptor blockade, angiotensin-converting enzyme inhibitors, or angiotensin receptor blockers offer effective medical management but are contraindicated in pregnancy, so surgical curative resection is ideal. The current optimal imaging and biochemical workup of reninoma and management approach (ideally, tumor excision with subtotal renal resection) are described.

Indexed as

AdenomaHyperaldosteronismHypertensionKidney NeoplasmsAldosteroneFemaleHumansKidneyReninRenin-Angiotensin SystemAldosteroneReninjuxtaglomerular cell tumorreninreninomasecondary aldosteronismsecondary hypertension

Identifiers

PMID37647894
PMCPMC10795928

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.