Endocrine oncology

Association Between Papillary Thyroid Cancer and Primary Aldosteronism in Individuals With Hypertension

J Clin Endocrinol MetabPublished Case-control study

Main finding · Prevalence of PA (controls not matched by HT stage)Result — go to the resultOdds ratio 4.74 95% CI 2.26–10.55

Authors' conclusion

PTC was an independent variable associated with a diagnosis of PA in HT individuals. Therefore, we propose the association between PTC and HT as a new recommendation for PA screening regardless of HT severity.

Study context

Population
Individuals with arterial hypertension (HT), with or without PTC
Participants
137 vs 137
Comparison
PTC with HT vs HT controls
  • PTCn = 137
  • Controlsn = 137reference
Outcome
Prevalence of primary aldosteronism (PA)
Methodological detailspropensity score-matched, 1:1 age-, sex- and BMI-matched controls
  • Propensity score-matched
  • 1:1 age-, sex- and BMI-matched controls

Main finding

As reported in the abstract

Prevalence of PA (controls not matched by HT stage)

Odds ratio

4.74

95% CI 2.26–10.55

P < 0.001

By group

PTCvs Controls
OR 4.74 (95% CI 2.26–10.55); P < 0.001

Observational data: associations, not effects.

Further findings

Severe HT (stage III or resistant)

P < 0.001

OutcomeOR (95% CI)P value
Prevalence of PA, controls matched by HT stage (secondary analysis)Multivariable analysis5.88 (2.79–13.37)P < 0.001
OutcomePTCControlsP value
Prevalence of PA, controls matched by HT stage (secondary analysis)PA prevalence significantly higher with PTC— not stated in the abstract9.56% (95% CI 5.39%–16.1%)P < 0.0001

— not stated in the abstract

Original publication

Association Between Papillary Thyroid Cancer and Primary Aldosteronism in Individuals With Hypertension. J Clin Endocrinol Metab. Published 18 September 2024. doi:10.1210/clinem/dgae653

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