Adrenal disease

Expert Consensus on the Primary Aldosteronism Severity Classification and its strategic application in indicating adrenal venous sampling

Eur J EndocrinolPublished Delphi expert consensus study with retrospective cohort application

Authors' conclusion

Primary Aldosteronism Severity Classification is a newly developed simplified, semi-quantitative classification of PA severity. The correlation between PASC and lateralized PA subtype supports its potential to provide graded recommendations of AVS prior to surgical indication in each patient.

Study context

Population
Primary aldosteronism (PA) patients from 26 centers; classification developed by 45 international experts from 40 centers across four continents
Participants
2,593 patients26 centers
Comparison
PA severity classes by Primary Aldosteronism Severity Classification (PASC)
Outcome
Distribution of PASC classes and lateralized subtype prevalence
Methodological detailsDelphi method, international, multicentre, Delphi panel of 45 international experts from 40 centers across four continents; four rounds
  • Delphi method
  • International
  • Multicentre
  • Delphi panel of 45 international experts from 40 centers across four continents; four rounds

Recommendations

As reported in the abstract

Values

Lateralized subtype prevalence

Original publication

Expert Consensus on the Primary Aldosteronism Severity Classification and its strategic application in indicating adrenal venous sampling. Eur J Endocrinol. Published 9 June 2025. doi:10.1093/ejendo/lvaf117

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