{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:20:57Z","timestamp":1783488057444,"version":"3.55.0"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"6","content-domain":{"domain":["eje.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n<jats:title>Objective<\/jats:title>\n<jats:p>Primary aldosteronism (PA) is the most common endocrine form of arterial hypertension. The German Conn\u2019s Registry\u2019s purpose is to improve treatment outcomes of PA. We assessed whether key clinical, biochemical and epidemiological characteristics of newly diagnosed PA cases have changed over time, potentially indicating a different screening and referral practice in Germany evolving from 2008 to 2016.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Design<\/jats:title>\n<jats:p>The German Conn\u2019s Registry is a multicenter database prospectively analyzing morbidity and long-term outcome of patients with PA.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Phenotypic changes between three year periods were calculated using Mann\u2013Whitney <jats:italic>U<\/jats:italic> tests and Kruskal\u2013Wallis tests for independent variables.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Over three time periods from 2008 to 2016, we noted a relative decrease of unilateral PA cases (67 vs 43%). Significantly more females were diagnosed with PA (33 vs 43%). Median daily defined drug doses decreased (3.1 vs 2.0) in the presence of unchanged SBP (150 vs 150\u2009mmHg), plasma aldosterone (199 vs 173\u2009ng\/L) and PRC (3.2 vs 3.2\u2009U\/L). Median ARR values decreased (70 vs 47\u2009ng\/U) and median potassium levels at diagnosis (3.5 vs 3.7\u2009mmol\/L) increased as the percentage of normokalemic patients (25 vs 41%), indicating milder forms of PA.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Our results are in accordance with an increased screening intensity for PA. We identified a trend toward diagnosing milder forms, increasingly more females and less unilateral cases of PA.<\/jats:p>\n<\/jats:sec>","DOI":"10.1530\/eje-17-0978","type":"journal-article","created":{"date-parts":[[2018,4,10]],"date-time":"2018-04-10T16:05:14Z","timestamp":1523376314000},"page":"605-611","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-1","source":"Crossref","is-referenced-by-count":38,"title":["Primary aldosteronism: key characteristics at diagnosis: a trend toward milder forms"],"prefix":"10.1093","volume":"178","author":[{"given":"Daniel A","family":"Heinrich","sequence":"first","affiliation":[{"name":"1Medizinische Klinik und Poliklinik IV, Klinikum der Universit\u00e4t, LMU M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Adolf","sequence":"additional","affiliation":[{"name":"1Medizinische Klinik und Poliklinik IV, Klinikum der Universit\u00e4t, LMU M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars C","family":"Rump","sequence":"additional","affiliation":[{"name":"2Department of Nephrology, Heinrich-Heine University D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivo","family":"Quack","sequence":"additional","affiliation":[{"name":"2Department of Nephrology, Heinrich-Heine University D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Quinkler","sequence":"additional","affiliation":[{"name":"3Endocrinology in Charlottenburg, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Hahner","sequence":"additional","affiliation":[{"name":"4Medizinische Klinik und Poliklinik I, Schwerpunkt Endokrinologie und Diabetologie, Universit\u00e4tsklinikum W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Januszewicz","sequence":"additional","affiliation":[{"name":"5Department of Hypertension, Institute for Cardiology, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Seufert","sequence":"additional","affiliation":[{"name":"6Division of Endocrinology and Diabetology, Faculty of Medicine, University of Freiburg Medical Center, University of Freiburg, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger S","family":"Willenberg","sequence":"additional","affiliation":[{"name":"7Division of Endocrinology and Metabolism, Rostock University Medical Center, Rostock, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Nirschl","sequence":"additional","affiliation":[{"name":"1Medizinische Klinik und Poliklinik IV, Klinikum der Universit\u00e4t, LMU M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Sturm","sequence":"additional","affiliation":[{"name":"1Medizinische Klinik und Poliklinik IV, Klinikum der Universit\u00e4t, LMU M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Beuschlein","sequence":"additional","affiliation":[{"name":"1Medizinische Klinik und Poliklinik IV, Klinikum der Universit\u00e4t, LMU M\u00fcnchen, M\u00fcnchen, Germany"},{"name":"8Klinik f\u00fcr Endokrinologie, Diabetologie und Klinische Ern\u00e4hrung, Universit\u00e4ts-Spital Z\u00fcrich, Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Reincke","sequence":"additional","affiliation":[{"name":"1Medizinische Klinik und Poliklinik IV, Klinikum der Universit\u00e4t, LMU M\u00fcnchen, M\u00fcnchen, 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