Aldosterone Variations in Patients With Primary Hyperparathyroidism After Surgery

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-100
SponsorCentral Hospital, Nancy, France

About this trial

Primary hyperparathyroidism is a disorder of calcium and phosphorus metabolism linked to dysfunction of one or more parathyroid glands. The latest recommendations from the American Association of Endocrine Surgeons (7) consider the presence of hypertension as an argument for proposing the removal of a parathyroid adenoma in the context of primary hyperparathyroidism. The renin-angiotensin-aldosterone system is involved in regulating blood pressure.

The main objective of this study is to assess aldosterone level in patients with primary hyperparathyroidism before surgery and its variation in the year following surgery for parathyroid disease.

Secondary objectives are to assess aldosterone variations after surgery at 3 months

* Assess aldosterone variations after surgery at 6 months * Assess aldosterone variations after surgery at 12 months * Blood pressure changes before and after surgery (5 pre- and post-operative measurements) * Assess the number of antihypertensive treatments before and after surgery * Assess antihypertensive treatment according to the WHO-DDD classification before and after surgery Compare aldosterone levels in the 'primary hyperparathyroidism' group with a control group of patients from the general population (using the STANISLAS cohort).

* Compare aldosterone levels in the HPT group with aldosterone levels in a group of patients after myocardial infarction (cardiovascular patient group )

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

patients with primary hyperparathyroidism candidate to surgery

age>/=18 years

Disqualifiers

None

Trial population

Patients with primary hyperparathyroidism, without renal insufficiency , candidate to parathyroid surgery

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

Not listed

Trial groups

400 Participants
are grouped into 1 trial group
Group A: Patients with primary hyperparathyroidism

Trial outcomes

Primary outcomes

1

Aldosteron variation before and after surgery

Variation of aldosteron level between the time before surgery and after surgery at 3 points : 3,6 and 12 months after surgery

Time frame
from enrollment to 12 months after surgery

Secondary outcomes

1

Plasma Parathormon levels

Preoperative and postoperative Plasma parathormone levels

Time frame
3 months before surgery to 12 months after surgery The measure is done at 3,6 and 12 months after surgery
2

Plasma Calcium and Phosphorus levels

Preoperative and postoperative Plasma calcium and phosphorus levels

Time frame
3 months before surgery to 12 months after surgery The measure is done at 3,6 and 12 months after surgery
3

Plasma renin levels

Preoperative and postoperative Plasma renin levels

Time frame
3 months before surgery to 12 months after surgery The measure is done at 3,6 and 12 months after surgery
4

type and number of antihypertensive medications

Preoperative and postoperative type and number of antihypertensive medications : the number, the type and the dosage of anti-hypertensive drugs is collected before and 3 months after surgery

Time frame
from 3 months before surgery to 3 months after

Other outcomes

Sponsors and contacts

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