About: Free plasma metanephrines as a screeining test for pheochromocytoma in low-risk patients     Goto   Sponge   NotDistinct   Permalink

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Description
  • Cíle: Stanovení volných plazmatických metanefrinů se jeví jako nejpřesnější metoda v biochemické diagnostice feochromocytomu, ale není známa jejich efektivita u neselektovaných pacientů s nízkou pretestovou pravděpodobností. Metodika: Při průřezové multicentrické studii zahrnující 1260 subjektů jsme hodnotili diagnostickou efektivitu plazmatického metanefrinu a normetanefrinu u pacientů s akcelerovanou hypertenzí, paroxysmální hypertenzí, výskytem %22flushe%22 a rovněž u menšího počtu pacientů s incidentalomem nadledviny a genetickou predispozicí pro feochromocytom. Výsledky: Feochromocytom byl diagnostikován a histologicky prokázán u 25 subjektů (2%), u ostatních 1235 nebyla dlouhodobým sledováním ani zobrazovacími metodami diagnóza prokázána. Kombinovaný test plazmatických metanefrinů se ukázal jako vysoce senzitivní (100%) a specifický (96,7%) test s negativní prediktivní hodnotou 100%. Závěr: Uspokojivá diagnostická efektivita volných plazmatických metanefrinů umožňuje jejich použití jak (cs)
  • Objectives: Detection of free plasma metanephrines seems to be the most exact method for biochemical diagnosis of pheochromocytonoma, but their diagnostic efficacy in the common low-risk clinical settings is debated. Methods: A cross-sectional multicentre study including 1260 subjects assessed the diagnostic efficacy of free plasma metanephrine and normetanephrine in low-risk patients screened for resistant or markedly accelerated hypertension, paroxysmal hypertension, %22flushes%22, and, in a small proportion, for adrenal incidentaloma or genetic predisposition to pheochromocytoma. Results: Pheochromocytoma was identified and verified by histology in 25 subjects (2%), with the diagnosis not confirmed by long-ter, follow-up or use of imaging techniques in the remaining 1235 individuals. The combined assay of free plasma metanephrines was a highly sensitive (100%) and specific (96,7%) measure, yielding a negative predictive value of 100%. Conclusion: The satisfactory diagnostic efficacy of fr
  • Objectives: Detection of free plasma metanephrines seems to be the most exact method for biochemical diagnosis of pheochromocytonoma, but their diagnostic efficacy in the common low-risk clinical settings is debated. Methods: A cross-sectional multicentre study including 1260 subjects assessed the diagnostic efficacy of free plasma metanephrine and normetanephrine in low-risk patients screened for resistant or markedly accelerated hypertension, paroxysmal hypertension, %22flushes%22, and, in a small proportion, for adrenal incidentaloma or genetic predisposition to pheochromocytoma. Results: Pheochromocytoma was identified and verified by histology in 25 subjects (2%), with the diagnosis not confirmed by long-ter, follow-up or use of imaging techniques in the remaining 1235 individuals. The combined assay of free plasma metanephrines was a highly sensitive (100%) and specific (96,7%) measure, yielding a negative predictive value of 100%. Conclusion: The satisfactory diagnostic efficacy of fr (en)
Title
  • Free plasma metanephrines as a screeining test for pheochromocytoma in low-risk patients
  • Volné plazmatické metanefriny jako skríningový test pro feochromocytom v neselektované populaci pacientů s nízkým pretestovým rizikem (cs)
  • Free plasma metanephrines as a screeining test for pheochromocytoma in low-risk patients (en)
skos:prefLabel
  • Free plasma metanephrines as a screeining test for pheochromocytoma in low-risk patients
  • Volné plazmatické metanefriny jako skríningový test pro feochromocytom v neselektované populaci pacientů s nízkým pretestovým rizikem (cs)
  • Free plasma metanephrines as a screeining test for pheochromocytoma in low-risk patients (en)
skos:notation
  • RIV/61989592:15110/07:00004443!RIV08-MSM-15110___
http://linked.open.../vavai/riv/strany
  • 1427 - 1431
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • S
http://linked.open...iv/cisloPeriodika
  • 7
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 422599
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/07:00004443
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • hypertension; metanephrine; metanephrines; normetanephrine; pheochromocytoma; secondary hypertension (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [D5CB79A8CF3B]
http://linked.open...i/riv/nazevZdroje
  • Journal of Hypertension
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 25
http://linked.open...iv/tvurceVysledku
  • Stejskal, David
  • Vlček, Petr
  • Václavík, Jan
  • Fryšák, Zdeněk
  • Lazárová, Marie
  • Lačňák, Bořek
  • Jedelský, Libor
  • Janošová, Marie
  • Kadalová, Lenka
issn
  • 0263-6352
number of pages
http://localhost/t...ganizacniJednotka
  • 15110
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