Letter to the Editor: Validation of the aldosteronoma resolution score as a predictive resolution score of hypertension after unilateral adrenalectomy for primary aldosteronism in a North‐African population

Abstract

Dear Editor, I am writing in response to the article "Validation of the Aldosteronoma Resolution Score as a Predictive Resolution Score of Hypertension After Unilateral Adrenalectomy for Primary Aldosteronism in a North-African Population" by Ahmed Saaid et al., recently published in WJS. 1 The study validates the aldosteronoma resolution score (ARS) in a North-African population, providing valuable insights into the predictability of hypertension cure after adrenalectomy for unilateral primary aldosteronism.The ARS is a four-item predictive score that has been demonstrated to be valid in different populations. 2 However, it is worth noting that there are other prognostic models available, such as the primary aldosteronism surgical outcome score 3 and the Utsumi nomogram. 4 These models have shown comparable discrimination performance to predict complete resolution of hypertension in primary aldosteronism. 5 Despite the availability of these models, there is a shortage of sufficient head-to-head comparisons. Recent systematic literature reviews, including "Assessment of performance of stratum-specific likelihood ratios of the ARS for predicting hypertension cure after adrenalectomy for primary aldosteronism: a systematic review and meta-analysis" 2 and "Prognostic models to predict complete resolution of hypertension after adrenalectomy in primary aldosteronism: A systematic review and meta-analysis," 5 have highlighted this gap.In conclusion, while the ARS is a valuable tool, further research comparing it with other prognostic models could provide more comprehensive guidance for clinicians. This would help inform and counsel patients about post-surgery expectations, ensure effective treatment, and ultimately improve outcomes.