Data Sheet 1_Surgical decision-making and referral patterns for adrenal vein sampling in primary aldosteronism: a national survey of endocrine surgeons.pdf

Among these surgeons, 71% reported “always” ordering AVS for PA, while 28% stated they “sometimes” ordered AVS. If bilateral adrenal nodules were identified on imaging, 100% of surgeons referred patients for AVS, whereas 78% referred patients with unilateral adrenal lesions. Among this group, 56% reported they trusted their IR physician of choice to perform AVS whereas 31% replied they trusted the associated IR group.

AAES respondents “always” referred patients to local academic centers (71%), and “never” referred patients to local private IR groups (75%) or distant academic centers (75%). Among respondents, 83% were satisfied with AVS results.</p>Conclusions<p>AVS plays a central role in surgical decision-making for primary aldosteronism. Endocrine surgeons (ES) demonstrate strong referral patterns favoring individual interventional radiologists at local academic centers, with referral behavior affected by institutional context, trust in proceduralists and perceptions of procedural standardization.

These findings reflect self-reported referral patterns among AAES members and may not capture actual observed clinical behavior.</p>