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A new tool for predicting erectile dysfunction

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Abstract

The Sexual Health Inventory for Men (SHIM) is an effective way to assess erectile difficulty (ED). Despite documented efficacy, however, many physicians may be reluctant to incorporate it into clinical practice because of the intimate nature of the questionnaire. In an attempt to devise and test an easy-to-use computer-based SHIM score indicator for office use, more than 30,000 SHIM questionnaires were administered to men visiting physicians’ offices in 2000. Information about age, current smoking status, diabetes, depression, hypertension, prostate disease, and cholesterol levels was also collected. A logistic regression model with a sensitivity of 81.8% and a specificity of 57.7% was created to predict the likelihood of ED in a patient scoring below 21 (SHIM definition). This model was built into a highly graphic Windows®-based program. The SHIM score indicator is a convenient way to rapidly identify patients at high risk for ED who should be further assessed.

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References

  1. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study.J Urol. 1994;151:54–61.

    PubMed  CAS  Google Scholar 

  2. Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB. Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts Male Aging Study.J Urol. 2000;163:460–463.

    Article  PubMed  CAS  Google Scholar 

  3. NIH Consensus Development Panel on Impotence. Impotence.JAMA. 1993;270:83–90.

    Article  Google Scholar 

  4. Burnett AL. Erectile dysfunction: a practical approach for primary care.Geriatrics. 1998;53:34–48.

    PubMed  CAS  Google Scholar 

  5. Marwick C. Survey says patients expect little physician help on sex.JAMA. 1999;281:2173–2174.

    Article  PubMed  CAS  Google Scholar 

  6. Feldman HA, Johannes CB, Derby CA, et al. Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts Male Aging Study.Prev Med. 2000;30:328–338.

    Article  PubMed  CAS  Google Scholar 

  7. Sullivan ME, Thompson CS, Dashwood MR, et al. Nitric oxide and penile erection: is erectile dysfunction another manifestation of vascular disease?Cardiovasc Res. 1999;43:658–665.

    Article  PubMed  CAS  Google Scholar 

  8. Lochmann A, Gallmetzer J. Erectile dysfunction of arterial origin as possible primary manifestation of atherosclerosis [in Italian].Minerva Cardioangiol. 1996;44:243–246.

    PubMed  CAS  Google Scholar 

  9. Korenman SG. New insights into erectile dysfunction: a practical approach.Am J Med. 1998; 105:135–144.

    Article  PubMed  CAS  Google Scholar 

  10. Zesiewicz TA, Helal M, Hauser RA. Sildenafil citrate (Viagra) for the treatment of erectile dysfunction in men with Parkinson’s disease.Mov Disord. 2000;15:305–308.

    Article  PubMed  CAS  Google Scholar 

  11. Chew KK, Earle CM, Stuckey BG, Jamrozik K, Keogh EJ. Erectile dysfunction in general medicine practice: prevalence and clinical correlates.Int J Impot Res. 2000;12:41–45.

    Article  PubMed  CAS  Google Scholar 

  12. Burchardt M, Burchardt T, Baer L, et al. Hypertension is associated with severe erectile dysfunction.J Urol. 2000;164:1188–1191.

    Article  PubMed  CAS  Google Scholar 

  13. Roose SP, Seidman SN. Sexual activity and cardiac risk: is depression a contributing factor?Am J Cardiol. 2000;86(suppl 2A):38F-40F.

    Article  PubMed  CAS  Google Scholar 

  14. Shabsigh R, Klein LT, Seidman S, Kaplan SA, Lehrhoff BJ, Ritter JS. Increased incidence of depressive symptoms in men with erectile dysfunction.Urology. 1998;52:848–852.

    Article  PubMed  CAS  Google Scholar 

  15. Seidman SN, Roose SP. The relationship between depression and erectile dysfunction.Curr Psychiatry Rep. 2000;2:201–205.

    Article  PubMed  CAS  Google Scholar 

  16. Goldstein I. The mutually reinforcing triad of depressive symptoms, cardiovascular disease, and erectile dysfunction.Am J Cardiol. 2000;86(suppl 2A):41F-45F.

    Article  PubMed  CAS  Google Scholar 

  17. Sadovsky R. Integrating erectile dysfunction treatment into primary care practice.Am J Med. 2000;109(suppl 9A):22S-28S.

    Article  PubMed  Google Scholar 

  18. Manecke RG, Mulhall JP. Medical treatment of erectile dysfunction.Ann Med. 1999;31:388–398.

    Article  PubMed  CAS  Google Scholar 

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Day, D., Ambegaonkar, A., Harriot, K. et al. A new tool for predicting erectile dysfunction. Adv Therapy 18, 131–139 (2001). https://doi.org/10.1007/BF02850301

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