Abstract
Prevalence of erectile dysfunction (ED) increases with age and is associated with chronic comorbidities, such as diabetes and hypertension. Even so, ED is underdiagnosed and undertreated. This study investigated the effect of raising awareness of ED diagnosis and treatment in a community setting by physicians' education. Thirty-nine primary care physicians participated in lectures by a trained sexologist, and 20 of them also received computerized lists of their high-risk patients. We matched a control group of 39 primary care physicians who did not receive the intervention; we thus followed 1959 patients in both intervention groups and 1903 patients in the control group. During the period of 6 months before the intervention and 6 months after the intervention, no significant differences were found between the groups in diagnosis of new ED patients, in phosphodiesterase-5 inhibitor prescriptions or in referrals to urologists. We therefore suggest that sporadic lectures and computerized patient lists do not significantly affect the physician's behavior.
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References
Roth A, Kalter-Leibovici O, Kerbis Y, Tenenbaum-Koren E, Chen J, Sobol T et al. Prevalence and risk factors for erectile dysfunction in men with diabetes, hypertension, or both diseases: a community survey among 1412 Israeli men. Clin Cardiol 2003; 26: 25–30.
Laumann EO, West S, Glasser D, Carson C, Rosen R, Kang JH . Prevalence and correlates of erectile dysfunction by race and ethnicity among men aged 40 or older in the United States: from the male attitudes regarding sexual health survey. J Sex Med 2007; 4: 57–65.
Teles AG, Carreira M, Alarcão V, Sociol D, Aragüés JM, Lopes L et al. Prevalence, severity, and risk factors for erectile dysfunction in a representative sample of 3548 Portuguese men aged 40–69 years attending primary healthcare centers: results of the Portuguese erectile dysfunction study. J Sex Med 2008; 5: 1317–1324.
Mirone V, Ricci E, Gentile V, Basile Fasolo C, Parazzini F . Determinants of erectile dysfunction risk in a large series of Italian men attending andrology clinics. Eur Urol 2004; 45: 87–91.
Sadovsky R, Mulhall JP . The potential value of erectile dysfunction inquiry and management. Int J Clin Pract 2003; 57: 601–608.
Slag MF, Morley JE, Elson MK, Trence DL, Nelson CJ, Nelson AE et al. Impotence in medical clinic outpatients. JAMA 1983; 249: 1736–1740.
Hatzichristou D . Understanding individuals' response to erectile dysfunction. Int J Impot Res 2008; 20 (Suppl 2): S15–S20.
Mukherjee B, Shivakumar T . A case of sensorineural deafness following ingestion of sildenafil. J Laryngol Otol 2007; 121: 395–397.
Carter JE . Anterior ischemic optic neuropathy and stroke with use of PDE-5 inhibitors for erectile dysfunction: cause or coincidence? J Neurol Sci 2007; 262: 89–97.
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Azuri, J., Gelerenter, R., Dushinat, M. et al. Raising awareness for the diagnosis and treatment of erectile dysfunction in patients with high risk to develop ED. Int J Impot Res 21, 249–252 (2009). https://doi.org/10.1038/ijir.2009.15
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DOI: https://doi.org/10.1038/ijir.2009.15
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International Journal of Impotence Research (2009)