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Erectile Dysfunction After Surgical Treatment of Lung Cancer: Real-World Evidence

Sexual problems are common in male lung cancer survivors. However, the development of erectile dysfunction (ED) in lung cancer patients after surgery has been rarely explored. In this study, we aimed to explore the incidence and risk factors of ED after lung cancer surgery. From 2000 to 2012, 6025 a...

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Published in:Clinical epidemiology 2020-01, Vol.12, p.977-987
Main Authors: Hung, Ming-Szu, Chen, Yi-Chuan, Huang, Tsung-Yu, Ho, Dong-Ru, Lee, Chuan-Pin, Chen, Pau-Chung, Yang, Yao-Hsu
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container_title Clinical epidemiology
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Chen, Yi-Chuan
Huang, Tsung-Yu
Ho, Dong-Ru
Lee, Chuan-Pin
Chen, Pau-Chung
Yang, Yao-Hsu
description Sexual problems are common in male lung cancer survivors. However, the development of erectile dysfunction (ED) in lung cancer patients after surgery has been rarely explored. In this study, we aimed to explore the incidence and risk factors of ED after lung cancer surgery. From 2000 to 2012, 6025 and 24,100 male patients were included in each matched cohort of lung cancer and non-lung cancer patients, respectively. Poisson regression analysis was used to calculate the incidence rate ratio (IRR) and 95% confidence interval (CI). The incidence of ED was higher in the lung cancer cohort compared to the non-lung cancer cohort (38.47 vs 28.28 per 10,000 person-years) with an adjusted IRR (aIRR) of 1.34 (95% CI: 1.06-1.70, =0.014) after the confounders were adjusted for. An increased incidence of ED was observed in the lung cancer cohort aged 40-54 years (aIRR: 5.44, 95% CI: 2.25-13.15,
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However, the development of erectile dysfunction (ED) in lung cancer patients after surgery has been rarely explored. In this study, we aimed to explore the incidence and risk factors of ED after lung cancer surgery. From 2000 to 2012, 6025 and 24,100 male patients were included in each matched cohort of lung cancer and non-lung cancer patients, respectively. Poisson regression analysis was used to calculate the incidence rate ratio (IRR) and 95% confidence interval (CI). The incidence of ED was higher in the lung cancer cohort compared to the non-lung cancer cohort (38.47 vs 28.28 per 10,000 person-years) with an adjusted IRR (aIRR) of 1.34 (95% CI: 1.06-1.70, =0.014) after the confounders were adjusted for. An increased incidence of ED was observed in the lung cancer cohort aged 40-54 years (aIRR: 5.44, 95% CI: 2.25-13.15, &lt;0.001), 55-64 years (aIRR: 3.62, 95% CI: 1.61-8.17, =0.002) years, and anxiety (aIRR: 2.99, 95% CI: 1.81-4.94, &lt;0.001). In addition, a higher incidence of emergency room (ER) visits (aIRR: 2.19, 95% CI: 1.98-2.42, &lt;0.001) was observed in lung cancer patients with ED compared to those without ED. Our study results suggested that early surveillance and intervention of ED should be advocated in lung cancer patients after surgery.</description><identifier>ISSN: 1179-1349</identifier><identifier>EISSN: 1179-1349</identifier><identifier>DOI: 10.2147/CLEP.S264439</identifier><identifier>PMID: 32982462</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Age ; Anxiety ; Arthritis ; Asthma ; Cancer research ; Cancer therapies ; Cardiovascular disease ; Care and treatment ; Chronic obstructive pulmonary disease ; Clinical medicine ; Comorbidity ; Comparative analysis ; Diabetes ; Emergency medical services ; Epidemiology ; Erectile dysfunction ; Hypertension ; Impotence ; Kidney diseases ; Lung cancer ; Original Research ; Ostomy ; Patients ; Quality of life ; Respiratory system agents ; Risk factors ; Surgery ; Urbanization ; Weight control</subject><ispartof>Clinical epidemiology, 2020-01, Vol.12, p.977-987</ispartof><rights>2020 Hung et al.</rights><rights>COPYRIGHT 2020 Dove Medical Press Limited</rights><rights>2020. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Hung et al. 2020 Hung et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c533t-374a05a37a83c8575cd80c5fb7fc93338159c1746c1b574ea9069daf5d385463</cites><orcidid>0000-0003-1998-5631 ; 0000-0001-6324-561X ; 0000-0002-8080-0504 ; 0000-0002-1805-0538 ; 0000-0002-6242-5974</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2443723253/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2443723253?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32982462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hung, Ming-Szu</creatorcontrib><creatorcontrib>Chen, Yi-Chuan</creatorcontrib><creatorcontrib>Huang, Tsung-Yu</creatorcontrib><creatorcontrib>Ho, Dong-Ru</creatorcontrib><creatorcontrib>Lee, Chuan-Pin</creatorcontrib><creatorcontrib>Chen, Pau-Chung</creatorcontrib><creatorcontrib>Yang, Yao-Hsu</creatorcontrib><title>Erectile Dysfunction After Surgical Treatment of Lung Cancer: Real-World Evidence</title><title>Clinical epidemiology</title><addtitle>Clin Epidemiol</addtitle><description>Sexual problems are common in male lung cancer survivors. However, the development of erectile dysfunction (ED) in lung cancer patients after surgery has been rarely explored. In this study, we aimed to explore the incidence and risk factors of ED after lung cancer surgery. From 2000 to 2012, 6025 and 24,100 male patients were included in each matched cohort of lung cancer and non-lung cancer patients, respectively. Poisson regression analysis was used to calculate the incidence rate ratio (IRR) and 95% confidence interval (CI). The incidence of ED was higher in the lung cancer cohort compared to the non-lung cancer cohort (38.47 vs 28.28 per 10,000 person-years) with an adjusted IRR (aIRR) of 1.34 (95% CI: 1.06-1.70, =0.014) after the confounders were adjusted for. An increased incidence of ED was observed in the lung cancer cohort aged 40-54 years (aIRR: 5.44, 95% CI: 2.25-13.15, &lt;0.001), 55-64 years (aIRR: 3.62, 95% CI: 1.61-8.17, =0.002) years, and anxiety (aIRR: 2.99, 95% CI: 1.81-4.94, &lt;0.001). In addition, a higher incidence of emergency room (ER) visits (aIRR: 2.19, 95% CI: 1.98-2.42, &lt;0.001) was observed in lung cancer patients with ED compared to those without ED. Our study results suggested that early surveillance and intervention of ED should be advocated in lung cancer patients after surgery.</description><subject>Age</subject><subject>Anxiety</subject><subject>Arthritis</subject><subject>Asthma</subject><subject>Cancer research</subject><subject>Cancer therapies</subject><subject>Cardiovascular disease</subject><subject>Care and treatment</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Clinical medicine</subject><subject>Comorbidity</subject><subject>Comparative analysis</subject><subject>Diabetes</subject><subject>Emergency medical services</subject><subject>Epidemiology</subject><subject>Erectile dysfunction</subject><subject>Hypertension</subject><subject>Impotence</subject><subject>Kidney diseases</subject><subject>Lung cancer</subject><subject>Original Research</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Respiratory system agents</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Urbanization</subject><subject>Weight control</subject><issn>1179-1349</issn><issn>1179-1349</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUk2L2zAQNaWlu2z31nMxFHqqU8kjWVIPhZCm24VAPzbQo5BlyVGwrV3JXth_X2WThgQqHTSM3jzmzZsse4vRrMSEfVqslj9nd2VFCIgX2SXGTBQYiHh5El9k1zFuUToAmDH0OruAUvCSVOVl9msZjB5dZ_KvT9FOQ4r9kM_taEJ-N4XWadXl62DU2JthzL3NV9PQ5gs1aBM-57-N6oo_PnRNvnx0jUnZN9krq7porg_vVbb-tlwvvherHze3i_mq0BRgLIARhagCpjhoThnVDUea2ppZLQCAYyo0ZqTSuKaMGCVQJRplaQOckgqusts9bePVVt4H16vwJL1y8jnhQytVGJ3ujKxBWySQMSzNjFZVbQFhhlUagkZVIxLXlz3X_VT3ptFJaVDdGen5z-A2svWPkhFBEOKJ4P2BIPiHycRRbv0UhiRflskaVkKZRB9RrUpducH6RKZ7F7WcV8B5ao7ThJr9B5VuY3qn_WBscuu84MNJwSY5Mm6i76adk_Ec-HEP1MHHGIw9KsRI7tZJ7tZJHtYpwd-dTuUI_rc88Bd21MF6</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Hung, Ming-Szu</creator><creator>Chen, Yi-Chuan</creator><creator>Huang, Tsung-Yu</creator><creator>Ho, Dong-Ru</creator><creator>Lee, Chuan-Pin</creator><creator>Chen, Pau-Chung</creator><creator>Yang, Yao-Hsu</creator><general>Dove Medical Press Limited</general><general>Taylor &amp; 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However, the development of erectile dysfunction (ED) in lung cancer patients after surgery has been rarely explored. In this study, we aimed to explore the incidence and risk factors of ED after lung cancer surgery. From 2000 to 2012, 6025 and 24,100 male patients were included in each matched cohort of lung cancer and non-lung cancer patients, respectively. Poisson regression analysis was used to calculate the incidence rate ratio (IRR) and 95% confidence interval (CI). The incidence of ED was higher in the lung cancer cohort compared to the non-lung cancer cohort (38.47 vs 28.28 per 10,000 person-years) with an adjusted IRR (aIRR) of 1.34 (95% CI: 1.06-1.70, =0.014) after the confounders were adjusted for. An increased incidence of ED was observed in the lung cancer cohort aged 40-54 years (aIRR: 5.44, 95% CI: 2.25-13.15, &lt;0.001), 55-64 years (aIRR: 3.62, 95% CI: 1.61-8.17, =0.002) years, and anxiety (aIRR: 2.99, 95% CI: 1.81-4.94, &lt;0.001). In addition, a higher incidence of emergency room (ER) visits (aIRR: 2.19, 95% CI: 1.98-2.42, &lt;0.001) was observed in lung cancer patients with ED compared to those without ED. Our study results suggested that early surveillance and intervention of ED should be advocated in lung cancer patients after surgery.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>32982462</pmid><doi>10.2147/CLEP.S264439</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-1998-5631</orcidid><orcidid>https://orcid.org/0000-0001-6324-561X</orcidid><orcidid>https://orcid.org/0000-0002-8080-0504</orcidid><orcidid>https://orcid.org/0000-0002-1805-0538</orcidid><orcidid>https://orcid.org/0000-0002-6242-5974</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Anxiety
Arthritis
Asthma
Cancer research
Cancer therapies
Cardiovascular disease
Care and treatment
Chronic obstructive pulmonary disease
Clinical medicine
Comorbidity
Comparative analysis
Diabetes
Emergency medical services
Epidemiology
Erectile dysfunction
Hypertension
Impotence
Kidney diseases
Lung cancer
Original Research
Ostomy
Patients
Quality of life
Respiratory system agents
Risk factors
Surgery
Urbanization
Weight control
title Erectile Dysfunction After Surgical Treatment of Lung Cancer: Real-World Evidence
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