Delay in Seeking Medical Help in Patients with New‐Onset Erectile Dysfunction Remained High Over and Despite the PDE5 Era—An Ecological Study

It is common knowledge among researchers that erectile dysfunction (ED) is an important sentinel marker of cardiovascular and overall men's health. Determine whether the delay of time between ED onset and seeking medical help (DSH), considered as a proxy of awareness of the importance of ED for...

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Bibliographic Details
Published in:Journal of sexual medicine 2012-12, Vol.9 (12), p.3239-3246
Main Authors: Salonia, Andrea, Ferrari, Matteo, Saccà, Antonino, Pellucchi, Federico, Castagna, Giulia, Clementi, Maria Chiara, Matloob, Rayan, Briganti, Alberto, Rigatti, Patrizio, Montorsi, Francesco
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Analysis of Variance
Awareness
Comorbidity
Educational Status
Erectile Dysfunction
Erectile Dysfunction - drug therapy
Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Phosphodiesterase 5 Inhibitors - therapeutic use
Phosphodiesterase Type 5 Inhibitors
Regression Analysis
Severity of Illness Index
Sildenafil
Tadalafil
Time-to-Treatment
Vardenafil
Young Adult
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Summary:It is common knowledge among researchers that erectile dysfunction (ED) is an important sentinel marker of cardiovascular and overall men's health. Determine whether the delay of time between ED onset and seeking medical help (DSH), considered as a proxy of awareness of the importance of ED for overall men's health, has shortened during the phosphodiesterase type 5 inhibitors (PDE5) era. Complete data from 619 patients seeking first medical help for new‐onset ED as their primary disorder between July 2000 and July 2010 were analyzed (i.e., DSH, ED severity as defined by the International Index of Erectile Function‐erectile function [IIEF‐EF] domain score, patient's awareness of any PDE5, and Charlson Comorbidity Index [CCI]). Analysis of variance tested DSH throughout the 10‐year time frame. Cox regression models tested the association between predictors and DSH. Assess if DSH has shortened throughout PDE5 era. Evaluate potential predictors of DSH. Overall, mean DSH was 30.2 months (median 12.0; range 5–300 months). DSH shortened throughout the analyzed 10‐year period (F = 1.918; P = 0.047), with a significant drop only from year 2009 (DSH up to year 2008 vs. from year 2009: 31.0 months [12.0] vs. 7.5 months [6.0], respectively; P 
ISSN:1743-6095
1743-6109
DOI:10.1111/j.1743-6109.2012.02953.x