MP19-11 ERECTILE DYSFUNCTION AND TREATMENT: AN ANALYSIS OF ASSOCIATED CHRONIC HEALTH CONDITIONS

Abstract

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP19)1 Sep 2021MP19-11 ERECTILE DYSFUNCTION AND TREATMENT: AN ANALYSIS OF ASSOCIATED CHRONIC HEALTH CONDITIONS Odinachi Moghalu, Joshua Horns, Rupam Das, Alexander Campbell, James Hotaling, and Alexander Pastuszak Odinachi MoghaluOdinachi Moghalu More articles by this author , Joshua HornsJoshua Horns More articles by this author , Rupam DasRupam Das More articles by this author , Alexander CampbellAlexander Campbell More articles by this author , James HotalingJames Hotaling More articles by this author , and Alexander PastuszakAlexander Pastuszak More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002004.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Erectile dysfunction (ED) is a common medical condition among men that significantly impacts quality of life. ED has several known etiologies, and has been linked to several common chronic health conditions with similar pathophysiology. However, there is no large-scale investigation of the association between ED and common chronic health conditions. This study aims evaluate the association between diagnosis and treatment of ED, and chronic health conditions METHODS: We reviewed data the Truven Health MarketScan claims and encounters database between 2008-2017 for men ≥18 years. Inclusion required an ED diagnosis, identified through ICD-9/10 codes. Those with a diagnosis of post-procedural or drug-induced ED were exclude. ED treatments were identified by National Drug Codes, (NDC) or Current Procedural Terminology, (CPT)codes. Using multiple regression models, we analyzed the association between having a diagnosis for ED and presence of 30 chronic health conditions. In the ED cohort, we further investigated the association between receiving treatment for ED and presence of chronic conditions RESULTS: Of the 2,489,069 men with ED, 954,512 (38.3%) had at least one recorded diagnosis of a chronic health condition. Depression (OR 2.875: 95% CI 2.866, 2.884; p<0.001) was observed to have the strongest association with a diagnosis of ED irrespective of treatment, while ischemic heart disease had the weakest association (OR 0.76: 95% CI 0.755, 0.773; p<0.001) (Fig. 1). Of those treated for ED, the most commonly associated health condition was bipolar disorder (OR 1.422: 95% CI 1.398, 1.447; p<0.001) (Fig 2) CONCLUSIONS: As has been reported in other studies, our study found that having ED was positively associated with having a concomitant diagnosis of depression, hypertension and diabetes. Further prospective research is needed to identify causal relationships that may be contributing to the associations observed and treatment options that can be added or modified to improve care in men with ED. Source of Funding: A.P is a National Institute of Health (NIH) K08 Scholar supported by a Mentored Career Development Award (K08DK115835-01) from the National Institute of Diabetes and Digestive and Kidney Diseases. This work is also supported in part through a Urology Care Foundation Rising Stars in Urology Award (to A.P) © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e331-e332 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Odinachi Moghalu More articles by this author Joshua Horns More articles by this author Rupam Das More articles by this author Alexander Campbell More articles by this author James Hotaling More articles by this author Alexander Pastuszak More articles by this author Expand All Advertisement Loading ...