MP19-12 A LONGITUDINAL STUDY OF HEALTHCARE UTILIZATION IN THE EVALUATION AND MANAGEMENT OF ERECTILE DYSFUNCTION

Abstract

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP19)1 Sep 2021MP19-12 A LONGITUDINAL STUDY OF HEALTHCARE UTILIZATION IN THE EVALUATION AND MANAGEMENT OF ERECTILE DYSFUNCTION Tianran Li, David Crosslin, Ian Stanaway, Aaron Scrol, Arvind Ramaprasan, Gail Jarvik, Eric Larson, Hunter Wessells, and Alexander Skokan Tianran LiTianran Li More articles by this author , David CrosslinDavid Crosslin More articles by this author , Ian StanawayIan Stanaway More articles by this author , Aaron ScrolAaron Scrol More articles by this author , Arvind RamaprasanArvind Ramaprasan More articles by this author , Gail JarvikGail Jarvik More articles by this author , Eric LarsonEric Larson More articles by this author , Hunter WessellsHunter Wessells More articles by this author , and Alexander SkokanAlexander Skokan More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002004.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Erectile dysfunction (ED) affects 1 in 5 men in the United States. After diagnosis, we know little about how patients use healthcare resources over time for disease evaluation and management. Leveraging electronic health record (EHR)-based informatic techniques, large cohorts of patients with a common disease state such as ED can be identified and studied longitudinally. We report on the frequency of patient visits for ED over time in an EHR-identified cohort from a regional health system. METHODS: A retrospective study was conducted utilizing the Kaiser Washington Electronic Medical Records and Genomics (eMERGE) cohort. This included patients treated at a large regional insurer/health system from 1992-2020. Subjects who had EHR evidence of ED based upon ICD-9/10 diagnosis codes (Dx), ICD/CPT procedure codes (Px), or prescriptions (Rx) were included. Subjects were followed for the duration of their care in the EHR. Data on the frequency and nature of encounters for ED was summarized. RESULTS: A total of 939 subjects were included with a median 26.4 (IQR 18.3-30.4) years of care. The mean age at ED diagnosis was 65 (+/- 10.9) years, and subjects had on average 3 (IQR 1-4) encounters to address ED. The median duration of clinical care for ED was 4 (IQR 0-9) years. The composition of ED-related encounters included an average of 8 (IQR 2-22) Rx visits, 3 (IQR 1-4) Px visits, and 3 (IQR 1-4) Dx-only visits. CONCLUSIONS: The EHR footprint of ED is heterogeneous, with initial diagnosis occurring across the adult lifespan and significant variation evident in the number of disease-related encounters. The average frequency and duration of ED care was limited, including 3 encounters per subject and only 4 years from initial diagnosis to last ED encounter. Only a minority of patients had 5 or more medication-related encounters (potentially representing long-term prescription renewal). Further investigation is needed to understand how healthcare utilization differs among specific subgroups of patients with ED. Future EHR-based study could also provide insight into the temporal relationship between medical risk factors and disease onset. Source of Funding: NIH R01DK104764-03 © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e332-e332 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tianran Li More articles by this author David Crosslin More articles by this author Ian Stanaway More articles by this author Aaron Scrol More articles by this author Arvind Ramaprasan More articles by this author Gail Jarvik More articles by this author Eric Larson More articles by this author Hunter Wessells More articles by this author Alexander Skokan More articles by this author Expand All Advertisement Loading ...