PD26-02 CARE OUTMIGRATION PATTERNS FOR PENILE PROSTHESIS IMPLANTATION AMONG MEN WITH ERECTILE DYSFUNCTION

Abstract

You have accessJournal of UrologyCME1 Apr 2023PD26-02 CARE OUTMIGRATION PATTERNS FOR PENILE PROSTHESIS IMPLANTATION AMONG MEN WITH ERECTILE DYSFUNCTION Sirikan Rojanasarot, Kathryn Morris, and Thomas Walsh Sirikan RojanasarotSirikan Rojanasarot More articles by this author , Kathryn MorrisKathryn Morris More articles by this author , and Thomas WalshThomas Walsh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003304.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Although the prevalence of erectile dysfunction (ED) in the US is increasing, there appears to be insufficient urologists with fellowship or other advanced training in sexual medicine, who are able and willing to offer definitive care, including penile prosthesis implantation (PPI). As a result, we hypothesized that men with ED may seek treatment outside their geographical location. This study describes the care outmigration patterns for PPI among men with ED using a nationally representative sample of US men. METHODS: The 100% Medicare Standard Analytical Files (SAF), which include claims from all men covered by original Medicare, were used to identify men aged ≥65 years with an ED diagnosis based upon ICD-10-CM diagnosis codes and underwent PPI between January 2016 and December 2021. The Federal Information Processing Series (FIPS) codes, 5-digit numbers designated for each US county by the National Institute of Standards and Technology of patients and facilities where the patient received their PPI, were used to determine the geographic distance from a patient’s home to the site of surgery. The distance between patient and facility FIPS codes was calculated from the National Bureau of Economic Research’s County Distance Database. Descriptive statistics, including proportions of men who migrated outside their home county and state for PPI care and average mile distance, were reported. RESULTS: Of the 15,954 included men with ED undergoing PPI (mean age 70.7 years), 56.4% migrated out of their county for PPI, with an average distance of 125.6 miles (range 3.8–4,935.0). Patients aged ≥80 were less likely to migrate outside their county compared to their 65-69 years-old counterparts (48.1% vs 57.1%; p<0.001); but when they did, they were likely to travel further (mean 171.8 vs 117.7 miles; p<0.001). South Dakota (91.3%; mean 514.2 miles) had the highest proportion of men migrating outside their county pursuing PPI, while Vermont (73.7%) had the highest proportion of men traveling outside their home state (Figure 1). CONCLUSIONS: There is evidence men with ED migrated from their geographical location for PPI treatment, potentially experiencing a burden in accessing the therapy. Future research should explore whether this migration is related to accessibility to treatment. Source of Funding: Boston Scientific © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e735 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sirikan Rojanasarot More articles by this author Kathryn Morris More articles by this author Thomas Walsh More articles by this author Expand All Advertisement PDF downloadLoading ...