Frederick LR, Cakir OO, Arora H, Helfand BT, McVary KT.

J Sex Med. 2014 Jul 24. doi: 10.1111/jsm.12647.

INTRODUCTION: Prior research conducted on treatment of erectile dysfunction (ED) has been derived from surveys involving relatively small populations of men. There are needs for large population-based studies in this area. Our study addresses that need.

AIM: The aim of this study was to characterize ED treatment among a large population of men.

METHODS: Patients ≥30 years in commercial insurance dataset with diagnosis code for ED during 12-month period ending June 2011 were identified. Men were considered "treated" if prescription was filled for phosphodiesterase type 5 inhibitor (PDE5i), injection or urethral prostaglandins, or androgen replacement (ART) during study period. "Untreated" patients received the diagnosis but did not fill prescription. Statistical analyses were used to compare prescription frequency with clinical characteristics, including age and comorbidities.

MAIN OUTCOME MEASURES: ED treatment rates among large population of insured men, treatment types employed, patient demographics, associated medical comorbidities of this population, and prescriber details were the main outcome measures.

RESULTS: Only 25.4% of 6,228,509 men with ED were treated during study period. While PDE5is were the most commonly prescribed medical therapy (75.2%), ART was utilized as monotherapy or in combination therapy in 30.6% of men. ART was significantly (P 65 years. Although ED frequency was associated with increased age and number of comorbidities, men >60 years were significantly (P 

CONCLUSIONS: Despite high prevalence of ED with age and comorbidities, most men continue receiving no treatment. Although benefits of medical intervention for ED are well-recognized, many barriers to treatment continually exist including physician, patient and partner preference and knowledge. Frederick LR, Cakir OO, Arora H, Helfand BT, and McVary KT. Undertreatment of erectile dysfunction: Claims analysis of 6.2 million patients. J Sex Med

© 2014 International Society for Sexual Medicine.
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