Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus
Aims: To assess the diagnostic accuracy of four undiagnosed Type 2 diabetes mellitus risk scores accounting for erectile dysfunction status. Methods: This was a population-based cross-sectional study. Type 2 diabetes was defined according to a oral glucose tolerance test and self-reported physician...
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ndltd-PERUUPC-oai-repositorioacademico.upc.edu.pe-10757-6246102020-04-08T03:16:18Z Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus Carrillo-Larco, Rodrigo M. Luza-Dueñas, Anais Casandra Urdániga-Hung, Mónica Bernabe-Ortiz, Antonio antonio.bernabe@upch.pe Erectile dysfunction Phosphodiesterase 5 inhibitors Penile rehabilitation Aims: To assess the diagnostic accuracy of four undiagnosed Type 2 diabetes mellitus risk scores accounting for erectile dysfunction status. Methods: This was a population-based cross-sectional study. Type 2 diabetes was defined according to a oral glucose tolerance test and self-reported physician diagnosis. Erectile dysfunction was defined according to the answer to the question, ‘Have you had difficulties obtaining an erection in the last 6 months?’ (yes/no). The risk scores used were the FINDRISC, LA-FINDRISC, American Diabetes Association score and the Peruvian Risk Score. A Poisson regression model was fitted to assess the association between Type 2 diabetes and erectile dysfunction. The area under the receiver-operating characteristic curve was estimated overall and by erectile dysfunction status. Results: A total of 799 men with a mean (sd) age of 48.6 (10.7) years were included in the study. The overall prevalence of Type 2 diabetes was 9.3%. Compared with healthy men, men with Type 2 diabetes had 2.71 (95% CI 1.57–4.66) higher chances of having erectile dysfunction. Having excluded men aware of Type 2 diabetes status (N=38), the area under the receiver-operating characteristic curve of three of the risk scores (not the American Diabetes Association score) improved among those who had erectile dysfunction in comparison with those who did not; for example, the area under the receiver-operating characteristic curve of the LA-FINDRISC score was 89.6 (95% CI 78.7–99.9) in men with erectile dysfunction and 76.5 (95% CI 68.5–84.4) overall. Conclusions: In a population-based study, erectile dysfunction was more common in men with Type 2 diabetes than in the otherwise healthy men. Screening for erectile dysfunction before screening for Type 2 diabetes seems to improve the accuracy of well-known risk scores for undiagnosed Type 2 diabetes. Antonio Bernabe-Ortiz is a Research Training Fellow in Public Health and Tropical Medicine (103994/Z/14/Z), funded by the Wellcome Trust. Revisión por pares 2018-11-22T04:47:14Z 2018-11-22T04:47:14Z 2018-11 info:eu-repo/semantics/article 10.1111/dme.13783 http://hdl.handle.net/10757/624610 Diabetic Medicine 0000 0001 2196 144X eng https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13783 info:eu-repo/semantics/openAccess Attribution-NonCommercial-ShareAlike 3.0 United States http://creativecommons.org/licenses/by-nc-sa/3.0/us/ application/pdf Blackwell Publishing Ltd Universidad Peruana de Ciencias Aplicadas (UPC) Repositorio Academico - UPC |
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Erectile dysfunction Phosphodiesterase 5 inhibitors Penile rehabilitation |
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Erectile dysfunction Phosphodiesterase 5 inhibitors Penile rehabilitation Carrillo-Larco, Rodrigo M. Luza-Dueñas, Anais Casandra Urdániga-Hung, Mónica Bernabe-Ortiz, Antonio Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus |
description |
Aims: To assess the diagnostic accuracy of four undiagnosed Type 2 diabetes mellitus risk scores accounting for erectile dysfunction status. Methods: This was a population-based cross-sectional study. Type 2 diabetes was defined according to a oral glucose tolerance test and self-reported physician diagnosis. Erectile dysfunction was defined according to the answer to the question, ‘Have you had difficulties obtaining an erection in the last 6 months?’ (yes/no). The risk scores used were the FINDRISC, LA-FINDRISC, American Diabetes Association score and the Peruvian Risk Score. A Poisson regression model was fitted to assess the association between Type 2 diabetes and erectile dysfunction. The area under the receiver-operating characteristic curve was estimated overall and by erectile dysfunction status. Results: A total of 799 men with a mean (sd) age of 48.6 (10.7) years were included in the study. The overall prevalence of Type 2 diabetes was 9.3%. Compared with healthy men, men with Type 2 diabetes had 2.71 (95% CI 1.57–4.66) higher chances of having erectile dysfunction. Having excluded men aware of Type 2 diabetes status (N=38), the area under the receiver-operating characteristic curve of three of the risk scores (not the American Diabetes Association score) improved among those who had erectile dysfunction in comparison with those who did not; for example, the area under the receiver-operating characteristic curve of the LA-FINDRISC score was 89.6 (95% CI 78.7–99.9) in men with erectile dysfunction and 76.5 (95% CI 68.5–84.4) overall. Conclusions: In a population-based study, erectile dysfunction was more common in men with Type 2 diabetes than in the otherwise healthy men. Screening for erectile dysfunction before screening for Type 2 diabetes seems to improve the accuracy of well-known risk scores for undiagnosed Type 2 diabetes. === Antonio Bernabe-Ortiz is a Research Training Fellow in Public Health and Tropical Medicine (103994/Z/14/Z), funded by the Wellcome Trust. === Revisión por pares |
author2 |
antonio.bernabe@upch.pe |
author_facet |
antonio.bernabe@upch.pe Carrillo-Larco, Rodrigo M. Luza-Dueñas, Anais Casandra Urdániga-Hung, Mónica Bernabe-Ortiz, Antonio |
author |
Carrillo-Larco, Rodrigo M. Luza-Dueñas, Anais Casandra Urdániga-Hung, Mónica Bernabe-Ortiz, Antonio |
author_sort |
Carrillo-Larco, Rodrigo M. |
title |
Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus |
title_short |
Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus |
title_full |
Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus |
title_fullStr |
Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus |
title_full_unstemmed |
Diagnosis of erectile dysfunction can be used to improve screening for Type 2 diabetes mellitus |
title_sort |
diagnosis of erectile dysfunction can be used to improve screening for type 2 diabetes mellitus |
publisher |
Blackwell Publishing Ltd |
publishDate |
2018 |
url |
http://hdl.handle.net/10757/624610 |
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