Associated factors and prevalence of erectile dysfunction in hemodialysis patients

Costa, Maria Alice Nunes; Reis, Alexandre Magno Bahiamagno Bahia; Pereira, Bruno Paiva; Ponciano, Viviane Campos; Oliveira, Ênio Chaves de

doi:10.1590/s1677-5538.ibju.2014.01.07

Cited by 24 publications

(17 citation statements)

References 31 publications

(49 reference statements)

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“…The study sample was similar to those of other epidemiological studies, with a mean age of 53.3 years and association of ED with chronic diseases ( 1 , 6 , 24 ). In agreement with Araújo et al, 2004 ( 25 ), we also observed poorer erection with aging.…”

Section: Discussionsupporting

confidence: 78%

Validation of Portuguese version of Quality of Erection Questionnaire (QEQ) and comparison to International Index of Erectile Function (IIEF) and RAND 36-Item Health Survey

Reis

Saade

et al. 2015

Int. braz j urol.

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Purpose To validate the Quality of Erection Questionnaire (QEQ) considering Brazilian social-cultural aspects.Materials and Methods To determine equivalence between the Portuguese and the English QEQ versions, the Portuguese version was back-translated by two professors who are native English speakers. After language equivalence had been determined, urologists considered the QEQ Portuguese version suitable. Men with self-reported erectile dysfunction (ED) and infertile men who had a stable sexual relationship for at least 6 months were invited to answer the QEQ, the International Index of Erectile Function (IIEF) and the RAND 36-Item Health Survey (RAND-36). The questionnaires were presented together and answered without help in a private room. Internal consistency (Cronbach’s α), test-retest reliability (Spearman), convergent validity (Spearman correlation) coefficients and known-groups validity (the ability of the QEQ Portuguese version to differentiate erectile dysfunction severity groups) were assessed.Results We recruited 197 men (167 ED patients and 30 non-ED patients), mean age of 53.3 and median of 55.5 years (23-82 years). The Portuguese version of the QEQ had high internal consistency (Cronbach α=0.93), high stability between test and retest (ICC 0.83, with IC 95%: 0.76-0.88, p<0.001) and Spearman correlation coefficient r=0.82 (p<0.001), which demonstrated the high correlation between the QEQ and IIEF results. The correlations between the QEQ and RAND-36 were significantly low in ED (r=0.20, p=0.01) and non-ED patients (r=0.37, p=0.04).Conclusion The QEQ Portuguese version presented good psychometric properties and high convergent validity in relation to IIEF. The low correlations between the QEQ and the RAND-36, as well as between the IIEF and the RAND-36 indicated IIEF and QEQ specificity, which may have resulted from the patients’ psychological adaptations that minimized the impact of ED on Quality of Life (QoL) and reestablished the well-being feeling.

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Section: Discussionsupporting

confidence: 78%

Validation of Portuguese version of Quality of Erection Questionnaire (QEQ) and comparison to International Index of Erectile Function (IIEF) and RAND 36-Item Health Survey

Reis

Saade

et al. 2015

Int. braz j urol.

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“…However, the crude prevalence of erectile dysfunction was over 50% among men with diabetes [ 8 ]. In the study conducted in Israeli, the prevalence of ED was 57% [ 9 ], in china 90.9% [ 10 ], in India approaching 50% in both type 1 and type 2 DM [ 11 ], in Vietnam 66.9% [ 12 ], in Brazil 66.19% [ 13 ] and Iran 59.5% of type 2 DM patients [ 14 ]. According to the studies done in African countries the prevalence of ED was 71.1% in Nigeria [ 15 ], 48% in Guinea [ 16 ], 85.7% in Egypt [ 17 ], 95% in South Africa [ 18 ], 68.8% in Kenya [ 19 ], 74.1% in Ivory Coast [ 20 ], 74% in Nigeria [ 21 ], 73.9% in Zimbabwe [ 22 ], 94.7% in Nigeria, 36.0% in South Africa [ 23 ], 55.1% in Tanzania with 12.8% of participants suffering from mild dysfunction, 11.5% from moderate, and 27.9% from severe Dysfunction [ 3 ], and 69.9% Tigray Ethiopia with 32.9% suffering from mild, 31.7% moderate, and 5.2% severe erectile dysfunction [ 2 ]..…”

Section: Introductionmentioning

confidence: 99%

Erectile dysfunction and associated factors among diabetic patients at, Hawassa, Southern, Ethiopia

2021

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Background Erectile dysfunction is an inability to initiate and have a persistent erection firm enough to have satisfying sexual intercourse. The prevalence of erectile dysfunction in diabetic men is considerably high, but it is often underdiagnosed and under-managed. Objective This study aimed to determine erectile dysfunction and associated factors among diabetic patients at, Hawassa, Southern, Ethiopia. Methods The institution-based cross-sectional study was conducted on 352 adult male diabetic patients randomly selected from Adare general and Hawassa comprehensive specialized hospitals using a simple random sampling technique. The number of patients to be selected from each hospital was proportionally assigned based on the total population of diabetes mellitus patients following chronic care during the study period. The descriptive statistics and multiple logistic regressions (bivariate and multivariate analysis) were carried out. Result The prevalence of erectile dysfunction was 72.2% (95%CI, 1.76–3.68). After adjusting all factors, old age, diabetes duration, drinking alcohol, and poor glycemic control had shown significant association with erectile dysfunction. Conclusion The occurrence of erectile dysfunction in this study community is very high. Drinking alcohol, poor glycemic control, age, and duration of diabetes were predictors of erectile dysfunction in this study area. Assessment and management of erectile dysfunction in the diabetic clinic should be part of routine medical care during follow-up visits with diabetic patients. Healthcare providers should emphasize screening and treating older patients and those who have had a diabetes diagnosis for a longer duration.

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“…[5,6] It is more common in patients with chronic kidney disease and those on HD, occurring in more than 80% of patients. [5] The frequency of ED (76.9%) was high among HD patients compared to reports from Spain, [7,8] The Netherlands, [3] and Brazil, [9] although it was comparable to other reports from the USA (82%), [2] Sudan (83%), [5] Saudi Arabia (82.7%), [10] Iran (87.7%), [11] Brazil (86.4%), [12] and Egypt (82.5%). [13] Older age was shown to be associated with ED in communitybased studies [6] and also among HD patients.…”

Section: Discussionmentioning

confidence: 89%

Erectile Dysfunction and Risk Factors in Male Peruvian Hemodialysis Patients

Gomez-Lujan¹

2018

Clinic Res Urol

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Introduction: Erectile dysfunction (ED) is a common condition in patients with renal disease, but little is known about the prevalence of ED in some specific groups of patients such as Peruvian hemodialysis (HD) patients. Materials and Methods: A cross-sectional study was conducted to determine the frequency of ED in HD patients (n = 390) in Lima, Peru. The prevalence and severity of ED were assessed using the International Index of Erectile Function with the validated Peruvian version. The dependence of ED on independent variables was evaluated by logistic regression. P ≤ 0.05 was regarded as statistically significant. Results: This study collected 390 patients with end-stage renal disease on HD, 300 (76.6%) with ED. The average age was 66.15 years, 87.3% had ≥50 years, diabetes mellitus (30.7%), hypertension (26%), glomerulonephritis (16%), and no filiated 17.3% and 66% had been on HD for more than 5 years. Severe ED was 29.2%, moderate ED by 21.5%, mild/moderate 17.4%, and mild ED 8.7%. Patients ≥50 years were more likely to experience ED. Adequacy of dialysis, as measured by the Kt/V index, hemoglobin, and albumin were not associated with ED in our data. The antihypertensive drugs included angiotensin-converting enzyme inhibitors and angiotensin receptor blockers (78%), calcium channel blockers (59.3%), alpha-blockers (22.8%), and beta-blockers (5.5%) none were significantly associated with ED. In the multivariate analysis, the age was a strong predictor of ED for 50-59 years (OR = 2.04; 95% CI, 1.36-3.23) and for 60-69 years (OR = 3.48; 95% CI, 1.94-13.5), and diabetes was the only medical condition that remained significantly associated with ED (OR = 1.97; 95% CI, 1.18-4.6). Conclusions: ED frequency was high among our study patients. In Peruvian patients on HD, age and diabetes mellitus were significant risk factors for ED. Our results can give the basic data for future research in this field.

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Associated factors and prevalence of erectile dysfunction in hemodialysis patients

Abstract: ARTICLE INFO ________________________________________ Purpose: The proposal of this study was to determine the prevalence and the associated factors of erectile dysfunction (ED) among hemodialysis (HD) patients.

Cited by 24 publications

References 31 publications

Validation of Portuguese version of Quality of Erection Questionnaire (QEQ) and comparison to International Index of Erectile Function (IIEF) and RAND 36-Item Health Survey

Validation of Portuguese version of Quality of Erection Questionnaire (QEQ) and comparison to International Index of Erectile Function (IIEF) and RAND 36-Item Health Survey

Erectile dysfunction and associated factors among diabetic patients at, Hawassa, Southern, Ethiopia

Erectile Dysfunction and Risk Factors in Male Peruvian Hemodialysis Patients

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Associated factors and prevalence of erectile dysfunction in hemodialysis patients

Abstract: ARTICLE INFO ______________________________________________________________ ______________________Purpose: The proposal of this study was to determine the prevalence and the associated factors of erectile dysfunction (ED) among hemodialysis (HD) patients.

Cited by 24 publications

References 31 publications

Validation of Portuguese version of Quality of Erection Questionnaire (QEQ) and comparison to International Index of Erectile Function (IIEF) and RAND 36-Item Health Survey

Validation of Portuguese version of Quality of Erection Questionnaire (QEQ) and comparison to International Index of Erectile Function (IIEF) and RAND 36-Item Health Survey

Erectile dysfunction and associated factors among diabetic patients at, Hawassa, Southern, Ethiopia

Erectile Dysfunction and Risk Factors in Male Peruvian Hemodialysis Patients

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Abstract: ARTICLE INFO ________________________________________ Purpose: The proposal of this study was to determine the prevalence and the associated factors of erectile dysfunction (ED) among hemodialysis (HD) patients.