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Erectle Dysfunction Common In Primary Care Patients
Jan 25, 2006, 00:21, Reviewed by: Dr. Priya Saxena
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"Primary care physicians are uniquely positioned to inquire about a patient's sexual function during a routine office visit"
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By JAMA/Archives,
A study of Canadian men visiting primary care physicians indicates that about half of them report having ED, and that it is linked with cardiovascular disease, diabetes, future heart disease risk and increased fasting blood sugar levels.
"Primary care physicians are uniquely positioned to inquire about a patient's sexual function during a routine office visit," the authors write. "They can also screen for modifiable risk factors and treatable comorbidities. However, there is little information available regarding the prevalence of ED among patients seen in this clinical setting."
Steven A. Grover, M.D., M.P.A., F.R.C.P.C., Montreal General Hospital and McGill University, Montreal, Quebec, and colleagues surveyed 3,921 men aged 40 to 88 years who visited one of 75 primary care physicians between July 20, 2001, and Nov. 13, 2002. Participants gave medical histories and received physical examinations, including measurements of fasting blood sugar and lipid levels.
Almost half (49.4 percent) of the men reported ED during the previous four weeks or were taking medication for ED, the authors report. Men with cardiovascular disease and diabetes were most likely to have ED. Among men without cardiovascular disease or diabetes, the calculated future risk of developing these conditions was linked to likelihood of having ED. "These data demonstrate that primary care physicians may find that taking a sexual history provides important clinical information beyond the detection of ED," the authors conclude. 
- January 23 issue of the Archives of Internal Medicine, one of the JAMA/Archives journals
Arch Intern Med. 2006;166:213-219
The Canadian Study of Erectile Dysfunction (CANSED) was funded by Pfizer Canada, Kirkland, Quebec. Dr. Grover has received honoraria and grants from the following companies: Pfizer, Inc.; Merck & Co., Inc.; Bristol-Myers Squibb; Sanofi-Aventis; and AstraZeneca. Dr. Grover or family members own stock in Merck & Co., Inc.; Bristol-Myers Squibb; Pfizer, Inc.; Johnson & Johnson; and Kos Pharmaceutical, Inc. Dr. Defoy owns stock options in Pfizer, Inc.
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