Gout and subsequent erectile dysfunction : a population-based cohort study from England
BACKGROUND: An association has been suggested between gout and erectile dysfunction (ED), however studies quantifying the risk of ED amongst gout patients are lacking. We aimed to precisely determine the population-level absolute and relative rate of ED reporting among men with gout over a decade in England.
METHODS: We utilised the UK-based Clinical Practice Research Datalink to identify 9653 men with incident gout age- and practice-matched to 38,218 controls. Absolute and relative rates of incident ED were calculated using Cox regression models. Absolute rates within specific time periods before and after gout diagnosis were compared to control using a Poisson regression model.
RESULTS: Overall, the absolute rate of ED post-gout diagnosis was 193 (95% confidence interval (CI): 184-202) per 10,000 person-years. This corresponded to a 31% (hazard ratio (HR): 1.31 95%CI: 1.24-1.40) increased relative risk and 0.6% excess absolute risk compared to those without gout. We did not observe statistically significant differences in the risk of ED among those prescribed ULT within 1 and 3 years after gout diagnosis. Compared to those unexposed, the risk of ED was also high in the year before gout diagnosis (relative rate = 1.63 95%CI 1.27-2.08). Similar findings were also observed for severe ED warranting pharmacological intervention.
CONCLUSIONS: We have shown a statistically significant increased risk of ED among men with gout. Our findings will have important implications in planning a multidisciplinary approach to managing patients with gout.
| Errataetall: |
CommentIn: MMW Fortschr Med. 2018 Apr;160(6):34. - PMID 29619704 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:19 |
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| Enthalten in: |
Arthritis research & therapy - 19(2017), 1 vom: 06. Juni, Seite 123 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Abdul Sultan, Alyshah [VerfasserIn] |
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| Links: |
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| Themen: |
Epidemiology |
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| Anmerkungen: |
Date Completed 19.03.2018 Date Revised 08.04.2022 published: Electronic CommentIn: MMW Fortschr Med. 2018 Apr;160(6):34. - PMID 29619704 Citation Status MEDLINE |
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| doi: |
10.1186/s13075-017-1322-0 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM272677248 |
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| 500 | |a CommentIn: MMW Fortschr Med. 2018 Apr;160(6):34. - PMID 29619704 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: An association has been suggested between gout and erectile dysfunction (ED), however studies quantifying the risk of ED amongst gout patients are lacking. We aimed to precisely determine the population-level absolute and relative rate of ED reporting among men with gout over a decade in England | ||
| 520 | |a METHODS: We utilised the UK-based Clinical Practice Research Datalink to identify 9653 men with incident gout age- and practice-matched to 38,218 controls. Absolute and relative rates of incident ED were calculated using Cox regression models. Absolute rates within specific time periods before and after gout diagnosis were compared to control using a Poisson regression model | ||
| 520 | |a RESULTS: Overall, the absolute rate of ED post-gout diagnosis was 193 (95% confidence interval (CI): 184-202) per 10,000 person-years. This corresponded to a 31% (hazard ratio (HR): 1.31 95%CI: 1.24-1.40) increased relative risk and 0.6% excess absolute risk compared to those without gout. We did not observe statistically significant differences in the risk of ED among those prescribed ULT within 1 and 3 years after gout diagnosis. Compared to those unexposed, the risk of ED was also high in the year before gout diagnosis (relative rate = 1.63 95%CI 1.27-2.08). Similar findings were also observed for severe ED warranting pharmacological intervention | ||
| 520 | |a CONCLUSIONS: We have shown a statistically significant increased risk of ED among men with gout. Our findings will have important implications in planning a multidisciplinary approach to managing patients with gout | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Epidemiology | |
| 650 | 4 | |a Erectile dysfunction | |
| 650 | 4 | |a Gout | |
| 650 | 4 | |a Incidence rate | |
| 700 | 1 | |a Mallen, Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Hayward, Richard |e verfasserin |4 aut | |
| 700 | 1 | |a Muller, Sara |e verfasserin |4 aut | |
| 700 | 1 | |a Whittle, Rebecca |e verfasserin |4 aut | |
| 700 | 1 | |a Hotston, Matthew |e verfasserin |4 aut | |
| 700 | 1 | |a Roddy, Edward |e verfasserin |4 aut | |
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