A new tool for predicting erectile dysfunction

Day, David; Ambegaonkar, AJ; Harriot, Kathy; McDaniel, Angee

doi:10.1007/bf02850301

Cited by 24 publications

(18 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…55 In a recent analysis of more than 30 000 SHIM questionnaires administered in over 600 physicians' offices, the predicted relationship between ED, age and other medical risk factors (hypertension, diabetes, ischemic heart disease) was observed. 56 Additionally, this study reported a high sensitivity (81.8%) and moderate specificity (57.7%) for detection of ED in patients scoring below 21 on the test. Based on these findings, the authors concluded that the SHIM provides a convenient method for rapidly identifying patients …”

Section: Brief Screening Versionmentioning

confidence: 60%

The International Index of Erectile Function (IIEF): a state-of-the-science review

Rosen¹,

Cappelleri

Gendrano³

2002

Int J Impot Res

915

668

View full text Add to dashboard Cite

The International Index of Erectile Function (IIEF) is a widely used, multi-dimensional self-report instrument for the evaluation of male sexual function. It is has been recommended as a primary endpoint for clinical trials of erectile dysfunction (ED) and for diagnostic evaluation of ED severity. The IIEF was developed in conjunction with the clinical trial program for sildenafil, and has since been adopted as the 'gold standard' measure for efficacy assessment in clinical trials of ED. It has been linguistically validated in 32 languages and used as a primary endpoint in more than 50 clinical trials. This review summarizes early stages in the psychometric validation of the instrument, its subsequent adoption in randomized clinical trials with sildenafil and other ED therapies, and its use in classifying ED severity and prevalence. The IIEF meets psychometric criteria for test reliability and validity, has a high degree of sensitivity and specificity, and correlates well with other measures of treatment outcome. It has demonstrated consistent and robust treatment responsiveness in studies in USA, Europe and Asia, as well as in a wide range of etiological subgroups. Although only one direct comparator trial has been performed to date, the IIEF is also sensitive to therapeutic effects with treatment agents other than sildenafil. A severity classification for ED has recently been developed, in addition to a brief screening version of the instrument. This review includes the strengths as well as limitations of the IIEF, along with some potential areas for future research.

show abstract

Section: Brief Screening Versionmentioning

confidence: 60%

The International Index of Erectile Function (IIEF): a state-of-the-science review

Rosen¹,

Cappelleri

Gendrano³

2002

Int J Impot Res

915

668

View full text Add to dashboard Cite

show abstract

“…Recently, the International Index of Erectile Function (IIEF), the Brief Male Sexual Function Inventory (BMSFI), the Sexual Health Inventory for Men (SHIM), the Cologne Erectile Inventory (KEED) and also one question scales were created. [10][11][12][13][14][15][16][17][18][19][20] The IIEF is a commonly used validated questionnaire, but is not related to the WHO definition. Since many prevalence studies used various questionnaires, comparison between prevalence estimates of ED remains unavailable and therefore standardisation in the assessment of ED (definition) and presentation of prevalence estimates (overall and age-specific) and relations with risk factors has been recommended to facilitate comparison of results across studies.…”

Section: Introductionmentioning

confidence: 99%

Impact of various questionnaires on the prevalence of erectile dysfunction. The ENIGMA-study

et al. 2004

View full text Add to dashboard Cite

The prevalence estimates of erectile dysfunction (ED) vary considerably across studies. These differences may be attributed to used definitions of ED. Quantitative data on the effect of different definitions of ED on the prevalence are lacking, because precise information on the used definition and questionnaire is often absent. Aim of this study was to quantify the effect of using different questionnaires for ED on the prevalence estimates. In all, 5721 mail surveys on sexual problems and ED were sent to all men (aged418 y) in 12 general practices in the middle of the Netherlands of which 2117 were completed. The questionnaire contained Enigma (WHO), International Index of Erectile Function (IIEF), Cologne Erectile Inventory (KEED) and one question (Boxmeer, Krimpen). The prevalence of ED based on the various questionnaires and the effect of these questionnaires on risk factor relationships was compared. IIEF gave the highest age specific and overall ED prevalence, KEED the lowest. The difference in prevalence was 16.8%. The agreement (kappa coefficient) between the various ED definitions varied from 0.52 (IIEF & KEED) to 0.95 (Enigma & Boxmeer). The number of risk factor relations were similar for the Dutch studies, reduced for the IIEF and KEED. This study provides evidence that differences in questionnaires to assess ED have a considerable effect on the (age specific) prevalence estimates and little on the risk factor relations. The number of questions of the survey appears not to be responsible for differences in the prevalence of ED and risk factor relations, however they affect the response rate. Uniform use is strongly recommended, since a 'golden standard' for ED assessment (by questionnaire) is lacking. A short questionnaire with one or two questions is recommended for example the one from the Boxmeer-study. These data may be used to adjust (age-specific) prevalence rates comparing ED prevalence in the open population across studies.

show abstract

“…10 Offering the sexual questionnaire in a computerized form has several worthy advantages. It offers privacy, as each examinee sits in front of a touch screen in a station, separated from the others.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11] It is a convenient and reliable tool to identify rapidly patients with ED who should be further assessed. 10 There is high correlation and agreement between SHIM and patient self-assessment of ED, validating SHIM for use in the classification of ED severity.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Screening for erectile dysfunction as part of periodic examination programs—concept and implementation

2004

View full text Add to dashboard Cite

Erectile dysfunction (ED) can be an early and first sign of an underlying systemic disease. A screening program is offered by the Israeli Defense Force for career servicemen at the staff periodic examination center (SPEC), the aim of which was early detection of morbidity. We introduced the Sexual Human Inventory for Males (SHIM) questionnaire, in order to detect examinees with ED, and offer them suitable treatment options. The purpose of this study is to introduce the concept of an ED questionnaire as part of a screening program, and to describe the first months of its implementation. A computerized questionnaire is used to collect the medical history. The SHIM questionnaire was incorporated into the medical questionnaire. Relevant data including compliance to reply, SHIM scores, age and accompanying diseases of patients were collected from the computerized database of SPEC. A total of 2182 patients reported to SPEC from 1/5/01 to 1/11/01, 1980 of whom were males. Of the males, 881 (44.5%) chose to fill the SHIM questionnaire (mean age 34.576.7 y), and 244 of them (27.7%) had a score of 21 or less (20.7% had 17-21, 5.7% 11-16, 1.4% 0-10). The prevalence of ED and its severity increases with age. An inverted linear correlation was found between age and SHIM score (r ¼ À0.22, Po0.0001). Prevalence of hypertension and diabetes mellitus is higher in patients with SHIM score r16 compared to those with a score Z22. Only 15% of men with ED refer themselves for medical help. The concept of adding an ED questionnaire to a screening program may encourage more men to seek treatment, not only for their ED, but also for the underlying disease. The platform of a periodic examination offers maximum privacy to the examinees, resulting in better cooperation.

show abstract

A new tool for predicting erectile dysfunction

Cited by 24 publications

References 16 publications

The International Index of Erectile Function (IIEF): a state-of-the-science review

The International Index of Erectile Function (IIEF): a state-of-the-science review

Impact of various questionnaires on the prevalence of erectile dysfunction. The ENIGMA-study

Screening for erectile dysfunction as part of periodic examination programs—concept and implementation

Contact Info

Product

Resources

About