Reply to ‘The sexual health inventory for men (IIEF-5)’ by JA Vroege

Cappelleri, J.C.; Rosen, Rachel

doi:10.1038/sj.ijir.3900481

Cited by 20 publications

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“…This simplified version, proved to be a valid specific and sensitive scale for use in the clinical setting. 10,12 ED has been described as an important public health problem by the NIH Consensus Panel, 1 which identified an urgent need for population-based data concerning the prevalence, determinants, and consequences of this disorder. 6 As previously observed, the prevalence of ED depends on the population studied and the definition of this condition and methods used.…”

Section: Discussionmentioning

confidence: 99%

The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction

et al. 2002

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The purpose of this research was to determine the prevalence of erectile dysfunction (ED) in a nonselected population using the abridged 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool. In a non-institutionalized population and during a free screening program for prostate cancer (Prostate Cancer Awareness Week of Santa Casa Hospital, Porto Alegre, Brazil), from 26 to 30 July 1998, all men who were attending were invited to complete a sexual activity questionnaire (the abridged 5-item version of the International Index of Erectile Function-IIEF-5) as a diagnostic tool for ED. The possible scores for the IIEF-5 range from 5 to 25, and ED was classified into five categories based on the scores: severe (5 -7), moderate (8 -11), mild to moderate (12 -16), mild (17 -21), and no ED (22 -25). Of the 1071 men who participated in the program, 965 (90.1%) were included in this study. Of the responding men 850 were Caucasian (88%) and 115 were black (12%). The mean age of the men was 60.7 y, ranging from 40 to 90 y old. In this sample the prevalence of all degrees of ED was estimated as 53.9%. In this group of men, the degree of ED was mild in 21.5%, mild to moderate in 14.1%, moderate in 6.3%, and severe in 11.9%. According to age the rates of ED were: 40 -49 (36.4%); 50 -59 (42.5%); 60 -69 (58.1%); 70 -79 (79.4%), and over 80 y (100%) showed ED (P < 0.05). The Pearson coefficients between the variables age and IIEF-5 showed a statistically significant inverse (negative) relation (r ¼ 7 0.3449; P < 0.05). ED is highly prevalent in men over 40 and this condition showed a clear relationship to aging, as demonstrated in other studies published. The simplified IIEF-5, as a diagnostic tool, showed to be an easy method, which can be used to evaluate this condition in studies with a great number of men.

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Section: Discussionmentioning

confidence: 99%

The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction

et al. 2002

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“…Similar issues have been raised concerning the validation and utility of IIEF-5 in general practice setting. [14][15][16][17] However, the Malay IIEF is also clearly not quite measuring the same thing as the original English IIEF. In particular, the factor structure has changed.…”

Section: Validation Of the Malay Iiefmentioning

confidence: 99%

Cross-cultural adaptation and validation of the English version of the International Index of Erectile Function (IIEF) for use in Malaysia

et al. 2003

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We adapted the English International Index of Erectile Function (IIEF) into Malay. This was difficult as many sex-related terms do not exist in colloquial Malay. In the pretest, there was no difficulty with comprehension and all subjects judged the Malay IIEF equivalent to the English IIEF. After slight modification, a final instrument was evaluated in two studies. Study A included 136 subjects. It showed that the instrument had good reliability and discriminant validity. The factor structure of the English IIEF was not reproducible. Study B included 26 ED subjects who underwent oral sildenafil therapy. The Malay IIEF was sensitive to treatment response. The area under the ROC curve of the Malay IIEF-5 was 0.86; the optimal cutoff score has a sensitivity of 85% and specificity of 75%. The results suggest that the Malay IIEF requires more work, but the Malay IIEF-5 has acceptable measurement properties to recommend its use in clinical practice and research.

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“…3 We appreciate his correspondence. Vroege and we share a common bond towards improving the diagnosis of men who may or may not suffer from erectile problems.…”

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confidence: 99%

The sexual health inventory for men (IIEF-5): reply to Vroege

Rosen

Cappelleri

2000

Int J Impot Res

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We are pleased that JA Vroege 1 clari®ed his comments and had the opportunity to respond to our article 2 and letter. 3 We appreciate his correspondence. Vroege and we share a common bond towards improving the diagnosis of men who may or may not suffer from erectile problems. He discusses a few worthy points that can help to clarify and advance the science of diagnostic assessment of erectile dysfunction (ED) in clinical practice. Responding to his comments, we believe that, while differences of opinion can be constructive, a large measure of general agreement seems to exist when the issues are placed in context. Sum scores and cutoff points are consistent with the recommendations from a body of international experts to develop a qualitative and quanti®able staging system for ED. 4 Vroege, who proposes a couple of simpler questions, believes that this methodology is unnecessarily complicated when presented in a booklet that informs the reader on whether he is suffering from erectile problems.

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Reply to ‘The sexual health inventory for men (IIEF-5)’ by JA Vroege

Cited by 20 publications

References 0 publications

The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction

The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction

Cross-cultural adaptation and validation of the English version of the International Index of Erectile Function (IIEF) for use in Malaysia

The sexual health inventory for men (IIEF-5): reply to Vroege

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