Erectile Dysfunction and Risk of End Stage Renal Disease Requiring Dialysis: A Nationwide Population-Based Study

doi:10.1371/journal.pone.0102055

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標題:	Erectile Dysfunction and Risk of End Stage Renal Disease Requiring Dialysis: A Nationwide Population-Based Study
作者:	Shen, Yuan-Chi Weng, Shih-Feng Wang, Jhi-Joung Tien, Kai-Jen
貢獻者:	醫務管理系通識教育中心
關鍵字:	CHRONIC KIDNEY-DISEASE CORONARY-HEART-DISEASE SEXUAL DYSFUNCTION CARDIOVASCULAR-DISEASE PREVALENCE MEN HYPERTENSION PREDICTOR SEVERITY
日期:	2014-07
上傳時間:	2015-05-06 21:20:55 (UTC+8)
出版者:	Public Library Science
摘要:	Background: Previous studies have suggested that erectile dysfunction (ED) is an independent risk factor for macrovascular disease. Very few studies have evaluated the relationship between ED and risk of end stage renal disease (ESRD) requiring dialysis. Methods: A random sample of 1,000,000 individuals from Taiwan's National Health Insurance database was collected. We selected the control group by matching the subjects and controls by age, diabetes, hypertension, coronary heart disease, hyperlipidemia, area of residence, monthly income and index date. We identified 3985 patients with newly-diagnosed ED between 2000 and 2008 and compared them with a matched cohort of 23910 patients without ED. All patients were tracked from the index date to identify which patients subsequently developed a need for dialysis. Results: The incidence rates of dialysis in the ED cohort and comparison groups were 10.85 and 9.06 per 10000 person-years, respectively. Stratified by age, the incidence rate ratio for dialysis was greater in ED patients aged <50 years (3.16, 95% CI: 1.62-6.19, p = 0.0008) but not in aged 50-64 (0.94, 95% CI: 0.52-1.69, p = 0.8397) and those aged >= 65 (0.69, 95% CI: 0.32-1.52, p = 0.3594). After adjustment for patient characteristics and medial comorbidities, the adjusted HR for dialysis remained greater in ED patients aged <50 years (adjusted HR: 2.08, 95% CI: 1.05-4.11, p<0.05). The log-rank test revealed that ED patients <50-years-old had significantly higher cumulative incidence rates of dialysis than those without (p = 0.0004). Conclusion: Patients with ED, especially younger patients, are at an increased risk for ESRD requiring dialysis later in life.
關聯:	Plos One, v.9 n.7, e102055
顯示於類別:	[通識教育中心] 期刊論文 [醫務管理系(所)] 期刊論文

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