Evidence map›Paper›PMID 28032424›Full record

ArticleInternational journal of clinical practice2016

Relationship between age and erectile dysfunction diagnosis or treatment using real-world observational data in the USA.

John P Mulhall, Xuemei Luo, Kelly H Zou, Vera Stecher, Aaron Galaznik

Abstract read
In one paragraph

Article in International journal of clinical practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed.

  1. Article
  2. Sexual functioning after the age of 40 in adults with moderate or severe congenital heart disease.International journal of cardiology. Congenital heart disease · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. The impact of PDE5 inhibitors on cardiovascular outcomes.Global cardiology science & practice · 2025
    Review
  7. Article
  8. Article
  9. Article
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  11. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

John P MulhallMemorial Sloan Kettering Cancer Center Urology Service, Department of Surgery, New York, NY, USA.
Xuemei LuoPfizer Inc, New York, NY, USA.
Kelly H ZouPfizer Inc, New York, NY, USA.
Vera StecherPfizer Inc, New York, NY, USA.
Aaron GalaznikPfizer Inc, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

aimsWith self-reporting of erectile dysfunction (ED) in population-based surveys, men with ED may not represent men who are bothered sufficiently to seek an ED diagnosis and treatment. We used real-world observational data to assess: 1) the prevalence of ED diagnosis or treatment by age subgroups; and 2) the relationship of age with ED diagnosis or treatment after controlling for ED-related comorbidities in the USA.

methodsThis cross-sectional study used de-identified claims data (MarketScan

resultsOf 19,833,939 men meeting inclusion criteria in the primary analysis, only 1 108 842 (5.6%) had an ED diagnosis or PDE5I prescription (mean [SD] age: 55.2 [11.2] years). Prevalence of ED diagnosis or treatment increased from age 18-29 years (0.4%) to 60-69 years (11.5%), then decreased in the seventh (11.0%), eighth (4.6%), and ninth (0.9%) decades. Men with ED diagnosis or treatment had a higher prevalence of any comorbidity (63.1% vs 29.3% for men without ED) and of each comorbid condition. In multivariate analyses, age was an independent risk factor for ED diagnosis or treatment. Sensitivity analysis provided consistent results.

conclusionsIn a real-world setting in the USA, the prevalence of ED diagnosis or PDE5I treatment is generally low, increases with age, decreases in very old men, and is associated with increased prevalence of comorbidities. Age is an independent risk factor for ED diagnosis or treatment after controlling for comorbidities.

Indexed as

AdultAgedCardiovascular DiseasesComorbidityCross-Sectional StudiesDepressionDiabetes Mellitus, Type 2Erectile DysfunctionHumansHypertensionMaleMiddle AgedPhosphodiesterase 5 InhibitorsProstatic HyperplasiaRisk FactorsYoung AdultPhosphodiesterase 5 Inhibitorsage groupscomorbidityelectronic health recordserectile dysfunctionobservational studyphosphodiesterase type 5 inhibitorsreal-world claims data

Identifiers

PMID28032424
PMCPMC5540144

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.