Community pharmacy detection of erectile dysfunction in men with risk factors or who seek treatment or advice but lack a valid prescription

Autor: Virginia Pascual Renedo, Joan Ramon Lladós, Apostolia Pimenidou, Antonio Martin Morales, Dimitris Hatzichristou
Rok vydání: 2013
Předmět:
Adult
Male
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Adolescent
Attitude of Health Personnel
Urology
Endocrinology
Diabetes and Metabolism
education
Pharmacist
Pharmacy
Community Pharmacy Services
Pharmacists
Young Adult
Endocrinology
Professional Role
Erectile Dysfunction
Patient Education as Topic
Risk Factors
Surveys and Questionnaires
Health care
Medicine
Humans
Medical prescription
Risk factor
health care economics and organizations
Depression (differential diagnoses)
Reproductive health
Aged
Aged
80 and over
Greece
business.industry
Professional-Patient Relations
Middle Aged
Patient Acceptance of Health Care
Psychiatry and Mental health
Cross-Sectional Studies
Early Diagnosis
Reproductive Medicine
Spain
Family medicine
Physical therapy
Observational study
business
Zdroj: The journal of sexual medicine. 10(9)
ISSN: 1743-6109
Popis: Introduction Pharmacists may be the first health care contact consulted about erectile dysfunction (ED). Aim To assess pharmacists' ability to detect ED and encourage patients to seek medical evaluation. Methods This observational study conducted in Greece and Spain included men without a valid prescription for an ED medication but with a history indicating ED risk and/or who consulted a pharmacist about ED. Pharmacists completed a questionnaire about the patient. Patients completed the Sexual Health Inventory for Men (SHIM); men with a score ≤21 (cutoff for ED) were educated (by case pharmacists) and referred and encouraged to see a physician (by case and control pharmacists). Main Outcome Measures Proportion of men with a SHIM score ≤21 and, of those, the proportion who visited a physician and credited the pharmacist for their visit. ANCOVA and chi-square test were used for continuous and categorical data, respectively. Results Among the 451 men (mean ± SD age, 54.9 ± 12.9 years) questioned about ED, 90% had a risk factor (usually hypertension, hypercholesterolemia, or diabetes), 28% had a previous diagnosis, 36% sought internet information, 38% self-medicated, 10% took medication obtained outside the pharmacy setting, and the first health care professional approached was a pharmacist (50%), physician (18%), or nurse (1%) at a median of 6 (range, 0–360) months after symptom onset. The SHIM score was ≤21 in 348 (77%) men. A lower score (indicating increased ED severity) was associated with increased age and with benign prostate hyperplasia, depression, diabetes, or prostate cancer. In the minority of men contacted for follow-up, less than one-third had visited their physician, despite pharmacist encouragement. Conclusions Pharmacists are often the first health care contact regarding ED and are highly accurate in its detection. Further research is needed to optimize the pharmacist's role in early detection, education, and motivating patients to be evaluated by a physician. Martin Morales A, Hatzichristou D, Ramon Llados J, Pascual Renedo V, and Pimenidou A. Community pharmacy detection of erectile dysfunction in men with risk factors or who seek treatment or advice but lack a valid prescription. J Sex Med 2013;10:2303–2311.
Databáze: OpenAIRE
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