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Modern utilization of penile prosthesis surgery: a national claim registry analysis

International Journal of Impotence Research volume 26, pages 167–171 (2014)Cite this article

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Abstract

The objective of this study was to evaluate the modern utilization of penile prosthesis surgery based on data derived from national claim databases and contrast to an analysis of patients similarly treated at an academic center during a contemporaneous period. A retrospective claim analysis utilizing a national database (MarketScan, Thomson Reuters) was performed for Commercial insurer and Medicare databases between January 2000 and March 2011. A retrospective analysis of contemporaneous penile prosthesis implantation at the Johns Hopkins Hospital (JHH) was done. Population demographics, comorbidities, previous (ED) therapies and time from ED diagnosis to surgery were assessed. Median ages for patients undergoing penile prosthesis implantation were 58, 70 and 63 years for the Commercial, Medicare and JHH cohorts, respectively. For the claim databases (Commercial, Medicare, respectively), hypertension (72%, 78%), dyslipidemia (71%, 56%) and diabetes mellitus (45%, 40%) were predominant comorbidities, whereas for the JHH database prostate cancer (51%) and its management by prostatectomy (45%) or radiation (12%) were predominant. Previous use of PDE5 inhibitors was similar across databases (60, 58 and 69% for Commercial, Medicare and JHH cohorts, respectively), although previous use of non-oral ED therapies was greater in the JHH database. Median time to surgery from initial ED diagnosis was 2, 2 and 4 years for the Commercial, Medicare and JHH patients, respectively. Demographic variables and ED risk factors associated with penile prosthesis surgery at a national population-based level over a contemporary period were defined. Some differences in utilization trends of penile prosthesis surgery exist at a single institutional level.

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Acknowledgements

We thank Angela M. Ginkel, of American Medical Systems, Inc. (AMS), Minnetonka, MN, for editorial review support, and Zhaoyong Feng and Dr Bruce J. Trock, Division of Epidemiology, Brady Urological Institute for assistance with statistical methodology and analysis.

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Authors and Affiliations

  1. Brady Urological Institute, Johns Hopkins Hospital, Baltimore, MD, USA

    R L Segal & A L Burnett

  2. Health Economics & Outcomes Research (HEOR), Endo Pharmaceuticals Inc., Malvern, PA, USA

    S B Camper

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  1. R L Segal
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Correspondence to A L Burnett.

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Segal, R., Camper, S. & Burnett, A. Modern utilization of penile prosthesis surgery: a national claim registry analysis. Int J Impot Res 26, 167–171 (2014). https://doi.org/10.1038/ijir.2014.11

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