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Practice patterns in sildenafil prescribing.

Sara E Young1, Arch G Mainous, Vanessa A Diaz

  • 1Department of Family Medicine, Medical University of South Carolina, PO Box 250192, 195 Calhoun Street, Charleston, SC 29425, USA. youngs@musc.edu

Family Medicine
|February 2, 2006
PubMed
Summary
This summary is machine-generated.

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Sildenafil is frequently prescribed for erectile dysfunction (ED) without a documented diagnosis. This study found 50% of men over 30 receiving sildenafil lacked a recorded ED reason, highlighting a gap in clinical documentation.

Area of Science:

  • Urology
  • Pharmacology
  • Health Services Research

Background:

  • Erectile dysfunction (ED) and psychosexual dysfunction are common conditions.
  • Sildenafil is a widely used medication for treating ED.

Purpose of the Study:

  • To investigate the documentation practices for sildenafil prescriptions.
  • To compare patient and provider characteristics when sildenafil is prescribed with or without a documented ED diagnosis.

Main Methods:

  • Analysis of the 2002 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey.
  • Comparison of patient, visit, and provider data for sildenafil prescriptions.
  • Stratification based on documented diagnosis consistent with ED.

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Main Results:

  • 50% of men aged 30+ receiving sildenafil lacked a documented ED diagnosis or complaint.
  • No significant demographic or payment differences were observed between groups.
  • Increased prior visits correlated with less documented ED.
  • Urologists documented ED more frequently than other specialties.

Conclusions:

  • Sildenafil is prescribed in a substantial number of cases without clear documentation of psychosexual or erectile dysfunction.
  • This suggests potential overprescription or inadequate record-keeping in clinical practice.