Using progression in adapted diabetes complications severity index score to predict erectile dysfunction in men affected by type 2 diabetes mellitus

Abstract

ObjectiveThis study is on the use of the adapted Diabetes Complications Severity Index (aDCSI) for erectile dysfunction (ED) risk stratification in male patients with type 2 diabetes mellitus (DM).MethodsThis is a retrospective study with records obtained from Taiwan’s National Health Insurance Research Database. Adjusted HRs (aHRs) were estimated by multivariate Cox proportional hazards models with 95% confidence intervals (CIs).ResultsA population of 84 288 eligible male patients with type 2 DM were included. Compared with change in aDCSI score of 0.0–0.5 per year, the aHRs and the corresponding 95% CIs for other changes in aDCSI scores are summarised as follows: 1.10 (0.90 to 1.34) for change in aDCSI score of 0.5–1.0 per year; 4.44 (3.47 to 5.69) for change in aDCSI score of 1.0–2.0 per year; and 10.9 (7.47 to 15.9) for change in aDCSI score of >2.0 per year.ConclusionsProgression in aDCSI score might be used for ED risk stratification in men affected by type 2 DM.