Assessment of postbrachytherapy sexual function: A comparison of the IIED-5 and the MSEFS

Assessment of postbrachytherapy sexual function: A comparison of the IIED-5 and the MSEFS
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DOI:
10.1016/j.brachy.2006.11.003
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发表时间:
2007-01-01
期刊:
影响因子:
1.9
通讯作者:
Stone, Nelson N.
Stone, Nelson N.
中科院分区:
医学3区
文献类型:
--
作者:
Zagar, Timothy M.;Stock, Richard G.;Stone, Nelson N.

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目得:本研究旨在比较西奈山勃起功能评分(MSEFS),我们的近距离放射治疗计划的医生分配的量表,与患者独立完成的国际勃起功能指数-5(IIEF-5)。方法和材料:共有1202例T1-T3前列腺癌患者接受了超声引导放射性粒子植入+/- EBRT治疗,至少有一次访视完成了MSEFS和IIEF-5。进行了斯皮尔曼rho相关分析。结果:在所有比较中,MSEFS与IIEF-5总分显著相关。初次咨询时的比较系数为0.65,所有访视时的比较系数为0.76。相关性仍然很强,访视1至10的平均值为0.76。结论:在评估辐射后勃起功能障碍时,MSEFS与IIEF-5相关性很好,但不能被IIEF-5取代,IIEF-5与性欲程度有关。如果使用IIEF-15代替IIEF-5与我们的MSEFS,可以更深入地了解患者近距离治疗后的勃起功能。(c)2007年美国近距离放射治疗协会。All rights reserved.
PURPOSE: This study is to compare the Mount Sinai Erectile Function Score (MSEFS), our brachytherapy program's physician-assigned scale, with patients' independently completed International Index of Erectile Function-5 (IIEF-5). METHODS AND MATERIALS: A total of 1202 patients with T1-T3 prostate cancer were treated with ultrasound-guided radioactive seed implantation +/- EBRT with at least one visit where both MSEFS and IIEF-5 were completed. Spearman rho correlations were performed. RESULTS: The MSEFS significantly correlated with the total IIEF-5 scores on all comparisons. The coefficient was 0.65 for comparisons at initial consultation and 0.76 for all visits. The correlations remained strong, averaging to 0.76 for visits 1 through 10. CONCLUSIONS: In assessing erectile dysfunction after radiation, the MSEFS correlates well with, but cannot be replaced by, the IIEF-5, which is weighted toward one's degree of sexual desire. More insight into patients' erectile function after brachytherapy may be gotten if the IIEF-15 is used instead of the IIEF-5 with our MSEFS. (c) 2007 American Brachytherapy Society. All rights reserved.