Jarow J P, Nana-Sinkam P, Sabbagh M, Eskew A
Department of Urology, Bowman Gray School of Medicine, Winston-Salem, North Carolina, USA.
J Urol. 1996 May;155(5):1609-12.
We assessed patient preference, satisfaction and overall outcome of goal directed management of erectile dysfunction.
The results of goal directed therapy of impotence were assessed by an independent telephone survey of 377 consecutive men who had not received prior therapy and who were followed for a minimum of 2 years.
Patients preferred medical to surgical therapies despite significantly higher satisfaction rates achieved with surgery. Average number of treatment modalities chosen by each patient was 2 (range 0 to 5). Ultimately, only 40% of the patients achieved a long-term satisfactory result with goal directed therapy. The remainder were not satisfied with the last treatment but chose no further therapy, were lost to followup or refused therapy from the outset.
Our results clearly demonstrate a patient preference for the least invasive forms of therapy. Patients avoid significantly more effective but also more invasive treatment options despite unsatisfactory results with less invasive methods. Future research efforts should be concentrated on the development of new medical therapies to enhance overall patient satisfaction.
我们评估了勃起功能障碍目标导向管理的患者偏好、满意度及总体结果。
通过对377名未接受过先前治疗且随访至少2年的连续男性进行独立电话调查，评估阳痿目标导向治疗的结果。
尽管手术治疗的满意度明显更高，但患者更喜欢药物治疗而非手术治疗。每位患者选择的治疗方式平均为2种（范围为0至5种）。最终，只有40%的患者通过目标导向治疗获得了长期满意的结果。其余患者对最后一次治疗不满意，但未选择进一步治疗，失访或从一开始就拒绝治疗。
我们的结果清楚地表明患者偏好侵入性最小的治疗方式。尽管侵入性较小的方法效果不理想，但患者仍避免选择明显更有效但侵入性也更强的治疗方案。未来的研究应集中在开发新的药物治疗方法以提高患者的总体满意度。
