Priapism in the United States: the changing role of sickle cell disease
Abstract Background Few patients with priapism require inpatient management unless they are refractory to intracavernosal therapy. Their risk factors and outcomes are poorly characterized. Methods This is a retrospective analysis of the Nationwide Inpatient Sample (1998–2006). Priapism patients were...
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| Veröffentlicht in: | The American journal of surgery 2011-04, Vol.201 (4), p.468-474 |
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| creator | Chrouser, Kristin L., M.D., M.P.H Ajiboye, Onaopemipo B., M.D., M.P.H Oyetunji, Tolulope A., M.D., M.P.H Chang, David C., Ph.D., M.P.H., M.B.A |
| description | Abstract Background Few patients with priapism require inpatient management unless they are refractory to intracavernosal therapy. Their risk factors and outcomes are poorly characterized. Methods This is a retrospective analysis of the Nationwide Inpatient Sample (1998–2006). Priapism patients were identified and analyzed over time by age, race, sickle-cell disease diagnosis, drug abuse, and penile operations. Results A total of 4,237 hospitalizations for priapism were identified (30% white, 61.1% black, and 6.3% Hispanics). There was an increasing incidence of priapism over time, concentrated in the middle-age group. There were 1,776 patients (41.9%) with diagnoses of sickle-cell disease, with decreasing proportions over time. Drug abuse was reported in 7.9%. Conclusions Inpatient diagnoses of priapism are increasing over time with relatively constant numbers of sickle-cell disease patients, suggesting rising nonhematologic causes of priapism. One theory is that increasing use of aggressive therapies for erectile dysfunction might play a role, especially when combined with drug abuse. |
| doi_str_mv | 10.1016/j.amjsurg.2010.03.017 |
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Their risk factors and outcomes are poorly characterized. Methods This is a retrospective analysis of the Nationwide Inpatient Sample (1998–2006). Priapism patients were identified and analyzed over time by age, race, sickle-cell disease diagnosis, drug abuse, and penile operations. Results A total of 4,237 hospitalizations for priapism were identified (30% white, 61.1% black, and 6.3% Hispanics). There was an increasing incidence of priapism over time, concentrated in the middle-age group. There were 1,776 patients (41.9%) with diagnoses of sickle-cell disease, with decreasing proportions over time. Drug abuse was reported in 7.9%. Conclusions Inpatient diagnoses of priapism are increasing over time with relatively constant numbers of sickle-cell disease patients, suggesting rising nonhematologic causes of priapism. One theory is that increasing use of aggressive therapies for erectile dysfunction might play a role, especially when combined with drug abuse.</description><identifier>ISSN: 0002-9610</identifier><identifier>ISSN: 1879-1883</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2010.03.017</identifier><identifier>PMID: 21421100</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Age Distribution ; Alcohol use ; Anemia, Sickle Cell - epidemiology ; Anemia, Sickle Cell - ethnology ; Anemias. Hemoglobinopathies ; Biological and medical sciences ; Black or African American ; Black People - statistics & numerical data ; Cocaine ; Disease control ; Diseases of red blood cells ; Drug abuse ; Epidemiology ; Erectile dysfunction ; General aspects ; Genital diseases ; Gynecology. Andrology. Obstetrics ; Hematologic and hematopoietic diseases ; Hispanic or Latino - statistics & numerical data ; Hospitalization - statistics & numerical data ; Hospitalization - trends ; Humans ; Incidence ; Infertility ; Ischemia ; Male ; Male genital diseases ; Medical sciences ; Metastasis ; Middle Aged ; Non tumoral diseases ; Patients ; Penis ; Penis - surgery ; Prescription drugs ; Priapism ; Priapism - epidemiology ; Priapism - ethnology ; Psychotropic drugs ; Retrospective Studies ; Risk analysis ; Risk Factors ; Risk management ; Sickle cell disease ; Sickle-cell disease Nationwide Inpatient Sample ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - ethnology ; Surgery ; Time Factors ; United States - epidemiology ; Urology ; White People - statistics & numerical data</subject><ispartof>The American journal of surgery, 2011-04, Vol.201 (4), p.468-474</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Apr 1, 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-c3bc22a809e69764acf252ecfd0dee1088c20071dfecbca47afca6eef632d5fc3</citedby><cites>FETCH-LOGICAL-c477t-c3bc22a809e69764acf252ecfd0dee1088c20071dfecbca47afca6eef632d5fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1925191014?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24065229$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21421100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chrouser, Kristin L., M.D., M.P.H</creatorcontrib><creatorcontrib>Ajiboye, Onaopemipo B., M.D., M.P.H</creatorcontrib><creatorcontrib>Oyetunji, Tolulope A., M.D., M.P.H</creatorcontrib><creatorcontrib>Chang, David C., Ph.D., M.P.H., M.B.A</creatorcontrib><title>Priapism in the United States: the changing role of sickle cell disease</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background Few patients with priapism require inpatient management unless they are refractory to intracavernosal therapy. Their risk factors and outcomes are poorly characterized. Methods This is a retrospective analysis of the Nationwide Inpatient Sample (1998–2006). Priapism patients were identified and analyzed over time by age, race, sickle-cell disease diagnosis, drug abuse, and penile operations. Results A total of 4,237 hospitalizations for priapism were identified (30% white, 61.1% black, and 6.3% Hispanics). There was an increasing incidence of priapism over time, concentrated in the middle-age group. There were 1,776 patients (41.9%) with diagnoses of sickle-cell disease, with decreasing proportions over time. Drug abuse was reported in 7.9%. Conclusions Inpatient diagnoses of priapism are increasing over time with relatively constant numbers of sickle-cell disease patients, suggesting rising nonhematologic causes of priapism. One theory is that increasing use of aggressive therapies for erectile dysfunction might play a role, especially when combined with drug abuse.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Alcohol use</subject><subject>Anemia, Sickle Cell - epidemiology</subject><subject>Anemia, Sickle Cell - ethnology</subject><subject>Anemias. Hemoglobinopathies</subject><subject>Biological and medical sciences</subject><subject>Black or African American</subject><subject>Black People - statistics & numerical data</subject><subject>Cocaine</subject><subject>Disease control</subject><subject>Diseases of red blood cells</subject><subject>Drug abuse</subject><subject>Epidemiology</subject><subject>Erectile dysfunction</subject><subject>General aspects</subject><subject>Genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hispanic or Latino - statistics & numerical data</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitalization - trends</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infertility</subject><subject>Ischemia</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Patients</subject><subject>Penis</subject><subject>Penis - surgery</subject><subject>Prescription drugs</subject><subject>Priapism</subject><subject>Priapism - epidemiology</subject><subject>Priapism - ethnology</subject><subject>Psychotropic drugs</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Risk management</subject><subject>Sickle cell disease</subject><subject>Sickle-cell disease Nationwide Inpatient Sample</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - ethnology</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>United States - epidemiology</subject><subject>Urology</subject><subject>White People - statistics & numerical data</subject><issn>0002-9610</issn><issn>1879-1883</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkt9rFDEQx4NY7Fn9E5QFEZ_2nGR_-6BI0bZQUKh9DrnZyTXb3ew1syv0vzfrnS30xackw2cm33yIEG8krCXI8mO3NkPHc9iuFcQaZGuQ1TOxknXVpLKus-diBQAqbUoJx-IlcxePUubZC3GsZK6kBFiJs5_BmZ3jIXE-mW4oufZuoja5msxE_OlvCW-M3zq_TcLYUzLahB3exh1S3yetYzJMr8SRNT3T68N6Iq6_f_t1ep5e_ji7OP16mWJeVVOK2QaVMjU0VDZVmRu0qlCEtoWWSEJdowKoZGsJN2jyylg0JZEtM9UWFrMT8WE_dxfGu5l40oPjJYjxNM6s66JWNRRZE8l3T8hunIOP4bRsVCGbqDGPVLGnMIzMgazeBTeYcK8l6EW07vRBtF5Ea8h0FB373h6mz5uB2oeuf2Yj8P4AGEbT22A8On7kcigLpZaYX_YcRWu_HQXN6MgjtS4QTrod3X-jfH4yAXvnXbz0lu6JH1-tWWnQV8uvWD5FTAl52cjsD27wsqE</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Chrouser, Kristin L., M.D., M.P.H</creator><creator>Ajiboye, Onaopemipo B., M.D., M.P.H</creator><creator>Oyetunji, Tolulope A., M.D., M.P.H</creator><creator>Chang, David C., Ph.D., M.P.H., M.B.A</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Priapism in the United States: the changing role of sickle cell disease</title><author>Chrouser, Kristin L., M.D., M.P.H ; Ajiboye, Onaopemipo B., M.D., M.P.H ; Oyetunji, Tolulope A., M.D., M.P.H ; Chang, David C., Ph.D., M.P.H., M.B.A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-c3bc22a809e69764acf252ecfd0dee1088c20071dfecbca47afca6eef632d5fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Alcohol use</topic><topic>Anemia, Sickle Cell - epidemiology</topic><topic>Anemia, Sickle Cell - ethnology</topic><topic>Anemias. Hemoglobinopathies</topic><topic>Biological and medical sciences</topic><topic>Black or African American</topic><topic>Black People - statistics & numerical data</topic><topic>Cocaine</topic><topic>Disease control</topic><topic>Diseases of red blood cells</topic><topic>Drug abuse</topic><topic>Epidemiology</topic><topic>Erectile dysfunction</topic><topic>General aspects</topic><topic>Genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hispanic or Latino - statistics & numerical data</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitalization - trends</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infertility</topic><topic>Ischemia</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Patients</topic><topic>Penis</topic><topic>Penis - surgery</topic><topic>Prescription drugs</topic><topic>Priapism</topic><topic>Priapism - epidemiology</topic><topic>Priapism - ethnology</topic><topic>Psychotropic drugs</topic><topic>Retrospective Studies</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Risk management</topic><topic>Sickle cell disease</topic><topic>Sickle-cell disease Nationwide Inpatient Sample</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - ethnology</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>United States - epidemiology</topic><topic>Urology</topic><topic>White People - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chrouser, Kristin L., M.D., M.P.H</creatorcontrib><creatorcontrib>Ajiboye, Onaopemipo B., M.D., M.P.H</creatorcontrib><creatorcontrib>Oyetunji, Tolulope A., M.D., M.P.H</creatorcontrib><creatorcontrib>Chang, David C., Ph.D., M.P.H., M.B.A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chrouser, Kristin L., M.D., M.P.H</au><au>Ajiboye, Onaopemipo B., M.D., M.P.H</au><au>Oyetunji, Tolulope A., M.D., M.P.H</au><au>Chang, David C., Ph.D., M.P.H., M.B.A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Priapism in the United States: the changing role of sickle cell disease</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>201</volume><issue>4</issue><spage>468</spage><epage>474</epage><pages>468-474</pages><issn>0002-9610</issn><issn>1879-1883</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Abstract Background Few patients with priapism require inpatient management unless they are refractory to intracavernosal therapy. Their risk factors and outcomes are poorly characterized. Methods This is a retrospective analysis of the Nationwide Inpatient Sample (1998–2006). Priapism patients were identified and analyzed over time by age, race, sickle-cell disease diagnosis, drug abuse, and penile operations. Results A total of 4,237 hospitalizations for priapism were identified (30% white, 61.1% black, and 6.3% Hispanics). There was an increasing incidence of priapism over time, concentrated in the middle-age group. There were 1,776 patients (41.9%) with diagnoses of sickle-cell disease, with decreasing proportions over time. Drug abuse was reported in 7.9%. Conclusions Inpatient diagnoses of priapism are increasing over time with relatively constant numbers of sickle-cell disease patients, suggesting rising nonhematologic causes of priapism. One theory is that increasing use of aggressive therapies for erectile dysfunction might play a role, especially when combined with drug abuse.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21421100</pmid><doi>10.1016/j.amjsurg.2010.03.017</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Age Distribution Alcohol use Anemia, Sickle Cell - epidemiology Anemia, Sickle Cell - ethnology Anemias. Hemoglobinopathies Biological and medical sciences Black or African American Black People - statistics & numerical data Cocaine Disease control Diseases of red blood cells Drug abuse Epidemiology Erectile dysfunction General aspects Genital diseases Gynecology. Andrology. Obstetrics Hematologic and hematopoietic diseases Hispanic or Latino - statistics & numerical data Hospitalization - statistics & numerical data Hospitalization - trends Humans Incidence Infertility Ischemia Male Male genital diseases Medical sciences Metastasis Middle Aged Non tumoral diseases Patients Penis Penis - surgery Prescription drugs Priapism Priapism - epidemiology Priapism - ethnology Psychotropic drugs Retrospective Studies Risk analysis Risk Factors Risk management Sickle cell disease Sickle-cell disease Nationwide Inpatient Sample Substance-Related Disorders - epidemiology Substance-Related Disorders - ethnology Surgery Time Factors United States - epidemiology Urology White People - statistics & numerical data |
| title | Priapism in the United States: the changing role of sickle cell disease |
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