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Record W2336514546 · doi:10.1016/j.jsxm.2016.02.066

063 Influential Factors for Penile Implant Patient Satisfaction at 1 Year from the Propper Registry

2016· article· en· W2336514546 on OpenAlexaff
Tobias Köhler, G. Henry, Anthony J Bella, William O. Brant, Brian Christine, Nelson Bennett, Mohit Khera, Bryan Kansas, Eugene Rhee, LeRoy Jones, Edward Karpman

Bibliographic record

VenueThe Journal of Sexual Medicine · 2016
Typearticle
Languageen
FieldMedicine
TopicSexual function and dysfunction studies
Canadian institutionsUniversity of Ottawa
Fundersnot available
KeywordsImplantPatient satisfactionMedicinePsychologySurgery

Abstract

fetched live from OpenAlex

We previously reported an overall dissatisfaction rate of 12% for patients with penile prostheses from the PROPPER study of AMS penile implants. Here we further analyze which variables influence satisfaction. This is a retrospective analysis of prospectively collected data as part of the PROPPER penile prosthesis patient registry. Men with at least 1-year patient satisfaction data were included. Univariable analyses were performed with ANOVA or Chi-square tests as indicated with significance set to a P-value ≤0.001 after Bonferroni correction. Stepwise Multivariable logistic regression analysis was then performed with variables with a P value <.05 retained in the model. As of June 2015, 615 subjects had at least 1 year of evaluable data. 84% were satisfied/very satisfied, 6% were neutral, and 10% were dissatisfied/very dissatisfied. Variables that did not influence satisfaction included age, ethnicity, implant model, surgical approach, concurrent curvature correction, primary ED category, duration of ED, baseline depression status, concomitant ED diagnoses such as peyronies or diabetes, anti-coagulant use, IIEF baseline score or severity, UCLA sexual function bother or baseline, concurrent procedures, drain use, hospital admission status, foley at time of discharge and reservoir type or placement approach. Factors that were associated with satisfaction included surgery type (virgin/salvage/revision), use of device at 1 year, device problem reported at 1 year, AUA SI total score and baseline category, baseline UCLA bowel function and urinary bother. Data regarding baseline penile size largely did not influence patient satisfaction (total device length, pre-op penile flaccid and stretched length, penile length and girth difference between pre and post op, total length of RTE per cylinder), but penile length with device inflated trended toward significance (p=0.006). The stepwise logistic regression model selection indicated that only baseline UCLA bowel function, AUA SI total score, and penile length with device inflated were significantly associated with satisfaction.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.631
Threshold uncertainty score0.892

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.043
GPT teacher head0.294
Teacher spread0.251 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2016
Admission routes1
Has abstractyes

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