(011) Implementing Virtual Intracavernosal/ Penile Injection Therapy (ICI) Training in a Prostate Cancer (PC) Supportive Care Program
Bibliographic record
Abstract
Abstract Introduction The Sexual Health Clinic (SHC) offered by our prostate cancer (PC) supportive care program delivers sexual health care for PC patients and their partners. Over a two-year period, patients receive seven appointments in which different options for sexual satisfaction are explored, including intracavernosal/penile injection therapy (ICI). Since April 2020, sexual health clinicians have provided virtual and in-person ICI training appointments. Before each appointment, patients are instructed to review educational material, including an educational video, an ICI instruction booklet, and ICI dosing handout. Objective To evaluate the effectiveness of ICI training presented virtually compared to in-person by comparing clinical and patient-reported outcomes (PROs) in each group. Methods All patients who received ICI training between January 2019 and April 2023 were included in this retrospective chart review. PROs from the SHC were obtained prospectively during service as part of usual clinical care. Results Over 4.3 years, 74 patients received ICI training, 54 virtually and 24 in-person. All patients were in heterosexual relationships and rated their pre-treatment erectile function as a median of 9 on a scale of 0-10, with 10 being the highest level of erectile function. In contrast, the median erectile function for all patients was 0 after PC treatment. At the time of attending the SHC, most patients expressed ‘resume intercourse’ as their goal of treatment. Table 1 shows that the demographics of each group are similar with respect to age, education level, ethnicity, and partner information. The use of erectile aids after PC therapy is shown in Table 2. Most patients had not attempted ICI before enrollment in the SHC and were not satisfied with other options offered by the SHC. Details of ICI treatments and response to therapy are shown in Table 3. Overall outcomes and satisfaction rates were similar between groups. Conclusions Overall, clinical outcomes with ICI training in the virtual format do not appear to differ from that done in person. Patient satisfaction with ICI is better than other erectile aid options in each group but is still low. In the future, we will prospectively assess ICI usage and outcomes at 3, 6, and 12 months after ICI training to determine treatment adherence, complications, and long-term patient satisfaction with ICI training across the different delivery methods. Disclosure No.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
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".