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Populations. The included trials involved men diagnosed with erectile dysfunction (ED)






The included trials involved men diagnosed with erectile dysfunction (ED). The total and mean (range) numbers of patients randomly assigned to trial arms were 1975 and 179 (12–569), respectively. The inclusion criteria across the trials were adult men (age ≥ 18 years) diagnosed with ED in a stable heterosexual relationship of at least 6 months of duration. The inclusion criteria in two studies114, 120 were restricted either to patients with arteriogenic120 or nonarteriogenic ED.114 In one trial, 249 the inclusion criteria were restricted to patients with ED and a history of diabetes (type I or II) who had been naï ve to any ED-related treatment. The enrolled patients in one trial159 had to be naï ve to ED drug therapy and had to have an IIEF-5 score ≤ 21.

The exclusion criteria in the majority of the included trials were spinal cord injury114, 120, 248, 253 and penile/testicular deformity.114, 120, 148, 159, 248, 249, 251254 Other frequently reported exclusion criteria were uncontrolled hypertension, 114, 148, 251253diabetes, 148, 248, 252, 253 endocrine disease, 114, 248, 251253 any major hepatic/renal disease, 117, 148, 251 prostatectomy, 148, 248, 251, 253 peptic ulcers, 159 HIV-positivity/AIDS, 248, 252, 253 the use of nitrates, 114, 117, 120, 148, 159, 251 a history of cancer, 248, 252, 253 and serious cardiovascular diseases (e.g. angina pectoris).148, 159 Only one trial failed to report exclusion criteria.250

The mean age of the study participants across the included trials ranged from 35250 to 59 years.120 The race of the study participants was reported in six trials.117, 159, 248, 252, 253 The proportion of Caucasians across these trials ranged from 85 percent252 to 99 percent.248 The duration of ED was at least 3 months at study entry in all trials. The longest mean duration of ED (3.5–4.2 years) was reported in the trial by Porst et al 2007.159 Most commonly reported comorbidities among the study participants were diabetes, 114, 120, 148, 159, 248, 252, 253 hypertension, 114, 120, 148, 159, 248, 249, 252, 253 ischemic heart disease, 114, 249 and coronary artery disease.120, 159, 248, 252, 253 The presence or absence of comorbidities could not be ascertained from three trials.117, 250, 251 The underlying cause of ED (i.e., etiology) in the patients was specified in three trials to be nonarteriogenic (all patients), 114 arteriogenic (all patients), 120 and various causes (patients with organic, psychogenic or mixed origin ED).159 In four trials, 114, 120, 249, 250 the proportion of smokers ranged from 35 percent249 to 95 percent.114, 120 In the remaining trials this proportion could not be ascertained.117, 148, 159, 248, 251253

In seven trials117, 159, 248, 249, 252, 253 the authors provided baseline arm-specific distributions of the patients' sociodemographic and clinical characteristics (e.g. age, race, duration/severity of ED, comorbidities) and explicitly stated that the distribution of these characteristics between the randomized arms was generally similar. The authors of the remaining five trials114, 120, 148, 250, 251 did not report this information.






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