Open AccessTrends in treatment of Peyronie’s disease in adult men in the United States from 2008 to 2017—results from an encounter and claims database
Author(s) -
Odinachi Moghalu,
Rupam Das,
Joshua J. Horns,
Alexander J. A. Campbell,
James M. Hotaling,
Alexander W. Pastuszak
Publication year - 2021
Publication title -
international journal of impotence research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.508
H-Index - 84
eISSN - 1476-5489
pISSN - 0955-9930
DOI - 10.1038/s41443-021-00430-x
Subject(s) - medicine , peyronie's disease , confidence interval , odds ratio , hazard ratio , retrospective cohort study , proportional hazards model , surgery , current procedural terminology , disease , database , computer science
Treatments for Peyronie's Disease (PD) include oral medications, intralesional injections, and surgery. Collagenase Clostridium histolyticum (CCh) is the only FDA-approved treatment for PD. We sought to examine current trends in treatment of PD across the United States. Using data in the MarketScan Database, we conducted a retrospective study of men with PD in the United States. Cases were identified by ICD-9 and 10 codes, and treatments were identified using NDC and CPT codes. Treatment rates were analyzed using a linear regression model, and a Cox proportional hazard function test was performed for time-to-treatment analysis. About 27.8% of men with PD were treated within a year of diagnosis. The annual treatment rate increased from 23.2 to 35.4%, and intralesional injection was the most used treatment. Over the study period, the percentage of men receiving treatment with oral medication increased from 0.66 to 20.5%, while the use of intralesional injection and surgery decreased. Increased odds of treatment were observed in men 45-54 years (odds ratio [OR] 1.35; 95% confidence interval [CI], 1.21-1.50; p = 0) and in the southern region (OR 1.48; 95% CI, 1.39-1.56; p = 0). Trends in treatment of PD have changed over time. Intralesional injection remains the most used treatment option for men with PD.