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Cardiología del adulto – Artículo original
Prevalencia y asociación de factores de riesgo cardiovascular en hombres con disfunción eréctil
Prevalence and association with cardiovascular risk in men with erectile dysfunction
Carolina Sandoval-Salinasa,
Autor para correspondencia
csandoval@bostonmedical.com.co

Autor para correspondencia.
, Juan M. Martíneza, Héctor A. Corredora, José P. Saffona, Claudia Jaramillob, Fernán Mendozab
a Grupo de Investigación Clínica, Boston Medical Group. Bogotá, Colombia
b Fundación Clínica Shaio, Bogotá, Colombia
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">La disfunci&#243;n er&#233;ctil es la incapacidad persistente de conseguir y mantener una erecci&#243;n suficiente que permita una relaci&#243;n sexual satisfactoria<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">1</span></a>&#46; Es una condici&#243;n relacionada con aspectos org&#225;nicos o psicol&#243;gicos que tiene un impacto significativo en la calidad de vida de las personas afectadas y de su pareja&#46; En Colombia se ha estimado que aproximadamente el 52&#44;8&#37; de los hombres mayores de 40 a&#241;os presentan alg&#250;n grado de disfunci&#243;n<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">2</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Es clara la relaci&#243;n que hay entre los factores que aumentan el riesgo cardiovascular y la presencia de disfunci&#243;n&#59; evidencia reciente muestra c&#243;mo la disfunci&#243;n er&#233;ctil puede ser una manifestaci&#243;n temprana de enfermedad coronaria y enfermedad vascular perif&#233;rica<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">3&#44;4</span></a>&#44; por lo cual esta condici&#243;n deber&#237;a considerarse como una se&#241;al de peligro potencial de la enfermedad cardiovascular&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Entre los factores cardiovasculares modificables se ha evidenciado que en hombres fumadores la prevalencia de disfunci&#243;n llega hasta el 40&#37; frente a un 28&#37; en la poblaci&#243;n general<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">5</span></a>&#59; as&#237; mismo&#44; se ha observado una relaci&#243;n entre la exposici&#243;n pasiva al cigarrillo y la incidencia de disfunci&#243;n er&#233;ctil<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">5</span></a> y entre el consumo de cigarrillo y la reducci&#243;n en la frecuencia de las erecciones matutinas<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">6</span></a>&#46; Por otra parte&#44; en hombres obesos el riesgo de disfunci&#243;n es 60&#37; m&#225;s&#44; comparado con hombres de peso dentro de rangos normales<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">7</span></a>&#46; Respecto a los factores controlables&#44; se ha demostrado la asociaci&#243;n con hipertensi&#243;n<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">7&#44;8</span></a>&#44; diabetes<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">2&#44;7&#44;9</span></a>&#44; hiperlipidemia<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">10</span></a> y s&#237;ndrome metab&#243;lico<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">10</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Pese a las diferentes publicaciones sobre el tema en varios pa&#237;ses&#44; actualmente no se cuenta con informaci&#243;n local para conocer la situaci&#243;n de estos pacientes en Colombia&#44; de manera que reconociendo cu&#225;les son los factores de riesgo m&#225;s prevalentes puedan plantearse acciones para mitigar el problema&#46; El objetivo de este estudio es estimar la prevalencia de factores de riesgo cardiovascular en pacientes con disfunci&#243;n er&#233;ctil en Colombia para el primer semestre del a&#241;o 2018 y explorar la asociaci&#243;n entre estos factores y la severidad de la disfunci&#243;n er&#233;ctil&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Materiales y m&#233;todos</span><p id="par0025" class="elsevierStylePara elsevierViewall">Se llev&#243; a cabo un estudio observacional de corte transversal anal&#237;tico&#46; El tama&#241;o de muestra se estim&#243; a partir del total de pacientes con disfunci&#243;n er&#233;ctil que asistieron a consulta a una cl&#237;nica especializada en salud sexual masculina con sedes en diferentes ciudades del pa&#237;s durante el primer semestre del a&#241;o 2018 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;613 hombres&#41;&#44; esperando una frecuencia entre el 20&#37; y 50&#37; de los factores de riesgo cardiovascular seg&#250;n datos reportados en la literatura<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">11&#44;12</span></a>&#44; con una precisi&#243;n absoluta del 3&#37; alrededor del estimador y un nivel de confianza del 95&#37;&#59; as&#237;&#44; el tama&#241;o de muestra estimado fue de 758 pacientes&#46; No obstante&#44; teniendo en cuenta que la informaci&#243;n se obtuvo de registros hist&#243;ricos&#44; se incluy&#243; a todos los sujetos de la poblaci&#243;n de inter&#233;s&#44; que cumplieron los criterios de selecci&#243;n&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Para la recolecci&#243;n de la informaci&#243;n se extrajeron de forma autom&#225;tica los datos de las historias cl&#237;nicas en medio digital&#44; incluyendo pacientes mayores de 18 a&#241;os con diagn&#243;stico cl&#237;nico de disfunci&#243;n er&#233;ctil y puntaje de IIEF-EF inferior a 22&#44; que fueron atendidos entre el 1&#176;&#46; de enero y el 30 de junio de 2018&#46; Se excluyeron pacientes con disfunci&#243;n de origen psicol&#243;gico o con datos incompletos para los an&#225;lisis de inter&#233;s&#46; Las variables evaluadas fueron&#58; edad&#44; estimada a partir de la fecha de nacimiento del paciente&#59; &#237;ndice de masa corporal&#44; calculado a partir de la talla reportada en la c&#233;dula del paciente&#44; y el peso registrado en consulta con b&#225;sculas de diferentes marcas seg&#250;n la ciudad de atenci&#243;n y el a&#241;o de adquisici&#243;n&#44; y calibradas de acuerdo con el est&#225;ndar de calidad institucional&#59; tensi&#243;n arterial medida con tensi&#243;metros digitales de diferentes marcas seg&#250;n la ciudad de atenci&#243;n y el a&#241;o de adquisici&#243;n&#44; y calibrados de acuerdo con el est&#225;ndar de calidad institucional&#59; consumo de alcohol&#59; consumo de tabaco&#59; consumo de drogas recreativas&#59; puntaje del cuestionario IIEF-EF&#59; puntaje de dureza de la erecci&#243;n &#8212;EHS&#8212; y antecedentes m&#233;dicos de otros factores de riesgo cardiovascular&#44; como diabetes&#44; hipertensi&#243;n&#44; hiperlipidemias&#44; enfermedad cardiovascular e infarto agudo del miocardio&#44; reportados por el paciente&#46; El diagn&#243;stico inicial de diabetes e hiperlipidemia registrado en el examen cl&#237;nico fue confirmado con los resultados de las pruebas de laboratorio&#44; tomadas y procesadas en un laboratorio cl&#237;nico externo con sedes en las diferentes ciudades donde se incluyeron pacientes y procesos estandarizados&#44; en los casos en los que se contaba con esta informaci&#243;n&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Para el control de calidad de la extracci&#243;n de la informaci&#243;n se revis&#243; aleatoriamente el 5&#37; de las historias cl&#237;nicas incluidas&#46; Los datos incongruentes o valores extremos fueron verificados en la historia cl&#237;nica original por dos investigadores diferentes de quien realiz&#243; la selecci&#243;n inicial de los pacientes&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Se analizaron las caracter&#237;sticas sociodemogr&#225;ficas y cl&#237;nicas de los sujetos de investigaci&#243;n usando herramientas de la estad&#237;stica descriptiva&#58; para las variables categ&#243;ricas se estimaron frecuencias absolutas y relativas&#44; y para las variables num&#233;ricas se estimaron medidas de tendencia central y de dispersi&#243;n&#44; dependiendo de la distribuci&#243;n de los datos&#46; Se estim&#243; la prevalencia de los factores de riesgo cardiovascular de forma global y por categor&#237;as de acuerdo con el grado de severidad de la disfunci&#243;n&#44; y se hizo una exploraci&#243;n de la asociaci&#243;n entre estas variables usando pruebas de <span class="elsevierStyleItalic">x</span><span class="elsevierStyleSup">2</span> para variables categ&#243;ricas y ordinales&#44; considerando valores de significaci&#243;n del 5&#37; y pruebas a dos colas para las hip&#243;tesis planteadas&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Por &#250;ltimo&#44; se desarroll&#243; un modelo de regresi&#243;n log&#237;stica multinomial para cuantificar el grado de asociaci&#243;n entre cada factor de riesgo cardiovascular y el grado de disfunci&#243;n er&#233;ctil ajustando por la presencia de otros factores de riesgo y variables confusoras&#46; Para esto se plante&#243; un modelo inicial que incluy&#243; todos los factores de riesgo cardiovascular&#44; independiente de su valor de p en el an&#225;lisis bivariado y otras variables con un valor de p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;2 en ese mismo an&#225;lisis&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Para la estimaci&#243;n de la prevalencia y el an&#225;lisis bivariado y multivariado&#44; la edad se categoriz&#243; como menor de 45 a&#241;os e igual o mayor a 45 a&#241;os&#44; y seg&#250;n el IMC se categoriz&#243; a los pacientes como normo-peso &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>25&#41; o sobrepeso u obesidad &#40;IMC &#8805; 25&#41;&#46; Los an&#225;lisis se hicieron con Stata 15&#46;1 &#40;College Station&#44; TX&#58; StataCorp LLC&#41;&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0055" class="elsevierStylePara elsevierViewall">Durante el periodo de an&#225;lisis fueron atendidos 2&#46;613 pacientes con diagn&#243;stico de disfunci&#243;n er&#233;ctil&#59; 2&#46;484 de ellos cumplieron los criterios de selecci&#243;n y fueron incluidos en el estudio&#46; La mayor&#237;a de los pacientes resid&#237;an en Bogot&#225; &#40;34&#44;6&#37;&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>861&#41;&#44; Medell&#237;n &#40;9&#44;54&#37;&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>237&#41; y Cali &#40;6&#46;60&#37;&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>164&#41;&#46; La edad media fue 48&#44;7 a&#241;os &#40;&#177; 14&#44;1&#41; y el valor promedio del &#237;ndice de masa corporal &#40;IMC&#41; fue 27&#44;2 &#40;&#177; 3&#44;7&#41; con solo el 28&#44;7&#37; de los pacientes en peso normal &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">En cuanto a la disfunci&#243;n er&#233;ctil&#44; el promedio del puntaje del m&#243;dulo de funci&#243;n er&#233;ctil de la escala IIEF-15 &#40;IIEF-EF&#41; fue 14&#44;7 puntos &#40;&#177; 5&#44;5&#41;&#44; observ&#225;ndose que la mayor proporci&#243;n de pacientes ten&#237;an disfunci&#243;n er&#233;ctil moderada &#40;37&#44;6&#37;&#41; o leve a moderada &#40;29&#44;9&#37;&#41;&#44; con base en este mismo cuestionario&#46; La mediana del puntaje de dureza de la erecci&#243;n &#40;Erection Hardness Score-EHS&#41; fue 3 puntos &#40;IRQ<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#41;&#46; 40&#44;6&#37; de los pacientes ten&#237;an otra disfunci&#243;n sexual adem&#225;s de la impotencia&#59; entre ellas la m&#225;s frecuente fue la eyaculaci&#243;n precoz &#40;36&#44;4&#37;&#41;&#59; 48&#44;5&#37; de los sujetos de investigaci&#243;n hab&#237;an tomado medicamentos para la disfunci&#243;n previo al ingreso a la cl&#237;nica &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Por otro lado&#44; 2&#46;112 los sujetos presentaron uno o m&#225;s factores de riesgo cardiovascular&#44; para una prevalencia global de 85&#44;1&#37; &#40;IC 95&#37; 83&#44;5-86&#44;4&#37;&#41;&#46; De forma m&#225;s espec&#237;fica&#44; las prevalencias de los factores de riesgo cardiovascular evaluados fueron&#58; sobrepeso y obesidad 70&#44;9&#37; &#40;IC 95&#37; 69&#44;1-72&#44;7&#37;&#41;&#44; edad superior a 45 a&#241;os 60&#44;0&#37; &#40;IC 95&#37; 58&#44;0-61&#44;9&#37;&#41;&#44; hiperlipidemia 25&#44;0&#37; &#40;IC 95&#37; 23&#44;3-26&#44;7&#37;&#41;&#44; hipertensi&#243;n 21&#44;3&#37; &#40;IC 95&#37;&#44; 19&#44;7-23&#44;0&#37;&#41;&#44; consumo de tabaco 17&#44;7&#37; &#40;IC 95&#37; 16&#44;1-19&#44;2&#37;&#41;&#44; diabetes 16&#44;1&#37; &#40;IC 95&#37; 14&#44;7-17&#44;6&#37;&#41;&#44; antecedente de infarto agudo del miocardio 2&#44;2&#37; &#40;IC 95&#37; 1&#44;6-2&#44;8&#37;&#41; y antecedente de alguna enfermedad cardiovascular diferente a infarto 1&#44;6&#37; &#40;IC 95&#37; 1&#44;2-2&#44;2&#37;&#41;&#46; La prevalencia de estos factores por grado de severidad de la disfunci&#243;n se presenta en la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">En el an&#225;lisis bivariado se encontr&#243; que ser mayor de 45 a&#241;os&#44; tener diabetes y tener hipertensi&#243;n est&#225; asociado con padecer disfunci&#243;n moderada o grave&#59; as&#237; mismo&#44; se encontr&#243; asociaci&#243;n entre disfunci&#243;n er&#233;ctil grave y haber tenido infarto agudo del miocardio o un antecedente de enfermedad cardiovascular diferente a infarto&#46; Sin embargo&#44; al ajustar la estimaci&#243;n por otros factores o variables confusoras en el an&#225;lisis multivariado se observ&#243;&#44; que comparado con tener enfermedad leve&#44; el riesgo de tener enfermedad moderada o grave aumenta en hombres diab&#233;ticos &#40;OR 1&#44;95 IC 95&#37; 1&#44;15-3&#44;3 y OR 5&#44;57 IC 95&#37; 3&#44;28-9&#44;43&#44; respectivamente&#41;&#44; as&#237; como aumenta el riesgo de enfermedad grave en hombres mayores de 45 a&#241;os &#40;OR 1&#44;76 IC 95&#37; 1&#44;25-2&#44;47&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discusi&#243;n</span><p id="par0075" class="elsevierStylePara elsevierViewall">La disfunci&#243;n er&#233;ctil es una enfermedad prevalente que afecta la calidad de vida de los hombres y sus parejas&#46; En diferentes estudios se ha evaluado su relaci&#243;n con enfermedad cardiovascular y se ha encontrado que ambas&#44; adem&#225;s de estar relacionadas&#44; comparten factores de riesgo similares<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">4&#44;13</span></a>&#46; En general&#44; se considera tan fuerte la correlaci&#243;n entre los factores de riesgo de la disfunci&#243;n er&#233;ctil y la enfermedad cardiovascular&#44; que en algunos estudios&#44; como el desarrollado por Dong <span class="elsevierStyleItalic">et al&#46;</span>&#44; se sugiere que la disfunci&#243;n es probablemente un factor de riesgo independiente para enfermedad cardiovascular<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">4</span></a>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">En la actualidad se recomiendan algoritmos para el manejo de la disfunci&#243;n er&#233;ctil en pacientes con o sin enfermedad cardiovascular conocida<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">14</span></a>&#59; as&#237; mismo&#44; est&#225; recomendada la evaluaci&#243;n de los factores de riesgo cardiovascular en estos pacientes&#44; de tal manera que se puedan implementar modificaciones en el estilo de vida para el manejo de la enfermedad y se identifiquen aquellos sujetos que realmente se benefician de una valoraci&#243;n por un servicio de cardiolog&#237;a<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">15</span></a>&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Los resultados de este estudio muestran la alta prevalencia de algunos factores de riesgo compartidos con la enfermedad cardiovascular en hombres colombianos con disfunci&#243;n er&#233;ctil&#44; para los cuales se ha documentado previamente una relaci&#243;n en otras poblaciones<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">4&#44;13</span></a>&#46; Comparado con estudios realizados en hombres estadounidenses<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">16&#44;17</span></a>&#44; las prevalencias estimadas en nuestro estudio para factores como hiperlipidemia o hipertensi&#243;n son inferiores&#44; as&#237; como tambi&#233;n difiere la asociaci&#243;n entre el grado de la disfunci&#243;n er&#233;ctil y estos factores&#44; la cual ha sido documentada en esta misma poblaci&#243;n<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">8</span></a>&#46; Esto puede ser explicado por diferencias en la alimentaci&#243;n o en el estilo de vida entre las poblaciones&#44; lo que se evidencia en la prevalencia estimada en la poblaci&#243;n general<a class="elsevierStyleCrossRefs" href="#bib0190"><span class="elsevierStyleSup">18&#44;19</span></a>&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Un hallazgo importante de este estudio es evidenciar que uno de los factores m&#225;s prevalentes en nuestra poblaci&#243;n son el sobrepeso y la obesidad&#46; A pesar de mostrar tendencias de aumento en todo el mundo&#44; el sobrepeso y la obesidad son factores de riesgo modificables&#44; lo cual permite plantear intervenciones para reducir su prevalencia en la poblaci&#243;n&#44; disminuyendo as&#237;&#44; no solo el riesgo de disfunci&#243;n er&#233;ctil grave sino tambi&#233;n el riesgo de morbilidad y mortalidad por enfermedad cardiovascular y por otras enfermedades asociadas a esta condici&#243;n<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">20</span></a>&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Aunque este estudio tiene las limitaciones propias de los estudios retrospectivos&#44; como el posible sesgo de informaci&#243;n por falta de un registro riguroso en las historias cl&#237;nicas de todos los datos de los pacientes o la falta de evaluaci&#243;n de otras variables confusoras de inter&#233;s&#44; vale la pena recalcar la importancia de ser informaci&#243;n local&#44; que resulta fundamental para el desarrollo de pol&#237;ticas y la toma de decisiones cl&#237;nicas m&#225;s espec&#237;ficas para nuestra poblaci&#243;n&#44; sobre todo al tratarse de algunos factores de riesgo cardiovascular que pueden ser modificables o controlables&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conclusiones</span><p id="par0100" class="elsevierStylePara elsevierViewall">La prevalencia de factores de riesgo cardiovascular en hombres colombianos con disfunci&#243;n er&#233;ctil es alta&#44; y&#44; en ese sentido&#44; el sobrepeso u obesidad constituyen el factor modificable m&#225;s frecuente en esta poblaci&#243;n&#46; El grado de disfunci&#243;n puede estar asociado con la edad y la diabetes&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Financiaci&#243;n</span><p id="par0105" class="elsevierStylePara elsevierViewall">El estudio fue financiado con recursos del centro de investigaci&#243;n cl&#237;nica de Boston Medical Group y recursos propios de los autores&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conflicto de intereses</span><p id="par0110" class="elsevierStylePara elsevierViewall">Ninguno&#46;</p></span></span>"
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          "titulo" => "Abstract"
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          "titulo" => "Discusi&#243;n"
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          "titulo" => "Conclusiones"
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    "fechaRecibido" => "2019-07-22"
    "fechaAceptado" => "2019-11-17"
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            0 => "Disfunci&#243;n er&#233;ctil"
            1 => "Prevalencia"
            2 => "Factores de riesgo cardiovascular"
            3 => "Enfermedad cardiovascular"
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            0 => "Erectile dysfunction"
            1 => "Prevalence"
            2 => "Cardiovascular risk factors"
            3 => "Cardiovascular disease"
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    "resumen" => array:2 [
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        "titulo" => "Resumen"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">estimar la prevalencia de los factores de riesgo para enfermedad cardiovascular en hombres con disfunci&#243;n er&#233;ctil atendidos en un centro especializado en diferentes ciudades de Colombia y evaluar su asociaci&#243;n con el grado de severidad de la enfermedad&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">estudio de corte transversal anal&#237;tico&#46; Se revisaron los registros cl&#237;nicos de pacientes con diagn&#243;stico de disfunci&#243;n er&#233;ctil que fueron atendidos durante el primer semestre del a&#241;o 2018&#46; Se analizaron las caracter&#237;sticas sociodemogr&#225;ficas y cl&#237;nicas de los pacientes&#44; y se estim&#243; la prevalencia de los factores de riesgo cardiovascular&#46; Se explor&#243; la asociaci&#243;n entre estos factores y el grado de severidad de la disfunci&#243;n er&#233;ctil por medio de modelos multivariados log&#237;sticos ordinales&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">se incluyeron 2&#46;484 pacientes que cumplieron los criterios de selecci&#243;n&#44; con una edad promedio de 48&#44;7 a&#241;os &#40;&#177; 14&#44;1&#41;&#46; 2&#46;112 sujetos presentaron uno o m&#225;s factores de riesgo cardiovascular&#44; para una prevalencia global de 85&#44;2&#37;&#46; La prevalencia estimada para factor evaluado fue la siguiente&#58; sobrepeso y obesidad 70&#44;9&#37;&#44; edad superior a 45 a&#241;os 60&#44;0&#37;&#44; hiperlipidemia 25&#44;1&#37;&#44; hipertensi&#243;n 21&#44;4&#37;&#44; consumo de tabaco 17&#44;7&#37;&#44; diabetes 16&#44;7&#37;&#44; infarto agudo de miocardio 2&#44;21&#37; y antecedente de alguna enfermedad cardiovascular diferente a infarto 1&#44;68&#37;&#46; En el an&#225;lisis multivariado se observ&#243; que la diabetes y la edad son factores que aumentan el riesgo de severidad de la disfunci&#243;n er&#233;ctil&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">es alta la prevalencia de factores de riesgo cardiovascular en hombres colombianos con disfunci&#243;n er&#233;ctil&#46; En ese sentido&#44; el sobrepeso u obesidad es el factor modificable m&#225;s frecuente en esta poblaci&#243;n&#46; El grado de disfunci&#243;n puede estar asociado con la edad y la diabetes&#46;</p></span>"
        "secciones" => array:4 [
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          1 => array:2 [
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            "titulo" => "M&#233;todos"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To estimate the prevalence of risk factors of cardiovascular disease in men with erectile dysfunction attending a specialist clinic in different cities in Colombia&#44; as well as their association with the level of severity of the disorder&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional analytical study was conducted using a review of the medical records of patients diagnosed with erectile dysfunction and seen during the first six months of 2018&#46; An analysis was made of the socio-demographic and clinical characteristics of the patients&#44; and the prevalence of cardiovascular risk factors was calculated&#46; The association between these factors and the level of severity of the erectile dysfunction was determined using ordinal multivariate logistic models&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The study included a total of 2&#44;484 patients that met the selection criteria&#46; The mean age was 48&#46;7 &#40;&#177; 14&#46;1&#41; years&#46; The majority &#40;2&#46;112&#41; of subjects had one or more cardiovascular risk factors&#44; with an overall prevalence of 85&#46;2&#37;&#46; The estimated prevalence for a factor evaluated was as follows&#58; overweight and obesity&#59; 70&#46;9&#37;&#44; age greater than 45 years&#59; 60&#46;0&#37;&#44; hyperlipidaemia&#59; 25&#46;1&#37;&#44; hypertension&#59; 21&#46;4&#37;&#44; smoking&#59; 17&#46;7&#37;&#44; diabetes&#59; 16&#46;7&#37;&#44; acute myocardial infarction&#59; 2&#46;21&#37;&#44; and a history of any cardiovascular disease other than an infarction&#59; 1&#46;68&#37;&#46; In the multivariate analysis it was observed that diabetes and age are factors that increase the risk of severity of erectile dysfunction&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The prevalence of cardiovascular risk factors is high in Colombian men with erectile dysfunction&#46; As regards this&#44; overweight or obesity is the most common modifiable factor in this population&#46; The level of dysfunction may be associated with age and diabetes&#46;</p></span>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Grado de la disfunci&#243;n seg&#250;n IIEF-EF</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Leve&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Leve a moderada&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Moderada&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Grave&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#46;5 &#40;12&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">48&#46;2 &#40;13&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#46;0 &#40;15&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">IMC</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Infrapeso&#58; delgadez aceptable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;0&#46;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Obeso&#58; Tipo I&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38 &#40;13&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">109 &#40;14&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">147 &#40;15&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">76 &#40;14&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Obeso&#58; Tipo II&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;1&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;2&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;3&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;2&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Obeso&#58; Tipo III&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;0&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;0&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;1&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Peso normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">78 &#40;28&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">233 &#40;31&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">250 &#40;26&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">154 &#40;28&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sobrepeso&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">152 &#40;55&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">382 &#40;51&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">499 &#40;53&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">282 &#40;52&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Otras disfunciones sexuales</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Eyaculaci&#243;n prematura&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">111 &#40;40&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">299 &#40;40&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">349 &#40;37&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">145 &#40;27&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Falta de deseo sexual&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;4&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;1&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;3&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;1&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Enfermedad de Peyronie&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;0&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;0&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;0&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;1&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otras&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25 &#40;9&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t">0&#44;61 a 4&#44;35&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sobrepeso - obesidad&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tabaquismo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;72 a 1&#44;53&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alcohol&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;6 a 1&#44;08&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tratamiento previo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Moderada</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#62; 45 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;36 a 3&#44;81&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hiperlipidemias&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertensi&#243;n arterial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;14 a 2&#44;41&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;89 a 1&#44;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IAM &#47; ECV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;38 a 2&#44;79&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sobrepeso - obesidad&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;71 a 1&#44;32&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tabaquismo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;69 a 1&#44;39&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;69 a 1&#44;44&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alcohol&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;67 a 1&#44;14&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;62 a 1&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tratamiento previo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;51&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;003&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;15 a 1&#44;98&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;47&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;11 a 1&#44;94&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Severa</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#62; 45 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;86&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44; 001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;1 a 3&#44;88&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;25 a 2&#44;47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">7&#44;18&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">4&#44;31 a 11&#44;96&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">5&#44;57&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">3&#44;28 a 9&#44;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hiperlipidemias&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;97 a 1&#44;92&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;69 a 1&#44;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertensi&#243;n arterial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">1&#44;74 a 3&#44;76&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#44;93 a 2&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IAM &#47; ECV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;64 a 10&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;85 a 5&#44;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sobrepeso - obesidad&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;72 a 1&#44;54&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;75 a 1&#44;71&nbsp;\t\t\t\t\t\t\n
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                      "titulo" => "Impotence&#46; NIH Consensus Development Panel on Impotence"
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                      "titulo" => "Prevalence of erectile dysfunction in Colombia Ecuador&#44; and Venezuela&#58; a population-based study &#40;DENSA&#41;"
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                        0 => array:2 [
                          "etal" => true
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                            4 => "H&#46; M&#233;ndez"
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                      "doi" => "10.1016/j.eururo.2013.08.023"
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ISSN: 01205633
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