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Investigating the connection between age progression and erectile dysfunction incidence in chronic kidney disease patients undergoing hemodialysis Widiaputro, Dandi; Suwito, Heru; Eldatarina, Helsa; Firmansah, Wahyu; Akbar, Muhamad; Wattimury, Rosmince; Rahardja, Ketut; Haryanto, Dheni; Gunawan, Atma
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e210

Abstract

BACKGROUND: Erectile dysfunction is frequently observed in patients with chronic kidney disease (CKD), especially in the elderly population. However, studies have presented diverse outcomes on this matter. OBJECTIVES: To assess the correlation between age progression and the prevalence of erectile dysfunction in chronic kidney disease patients receiving hemodialysis. METHODS: The study employed a retrospective design and was conducted at RSUD Dr. Saiful Anwar, Malang, during June-July 2022. Data collection involved retrieving age, the erection hardness score (EHS), and baseline characteristics from medical records. Statistical analysis focused on assessing the correlation between age and erectile dysfunction using linear regression. RESULTS: The study population consisted of 59 patients with erectile dysfunction and 61 patients without erectile dysfunction. The primary findings highlighted a substantial and moderately negative association between age and the EHS score, which serves as a key indicator of erectile function. The results suggested that as individuals aged, there was a noticeable trend towards a decrease in the EHS score, implying a decrease in erectile capacity. CONCLUSION: Our findings emphasize the crucial importance of age as a determining factor in the development of erectile dysfunction.
Mortality Risk Factors in Continuous Ambulatory Peritoneal Dialysis Patients Widiaputro, Dandi; Gunawan, Atma; Rifai, Achmad
Clinical and Research Journal in Internal Medicine Vol. 7 No. 1: Volume 7 No 1, May 2026
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2026.007.01.03

Abstract

Background: Chronic Kidney Disease (CKD) is a common kidney disorder among elderly individuals and is a leading cause of global mortality. Patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD) are at high risk of complications and mortality. Therefore, analyzing risk factors for mortality in CAPD patients is crucial. Aim: To identify mortality risk factors in CAPD patients. Methods: This study was an observational retrospective study design. The sample consisted of CAPD patients at Saiful Anwar Hospital in Malang, with data collection from August 1st, 2019 to July 31st, 2023. Information collected included demographic data, medical history, and laboratory parameters. Data were analyzed using chi-square tests, t-tests, Kolmogorov-Smirnov tests, and multiple logistic regression to evaluate relationships, normality, risk factor effects, and the mortality rate of CAPD patients. Results: There were 377 subjects who met the inclusion criteria, consist of deceased (n=89) and alive (n=288) subjects. Older age significantly increased mortality risk with an odds ratio (OR) of 1.277 (95% CI: 1.260-1.294; p = 0.007). Diabetes mellitus increased mortality risk in CAPD patients, with an OR of 3.185 (95% CI: 1.427-7.105; p = 0.005). Heart failure increased mortality risk in CAPD patients, with an OR of 4.201 (95% CI: 2.170-8.133; p = 0.000). Decreased potassium levels increased mortality risk in CAPD patients, with an OR of 1.352 (95% CI: 1.020-1.792; p = 0.036). Conclusion: Older age, diabetes mellitus, heart failure, and decreased potassium levels increase mortality risk in CAPD patients.