Disfuncion erectil en pacientes con EPOC. Una revision sistematica y metaanalisis

Introduction: Studies on sexuality in patients with chronic obstructive pulmonary disease (COPD) are scarce and have yielded conflicting results. Our aim was to determine the prevalence of erectile dysfunction (ED) and associated factors in patients with COPD. Methods: Articles with data on ED prevalence in patients diagnosed with COPD through spirometry were searched for in the PubMed, Embase, Cochrane Library, and Virtual Health Librarydatabases from the year of their creation until January 31, 2021. The prevalence of ED wasassessed with a weighted mean of the studies. A meta-analysis was performed using the Petofixedeffect model to evaluate the association of COPD with ED. Results: Fifteen studies were ultimately included. The weighted prevalence of ED was 74.6%. A meta-analysis with four studies and 519 individuals showed an association of COPD with ED( estimated weighted odds ratio 2.89, 95% CI 1.93-4.32, p < 0.001), with a non-negligible degreeof heterogeneity (I-2 57%). In the systematic review, age, smoking, degree of obstruction, oxygensaturation, and previous health status were associated with a higher prevalence of ED. Conclusions: ED is common in patients with COPD and its prevalence is higher than in the generalpopulation. (c) 2022 Elsevier Espana, S.L.U. and Sociedad Espaynola de Medicina Interna (SEMI). All rightsreserved.