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Research

Talking about premature ejaculation in primary care: the GET UP cluster randomised controlled trial

Marie Barais, Marine Costa, Camille Montalvo, Vincent Rannou, Hélène Vaillant-Roussel, David Costa, Sébastien Cadier and Bruno Pereira
BJGP Open 2022; 6 (2): BJGPO.2021.0168. DOI: https://doi.org/10.3399/BJGPO.2021.0168
Marie Barais
1 Department of General Practice, Université de Bretagne Occidentale, Brest, France
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  • For correspondence: marie.barais@gmail.com
Marine Costa
2 Department of General Practice, Faculty of Medicine, Clermont Auvergne University, Clermont-Ferrand, France
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Camille Montalvo
1 Department of General Practice, Université de Bretagne Occidentale, Brest, France
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Vincent Rannou
1 Department of General Practice, Université de Bretagne Occidentale, Brest, France
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Hélène Vaillant-Roussel
2 Department of General Practice, Faculty of Medicine, Clermont Auvergne University, Clermont-Ferrand, France
3 Department of Clinical Research and Innovation, Clermont-Ferrand University Hospital, Clermont-Ferrand, France
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  • ORCID record for Hélène Vaillant-Roussel
David Costa
4 Département Universitaire de Médecine Générale, UFR Médecine Université de Montpellier-Nimes, Montpellier, France
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Sébastien Cadier
5 Département de Médecine Générale, UFR Sciences Médicales, Université de Bordeaux, Bordeaux, France
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Bruno Pereira
3 Department of Clinical Research and Innovation, Clermont-Ferrand University Hospital, Clermont-Ferrand, France
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Article Figures & Data

Figures

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    Figure 1. Study flowchart
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    Figure 2. PEDT scores at Week 4 after the consultation, where a score of ≤8 signifies no PE; 9–10 signifies probable PE; and ≥11 signifies PE (P = 0.24 between groups)

Tables

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    Table 1. Characteristics of the GPs and patients involved in the study
    CharacteristicsTotalInterventionControlP value
    GP s , n a 633231
    Age in years, mean (SD)50.4 (10.1)50.4 (10.2)50.4 (10.0)0.99
    Sex male, n (%)37 (58.7)19 (59.4)18 (58.1)0.92
    Work settings
     Urban, n (%)38 (60.3)17 (53.1)21 (67.7)0.24
     Group practice, n (%)58 (92)29 (94)29 (94)0.99
    GP s , n b 321616
    Age in years, mean (SD)49.1 (10.3)46.8 (10.4)51.4 (10.1)0.22
    Sex male, n (%)16 (50.0)7 (43.8)9 (56.3)0.48
    Work settings
     Urban, n (%)18 (56.3)9 (56.3)9 (56.3)1.00
     Group practice, n (%)31 (96.9)15 (93.8)16 (100.0)1.00
    Patients, n 1306961
    Age in years, mean (SD)58.5 (13.7)56.8 (13.7)60.4 (13.6)0.13
    Living with a partner, n (%)97/128 (75.8)53/69 (76.8)44/59 (74.6)0.77
    Employment status, n (%)0.75
     Working79 (60.8)44 (63.7)35 (57.4)
     No occupation8 (6.2)5 (7.3)3 (4.9)
     Retired34 (26.1)16 (23.2)19 (29.5)
     No information9 (6.9)4 (5.8)5 (8.2)
    • aTotal number of recruited GPs. bGPs who enrolled patients. SD = standard deviation.

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    Table 2. Topics discussed during the consultation (outcome questionnaire completed by GPs)
    Total (n = 130)Intervention (n = 69)Control (n = 61)Absolute difference (95% CI)P value(univariate)P value (multivariate)
    S exual
    PE, n (%)32 (24.6)29 (42.0)3 (4.9)37%(24% to 50%)0.001a <0.001a
    Erectile dysfunction, n (%)80 (61.5)56 (81.2)24 (39.3)42%(26% to 57%)0.001a 0.003a
    Urinary
    Dysuria, n(%)87 (66.9)41 (59.4)46 (75.4)–16%(−32% to 0%)0.0550.265
    Urinary incontinence, n (%)34 (26.2)15 (21.7)19 (31.2)–9%(–25% to 6%)0.2350.686
    P sychological
    Anxiety, n(%)76 (58.5)44 (63.8)32 (52.5)11%(–6% to 28%)0.4000.042a
    Depression, n(%)51 (39.2)29 (42.0)22 (36.1)6%(–11% to 23%)0.5180.330
    • aStatistically significant. PE = premature ejaculation.

    • View popup
    Table 3. SF-12 scores at baseline and at month one after the consultation in the intervention and control groups
    BaselineITT/PP1 monthPPMean difference(95% CI)P value
    Physical dimension, mean (SD)Intervention group47.2 (8.7)/46.4 (9.0)46.0 (9.3)–0.4 (–2.5 to 1.6)0.69
    Control group44.3 (8.1)/44.6 (8.3)47.2 (9.6)2.6 (0.6 to 4.6)0.01
    Intervention group versus control group –2.9 (–6.1 to 0.4) 0.08 a 0.13 b
    Mental dimension, mean (SD)Intervention group44.7 (8.2)/45.1 (7.6)45.1 (9.0)0.0 (–2.5 to 2.5)0.98
    Control group46.8 (10.5)/47.6 (9.3)44.8 (9.4)–2.7 (–5.6 to 13.0)0.06
    Intervention group versus control group 1.9 (–2.1 to 5.5) 0.35 a 0.29 b
    • aPP using the imputation method; that is, the baseline score was used to replace the score at Week 4 when missing. bITT using the imputation method.

    • ITT = intention-to-treat analysis. PP = per-protocol analysis. SD = standard deviation.

Supplementary Data

  • BJGPO.2021.0168_Supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Talking about premature ejaculation in primary care: the GET UP cluster randomised controlled trial
Marie Barais, Marine Costa, Camille Montalvo, Vincent Rannou, Hélène Vaillant-Roussel, David Costa, Sébastien Cadier, Bruno Pereira
BJGP Open 2022; 6 (2): BJGPO.2021.0168. DOI: 10.3399/BJGPO.2021.0168

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Talking about premature ejaculation in primary care: the GET UP cluster randomised controlled trial
Marie Barais, Marine Costa, Camille Montalvo, Vincent Rannou, Hélène Vaillant-Roussel, David Costa, Sébastien Cadier, Bruno Pereira
BJGP Open 2022; 6 (2): BJGPO.2021.0168. DOI: 10.3399/BJGPO.2021.0168
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Keywords

  • communication
  • male
  • premature ejaculation
  • referral and consultation
  • sexual dysfunction
  • general practice
  • primary healthcare

More in this TOC Section

  • Joint and soft tissue injections in Irish primary care: a survey of general practitioners’ attitudes and practices
  • Pattern of oral anticoagulants prescribing for atrial fibrillation in general practice: a study based on routine practice data from general practices in the Netherlands
  • Re-examining advice to complete antibiotic courses: a qualitative study with clinicians and patients
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