Onychomycosis: A study of self-recognition by patients and quality of life

Pattanaprichakul, Penvadee; Leeyaphan, Charussri; Chayangsu, Onjuta; Bunyaratavej, Sumanas; Kulthanan, Kanokvalai

doi:10.4103/0378-6323.154796

Cited by 18 publications

(7 citation statements)

References 19 publications

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“…Eight studies describe baseline characteristics of onychomycosis patients using PRO instruments [10,11,12,13,14,15,16,17], while 8 other studies use nonvalidated instruments or instruments nonspecific to onychomycosis (Table 1) [7,18,19,20,21,22,23,24,25]. Ten studies used PRO instruments to evaluate onychomycosis treatments (Table 2) [26,27,28,29,30,31,32,33,34,35].…”

Section: Resultsmentioning

confidence: 99%

“…Though earlier validated questionnaires included general health measures, the OnyCOE-t™ and NailQoL assess only onychomycosis-specific items. A generic core allows comparisons across interventions and diseases as it uses previously validated measures to evaluate parameters of general health distress, psychosocial well-being, and physical functioning [7,17,24]. However, this core also has low sensitivity to group differences and clinical changes [10,12,15,17,18,19].…”

Section: Discussionmentioning

confidence: 99%

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Patient-Reported Outcomes in Onychomycosis: A Review of Psychometrically Evaluated Instruments in Assessing Treatment Effectiveness

Wang

Wiznia

Rieder

2017

Skin Appendage Disord

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Purpose: Onychomycosis is the most common nail disorder and causes morbidity and impaired quality of life (QOL). Patient-reported outcomes (PRO) are patients' assessment of their health status or treatment response. PROs help assess what is most bothersome to patients to identify targets for intervention. We sought to review the PRO instruments currently used to assess QOL and treatment response in onychomycosis patients. Procedures: A systematic review was performed by searching PubMed, Embase, CINAHL, and PsycINFO databases through December 31, 2016, to identify all English language literature on onychomycosis, PRO, and QOL. Results: Currently, 5 validated PRO instruments exist specifically for onychomycosis. Oral therapies were most extensively studied using PRO instruments. QOL data generally correlated with clinical change, although patients sometimes reported improvement without any clinically significant nail clearance. The only psychometrically validated PRO instrument used to evaluate treatment response is the OnyCOE-t™. Conclusions: Clinicians may underestimate the impact of onychomycosis on patients. With recent initiatives from health-care management organizations to improve patient experience and the recent approval of expensive and nonsuperior topical antifungal medications, PROs will be increasingly important in onychomycosis to assess patient priorities and optimize treatment. Future research should evaluate these instruments in special populations and fingernail disease.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcomes in Onychomycosis: A Review of Psychometrically Evaluated Instruments in Assessing Treatment Effectiveness

Wang

Wiznia

Rieder

2017

Skin Appendage Disord

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“…No statistically significant associations were observed between sex, age, quarter of the year, and area of involvement with culture and PCR results. However, previous studies have linked female sex and age over 50 years to a higher prevalence of onychomycosis 18,19 . This fact may be a bias, because 71.1% (86/121) of the population in our study are women.…”

Section: Discussionmentioning

confidence: 63%

Microbiological culture combined with PCR for the diagnosis of onychomycosis: Descriptive analysis of 121 patients

Navarro‐Pérez,

García‐Oreja,

Tardáguila‐García

et al. 2023

Mycoses

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BackgroundOnychomycosis is the most common nail pathology, involving various pathogens such as dermatophytes, moulds and yeasts.ObjectiveThe objective of this study was to observe the prevalence of onychomycosis, analyse the most appropriate diagnostic test, and assess the distribution of pathogens based on age, sex, quarter of the year, duration of symptoms and previous treatment.MethodsRetrospectively, mycological culture and PCR data and results were collected from 121 patients.ResultsOf the 121 samples, 57% (69/121) tested positive when both microbiological study techniques were combined. The prevalence of onychomycosis was higher when PCR was performed (52.1%) compared to microbiological culture (33.1%). Among the 81 samples negative by microbiological culture, 31 were positive by PCR. Similarly, of the 58 samples negative by PCR, eight were positive by microbiological culture. Diagnostic accuracy data (with 95% confidence intervals) for PCR, using microbiological culture as the gold standard, were as follows: sensitivity of 0.8, specificity of 0.62, positive predictive value of 0.51 and negative predictive value of 0.86. The most frequently identified pathogen was Trichophyton rubrum, and the hallux nail plate was the most commonly affected location. However, no statistically significant associations were found between sex, age, quarter of the year and affected area with culture and PCR results.ConclusionCombining microbiological culture and PCR can increase the detection rate of onychomycosis and help avoid false‐negative results.

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“…In literature we found 2 previous studies reporting on patients’ self-recognition of onychomycosis [ 16 , 17 ]. Patients were more likely to self-diagnose when experiencing complications such as paronychia, itching, pain or aesthetic changes.…”

Section: Discussionmentioning

confidence: 99%

Awareness of people using municipal swimming pools about the prevention, symptoms, and treatment of athlete’s foot and onychomycosis before COVID-19

Cisoń,

Kostrzewska,

Łątka

et al. 2024

pdia

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Introduction Superficial mycosis is one of the most common diseases worldwide; however, its epidemiology is changing over time. Aim To present the awareness of people using swimming pools about athlete’s foot and onychomycosis. Material and methods A total of 690 participants were subjected to an extensive survey administered via Google Documents. The questionnaire consisted of 30 online polling items and aimed to evaluate respondents’ knowledge pertaining to fungal infections, encompassing aspects such as prevention strategies, disease trajectory, and therapeutic modalities. The survey sample specifically encompassed students and sports enthusiasts associated with 33 Internet groups, and data collection transpired during the period spanning 12 January to 15 March, 2018, predating the advent of the COVID-19 pandemic. Results In the study, 85.2% of participants regularly inspected their feet, with 4.8% seeking podiatric services. While 75.2% demonstrated hygienic behaviour by changing towels after each pool visit, 41.4% acknowledged sharing nail tools. Notably, 75.7% preferred professional assistance for symptoms, with 24.3% opting for home remedies. Gender disparities were evident, with women showing significantly better hygiene practices and pool usage than men ( p < 0.001). Women also exhibited a stronger tendency to disinfect grooming tools and prioritise sterility during beautician services ( p < 0.001). These findings emphasise the importance of gender-specific health behaviour analysis in promoting preventive measures. Conclusions The study highlights onychomycosis as a significant societal concern. Pre-COVID-19, awareness among municipal swimming pool users regarding prevention, symptoms, and treatment of athlete’s foot and onychomycosis was insufficient.

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Onychomycosis: A study of self-recognition by patients and quality of life

Cited by 18 publications

References 19 publications

Patient-Reported Outcomes in Onychomycosis: A Review of Psychometrically Evaluated Instruments in Assessing Treatment Effectiveness

Patient-Reported Outcomes in Onychomycosis: A Review of Psychometrically Evaluated Instruments in Assessing Treatment Effectiveness

Microbiological culture combined with PCR for the diagnosis of onychomycosis: Descriptive analysis of 121 patients

Awareness of people using municipal swimming pools about the prevention, symptoms, and treatment of athlete’s foot and onychomycosis before COVID-19

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