Effect of onychomycosis on quality of life

L A Drake1, R K Scher, E B Smith

  • 1Department of Dermatology, the Cutaneous Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Boston 02114-2696, USA.

Abstract

Insights

Onychomycosis significantly impacts daily life, causing pain, embarrassment, and functional issues. Addressing these quality-of-life effects is crucial for effective patient care and treatment coverage.

Area of Science:

  • Dermatology
  • Public Health
  • Quality of Life Research

Background:

  • Onychomycosis, a common nail fungal infection, severely affects nail function.
  • It leads to pain, daily activity limitations, and negative psychosocial impacts.

Purpose of the Study:

  • To assess patient-reported quality of life in individuals with onychomycosis.
  • To understand the multifaceted impact of nail fungus on patients' lives.

Main Methods:

  • A telephone survey of 258 patients with confirmed onychomycosis across three centers.
  • Analysis of a standardized quality-of-life questionnaire, examining demographics, physical, psychosocial, and economic effects.

Main Results:

  • High prevalence of nail-trimming difficulties (76%) and embarrassment (74%).
  • Significant functional impairments reported, including difficulty with fine motor tasks (41%) and wearing shoes (38%).
  • Onychomycosis resulted in substantial health-related absences (58 sick days) and medical visits (1.8 per subject) over six months.

Conclusions:

  • Onychomycosis poses significant social, psychological, health, and occupational challenges.
  • The findings underscore the importance of considering quality-of-life impacts in treatment strategies.
  • Re-evaluation of aggressive treatment and insurance coverage for onychomycosis is warranted based on its broad effects.

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