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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.
Background:
Onychomycosis impairs normal nail functions, causes considerable pain, interferes with daily activities, and has negative psychosocial effects.
Objective:
Our purpose was to determine patients' perception of onychomycosis on the quality of life.
Methods:
A total of 258 patients with confirmed onychomycosis were surveyed by telephone at three centers. Responses to a standardized quality-of-life questionnaire were analyzed for patient demographics, physical and functional impact, psychosocial impact, and economic impact.
Results:
Highest positive responses were nail-trimming problems (76%), embarrassment (74%), pain (48%), nail pressure (40%), and discomfort wearing shoes (38%). Ability to pick up small objects was impaired in 41% of subjects with fingernail involvement. More than 58 onychomycosis-related sick days and 468 medical visits (1.8 per subject) were reported during a 6-month period.
Conclusion:
Onychomycosis has significant social, psychologic, health, and occupational effects. Relevance of quality-of-life issues to overall health, earning potential, and social functioning should prompt reconsideration of the value of aggressive treatment of and financial coverage for onychomycosis.
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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