Effect of onychomycosis on quality of life

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 conf...

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Veröffentlicht in:Journal of the American Academy of Dermatology 1998-05, Vol.38 (5), p.702-704
Hauptverfasser: Drake, Lynn A., Scher, Richard K., Smith, Edgar B., Faich, Gerald A., Smith, Shondra L., Hong, Joseph J., Stiller, Matthew J.
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container_end_page 704
container_issue 5
container_start_page 702
container_title Journal of the American Academy of Dermatology
container_volume 38
creator Drake, Lynn A.
Scher, Richard K.
Smith, Edgar B.
Faich, Gerald A.
Smith, Shondra L.
Hong, Joseph J.
Stiller, Matthew J.
description 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. (J Am Acad Dermatol 1998;38:702-4.)
doi_str_mv 10.1016/S0190-9622(98)70199-9
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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. 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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. 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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. (J Am Acad Dermatol 1998;38:702-4.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9591814</pmid><doi>10.1016/S0190-9622(98)70199-9</doi><tpages>3</tpages></addata></record>
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subjects Absenteeism
Activities of Daily Living
Antifungal Agents - economics
Antifungal Agents - therapeutic use
Attitude to Health
Biological and medical sciences
Cost of Illness
Demography
Drug Costs
Female
Foot Dermatoses - drug therapy
Foot Dermatoses - economics
Foot Dermatoses - microbiology
Foot Dermatoses - physiopathology
Foot Dermatoses - psychology
Hand Dermatoses - drug therapy
Hand Dermatoses - economics
Hand Dermatoses - microbiology
Hand Dermatoses - physiopathology
Hand Dermatoses - psychology
Human mycoses
Humans
Infectious diseases
Interpersonal Relations
Male
Medical sciences
Middle Aged
Mycoses
Mycoses of the skin
Nails - physiopathology
Office Visits
Onychomycosis - drug therapy
Onychomycosis - economics
Onychomycosis - physiopathology
Onychomycosis - psychology
Pain - physiopathology
Quality of Life
Self Concept
Sex Factors
Shoes
Surveys and Questionnaires
Telephone
title Effect of onychomycosis on quality of life
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