Effect of onychomycosis on quality of life

Effect of onychomycosis on quality of life
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DOI:
10.1016/s0190-9622(98)70199-9
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发表时间:
1998-05-01
影响因子:
13.8
通讯作者:
Stiller, MJ
Stiller, MJ
中科院分区:
医学1区
文献类型:
--
作者:
Drake, LA;Scher, RK;Stiller, MJ

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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 impactResults: 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 B-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.