Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.
You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!
If you have any problems with the registration process or your account login, please contact contact us.
Evaluation of quality of life in patients with toenail onychomycosis by Polish version of an international onychomycosis-specific questionnaire
Szepietowski JC, Reich A, Pacan P, Garlowska E, Baran E; on behalf of the Polish Onychomycosis Study Group. J Eur Acad Dermatol Venereol. 2007 Apr;21(4):491-6.
Quote:
Background: Onychomycosis is the most frequent nail disease, which could impair the patient's quality of life.
Objective: The present study was undertaken to evaluate the impact of toenail onychomycosis on quality of life among Polish population.
Patients and methods: Three thousand nine-hundred and four (3904: 2269 females and 1635 males) individuals fulfilled an international onychomycosis-specific quality-of-life questionnaire consisting of statements regarding social, emotional and symptoms problems. All patients had toenail onychomycosis confirmed by the positive direct microscopic examination and/or by the positive mycologic culture. Seven hundred and sixty-seven patients simultaneously had fingernail onychomycosis. All patients were divided into subgroups according to sex, age, education level, place of living, type of onychomycosis, number of involved toenails, fingernails involvement, duration of illness and previously used antimycotic therapy.
Results: Most of the patients demonstrated significantly reduced quality of life. The degree of life impairment varied between analysed subgroups. Patients with more advanced toenail onychomycosis and with fingernail involvement were more seriously affected. Both social and emotional impairments were more pronounced in female than in male patients, although there were no differences according to symptoms. Moreover, patients with better educational level and people living in towns or cities were more emotionally and socially affected by onychomycosis, although people living in the country or with poorer education level presented with significantly more severe symptoms.
Conclusions: Toenail onychomycosis is still a serious medical problem, which can significantly reduce the patient's quality of life.
Am i missing something here? We're talking about a generally non painful condition easily and instantly solved by a TNA!
Call me cynical but i cannot help but wonder if this paper was in some way motivated by the desire to sell O/M laquers, Medication or some other treatment.
I'm not surprised that the people in the country with poorer educations were less worried by their conditions. They've probably got problems with real symptoms to worry about rather than cosmetically unpleasing toenails.
I judge the QOL impact of OM thus.
When somebody comes to me with a raging OC which they have suffered for months through 14 courses of antibiotics from their GP and i tell them i can remove the nail and solve the problem with a 45 minute proceedure under LA which will ensure it never comes back they are almost universally delighted.
When someone comes to me with an OM and i tell them they can either have the toenail removed or try to remember to file and paint it every day for 6 months they generally are too scared of one and too lazy for the other.
I think that says something about how much their QOL is affected!
Hi Robert, after avulsion do you treat with anything?? I have only seen clients some time after GP avulsions and all are reinfected and thought the process a waste of time? Appreciate your experience. Hether
in diabetes (NI) patient after avulsion. I appliy twice terbinafina for 7 days,
after I make an acrilic nails for 30 days. with this I´ve observed a better grow for the nail.
Onychomycosis and quality of life
Linear Mode
