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    Perceptions Surrounding Onychomycosis in the Health Professions Student Population: The Disease, Treatments, and Quality of Life

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    Vlahovic-JournalArticle-2020-11.pdf
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    Genre
    Journal article
    Date
    2020-11-11
    Author
    Martucci, John
    Vlahovic, Tracey cc
    Department
    Podiatric Medicine
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/7280
    
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    DOI
    https://doi.org/10.7547/18-071
    Abstract
    Background: Discolored toenails is a common complaint presented to podiatric physicians, dermatologists, and primary-care physicians. Although various local and systemic conditions influence changes in nails, nearly 50% is due to fungal infections. We surveyed the health professions student population to gain insight into how future medical professionals may approach this condition and to explore perceptions of onychomycosis, treatments, and effects on quality of life. Methods: The primary outcome measure was a self-reported online Google Forms survey developed by the authors and sent to podiatric, allopathic, and osteopathic medical students and nursing students in Philadelphia, Pennsylvania. Results: Of the 245 respondents, 92% agreed that toenail fungus is both a health and a cosmetic concern. Seventy-seven percent of respondents said “yes” when asked if they would seek treatment, and 67% would wait 1 month to 1 year to see a medical professional. When seeking treatment, 57% reported that they would see a primary-care physician initially, and 27% and 5% would seek care from a podiatric physician or dermatologist, respectively. A total of 91% would spend up to $300 annually for treatment, with only 4% willing to spend more than $500 per year. Respondents' greatest concern would be physical appearance. Conclusions: Although agreement exists among the health professions students surveyed that toenail fungus presents both a cosmetic and a health concern, inconsistencies regarding time to treatment, treating professional, and effects on quality of life persist. It is not reasonable for all medical professionals to effectively recognize and treat nail disease, but it is paramount that patients are directed to medical professionals who can accurately exclude other conditions to alleviate social and financial burdens patients may face due to onychomycosis.
    Citation
    Martucci J, Vlahovic TC. Perceptions Surrounding Onychomycosis in the Health Professions Student Population: The Disease, Treatments, and Quality of Life. J Am Podiatr Med Assoc. 2020;110(5). doi: 10.7547/18-071.
    Citation to related work
    American Podiatric Medical Association
    Has part
    Journal of the American Podiatric Medical Association, Vol. 110, No. 5
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    ae974a485f413a2113503eed53cd6c53
    http://dx.doi.org/10.34944/dspace/7259
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