RT Journal Article
T1 Inter‐observer reliability of the Onychomycosis Severity Index depending on clinical experience: A review of 50 cases
A1 Navarro Pérez, David
A1 García Oreja, Sara
A1 Tardaguila García, Aroa
A1 León Herce, Diego
A1 Álvaro Afonso, Francisco Javier
A1 Lázaro Martínez, José Luis
AB Background: Onychomycosis (ONM) is the most prevalent nail unit pathology, and its severity and monitoring are often based on the visual judgement of clinicians.Objective: The objective of this study is to assess the reliability of the Onychomycosis Severity Index (OSI) classification when utilized by three clinicians with varying lev-els    of   clinical experience: an    experienced podiatrist (with 5 years of   experience), a moderately experienced podiatrist (with 2 years of   experience) and an   inexperienced podiatrist  (a  recent  graduate  familiar  with  the  OSI  classification  but  lacking  clinical  experience). Additionally, we    compared the    severity assessments made through visual inspection with those determined using the OSI by different clinicians.Methods: We evaluated reliability using the intraclass correlation index (ICC), analys-ing 50 images of ONM.Results: The OSI demonstrated a very high level of reliability (ICC: 0.889) across cli-nicians,  irrespective  of  their  experience  levels.  Conversely,  a  statistically  significant  increase in severity was observed when comparing visual assessments with the OSI (p< .001) for ONM severity evaluation.Conclusion: The OSI proves to be a reproducible classification system, regardless of the clinical experience of the practitioner employing it.
PB Wiley
SN 0933-7407
SN 1439-0507
YR 2024
FD 2024-01
LK https://hdl.handle.net/20.500.14352/103331
UL https://hdl.handle.net/20.500.14352/103331
LA eng
NO 2023 Acuerdos transformativos CRUE
DS Docta Complutense
RD 10 abr 2025