2026-08-22T00:37:54Zhttps://docta.ucm.es/rest/oai/request
oai:docta.ucm.es:20.500.14352/1033312025-03-18T13:31:33Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense author Navarro Pérez, David author García Oreja, Sara author Tardaguila García, Aroa author León Herce, Diego author Álvaro Afonso, Francisco Javier author Lázaro Martínez, José Luis 2024-04-22T14:13:27Z 2024-04-22T14:13:27Z 2024-01 0933-74071439-0507 10.1111/myc.13694 https://hdl.handle.net/20.500.14352/103331 https://doi.org/10.1111/myc.13694 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. eng Attribution-NonCommercial-NoDerivatives 4.0 International Inter‐observer reliability of the Onychomycosis Severity Index depending on clinical experience: A review of 50 cases journal article 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URL https://docta.ucm.es/bitstreams/708cecc5-c49f-459f-a2b4-267466e7a5da/download File MD5 fda625ce9dc948458a29a85284bea78d 1076077 application/pdf Mycoses - 2024 - Navarro‐Pérez - Inter‐observer reliability of the Onychomycosis Severity Index depending on clinical.pdf URL https://docta.ucm.es/bitstreams/10be0fed-e9fb-4a38-b335-339cb13b6751/download File MD5 503430a64b252d90c301802b8f3aea5c 23259 text/plain Mycoses - 2024 - Navarro‐Pérez - Inter‐observer reliability of the Onychomycosis Severity Index depending on clinical.pdf.txt