2026-08-21T00:06:59Zhttps://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

Inter‐observer reliability of the Onychomycosis Severity Index depending on clinical experience: A review of 50 cases Navarro Pérez, David García Oreja, Sara Tardaguila García, Aroa León Herce, Diego Álvaro Afonso, Francisco Javier Lázaro Martínez, José Luis 616.718.7/.9 classification nail pathology onychomycosis severity index Podología 3299 Otras Especialidades Médicas 2023 Acuerdos transformativos CRUE 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. Depto. de Enfermería Fac. de Enfermería, Fisioterapia y Podología TRUE pub APC financiada por la UCM 2024-04-22T14:13:27Z 2024-04-22T14:13:27Z 2024-01 journal article VoR https://hdl.handle.net/20.500.14352/103331 0933-7407 1439-0507 10.1111/myc.13694 eng Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ open access application/pdf Wiley