背景:甲癣(ONM)是最常见的指甲单位病理,其严重程度和监测通常基于临床医生的视觉判断。
目的:本研究的目的是评估甲癣严重程度指数(OSI)分类的可靠性,该分类由三位具有不同临床经验水平的临床医生使用:经验丰富的足病医生(具有5年的经验)。有中等经验的足病医生(有2年的经验)和没有经验的足病医生(最近的毕业生熟悉OSI分类,但缺乏临床经验)。此外,我们将通过目测评估的严重程度与不同临床医师使用OSI确定的严重程度进行了比较.
方法:我们使用类内相关指数(ICC)评估可靠性,分析50张ONM图像。
结果:OSI在临床医生中表现出非常高的可靠性(ICC:0.889),不管他们的经验水平如何。相反,当将视觉评估与OSI(p<.001)进行ONM严重程度评估时,观察到严重程度的统计学显著增加.
结论:OSI被证明是一个可重复的分类系统,无论使用它的从业者的临床经验如何。
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 levels 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), analysing 50 images of ONM.
RESULTS: The OSI demonstrated a very high level of reliability (ICC: 0.889) across clinicians, 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.
CONCLUSIONS: The OSI proves to be a reproducible classification system, regardless of the clinical experience of the practitioner employing it.