{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:16:48Z","timestamp":1781659008717,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003769","name":"Eisai","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003769","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Onychomycosis is a fungal infection of the nail characterized by deformity and discoloration. Besides aesthetic concerns, it can impair patients\u2019 quality of life and increase the risk of secondary bacterial infections as well as the spread of fungal infections to other body sites and other individuals, making it a potential public health concern. Treatment options include oral and topical medications, the latter often requiring long\u2010term therapy. While oral antifungal agents demonstrate high efficacy against onychomycosis, concerns about side effects and drug\u2013drug interactions may act as barriers to their selection. Shared decision\u2010making (SDM) is a collaborative process in which patients and physicians share information based on scientific evidence and make decisions together taking into account the patient's values and preferences. While SDM has been reported to be beneficial across various disease areas, its utility in the treatment of onychomycosis remains insufficiently explored. In this study, we conducted an online survey of patients with onychomycosis to cross\u2010sectionally compare the level of SDM implementation with patient concerns about oral medications, treatment satisfaction, perceived treatment efficacy, and treatment\u2010switching behaviors. The percentage of patients with strong concerns about the side effects and drug\u2013drug interactions of oral medications was significantly lower in the high SDM implementation group (21.7% and 13.0%, respectively) than in the low SDM implementation group (46.1% and 39.5%, respectively). Furthermore, the high SDM implementation group reported significantly higher treatment satisfaction than that reported by the low SDM implementation group, regardless of whether oral or topical treatment was used. These findings underscore the importance of SDM in the treatment of onychomycosis and suggest that dermatologists should actively consider implementing SDM.<\/jats:p>","DOI":"10.1111\/1346-8138.17716","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T03:45:46Z","timestamp":1743219946000},"page":"1031-1038","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of shared decision\u2010making in onychomycosis treatment: A cross\u2010sectional study based on the Illuminating Dialogues and Insights in Onychomycosis Management (IDIOM) survey"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7365-947X","authenticated-orcid":false,"given":"Atsushi","family":"Otsuka","sequence":"first","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine Kindai University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3590-6489","authenticated-orcid":false,"given":"Yuichiro","family":"Tsunemi","sequence":"additional","affiliation":[{"name":"Department of Dermatology Saitama Medical University  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5224-721X","authenticated-orcid":false,"given":"Yusuke","family":"Nonaka","sequence":"additional","affiliation":[{"name":"Sato Pharmaceutical Co., Ltd.  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2174\/1872213X13666191026090713"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.18646.1"},{"key":"e_1_2_11_4_1","first-page":"66","article-title":"Large\u2010scale epidemiological survey on the actual situation and latent morbidity of tinea pedis and tinea unguium (foot check 2023)","volume":"41","author":"Hata Y","year":"2024","journal-title":"J Jpn Organ Clin Dermatol"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.15618"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.17330"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00221-3"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00384"},{"key":"e_1_2_11_9_1","first-page":"912","article-title":"Past, present, and future shared decision\u2010making behavior among patients with eczema and caregivers","volume":"158","author":"Thibau IJ","year":"2022","journal-title":"JAMA Dermatol"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2020.5362"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.01.011"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-020-00443-6"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558707299479"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200906-0907OC"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-021-03579-6"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.17495"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.09.034"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.31662\/jmaj.2019-0069"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2021.01.025"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_11_21_1","unstructured":"Ministry of Health Labour and Welfare.Ethical guidelines for medical and health research involving human subjects. 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