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However, a detailed objective scoring system is lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To develop an objective scoring system to quantify the severity of paronychia and also examine the correlation of this score with a pain index and patients\u2019 quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A novel scoring system for paronychia related to oncologic treatments (<jats:styled-content style=\"fixed-case\">SPOT<\/jats:styled-content>), consisting of four parameters, namely redness, oedema, discharge and granulation tissue, was designed to assess the severity of paronychia. The visual analogue scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) and Dermatology Quality of Life Index (<jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content>) were recorded, and their association with the <jats:styled-content style=\"fixed-case\">SPOT<\/jats:styled-content> scores was analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety patients were enrolled from three medical centres in Taiwan. Severity of paronychia was determined by the scores of <jats:styled-content style=\"fixed-case\">SPOT<\/jats:styled-content>. Patients in the severe group had higher <jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content> scores (severe vs. mild: <jats:italic>P<\/jats:italic> = 0.0018; severe vs. moderate: <jats:italic>P<\/jats:italic> = 0.0015). Both the <jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content> and pain index scores were significantly higher in patients with higher dominant hand <jats:styled-content style=\"fixed-case\">SPOT<\/jats:styled-content> scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">SPOT<\/jats:styled-content> scores demonstrated the association of the paronychia severity with <jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content> and pain. It may thus be useful in clinical practice and future studies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.15121","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T15:24:53Z","timestamp":1528817093000},"page":"204-212","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Using a novel scoring system for paronychia related to oncologic treatments (<scp>SPOT<\/scp>) for assessing paronychia severity and its correlation with pain index and quality of life"],"prefix":"10.1111","volume":"33","author":[{"given":"P.\u2010H.","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Dermatology National Taiwan University Hospital and National Taiwan University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.\u2010C.","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Dermatology National Cheng Kung University Hospital Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X.","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Koo Foundation Sun Yat\u2010Sen Cancer Center Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.\u2010T.","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Dermatology National Taiwan University Hospital and National Taiwan University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.\u2010Y.","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Dermatology National Taiwan University Hospital and National Taiwan University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/CMAR.S139301"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-2-24"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdg050"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(14)71133-7"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09214.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25090"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2017.03.001"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyv207"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3747\/co.22.2430"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-015-0434-6"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1586\/era.13.30"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2013.02.025"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2006.09.005"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000335632"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2012.02.010"},{"key":"e_1_2_8_17_1","unstructured":"U.S. Department of Health and Human Services National Institutes of Health & National Cancer Institute.Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0. 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