0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Reevaluating the Need for Laboratory Testing in the Treatment of Onychomycosis Safety and Cost-effectiveness Considerations

Matthew H. Kanzler, MD1
[+] Author Affiliations
1Palo Alto Medical Foundation, Fremont, California
JAMA Dermatol. 2016;152(3):263-264. doi:10.1001/jamadermatol.2015.4203.
Text Size: A A A
Published online

Extract

In this issue of JAMA Dermatology, Mikailov et al1 challenge our propensity to automatically order costly confirmatory diagnostic testing before initiating systemic therapy with terbinafine hydrochloride for onychomycosis. There are 2 issues of importance here: safety and cost-effectiveness.

The issue of cost-effectiveness is relatively straightforward now that the price of generic terbinafine for an entire treatment course has fallen from $547 to $10. Mikailov et al1 have shown that it is more cost-effective to treat every presumptive case of onychomycosis with oral terbinafine rather than prove that the abnormality of the toenail is in fact due to onychomycosis.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

1,119 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();