In Reply We would like to thank Mansouri and Housewright for engaging in a conversation that highlights (1) important questions about actinic keratosis (AK) and (2) principles about communication.
Availability bias is the tendency to evaluate a situation based on one’s recent experience. We admit that our availability bias influenced the focus of our work, which was aligned with a “typical” dermatology patient cohort in a general dermatology practice setting. The experiences of other dermatologists along with their population of patients with AK may differ from ours, and we commend the authors for suggesting a study akin to ours to evaluate how different patient and disease factors influence information framing. We also agree that each patient deserves individualized care with recommendations based on his or her risk level.
Joslyn S. Kirby. The Treatment of Actinic Keratoses—The Rule Rather Than the Exception—Reply. JAMA Dermatol. 2017;153(11):1200–1201. doi:10.1001/jamadermatol.2017.3396