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Comment & Response
June 24, 2020

Evaluation of the Merits and Limitations of Evidence-Based Medicine—Reply

Author Affiliations
  • 1Department of Dermatology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
  • 2Associate Editor, JAMA Dermatology
  • 3Department of Internal Medicine, Dell Medical School, the University of Texas at Austin
  • 4Department of Dermatology, University of Cincinnati, Cincinnati, Ohio
JAMA Dermatol. Published online June 24, 2020. doi:10.1001/jamadermatol.2019.4856

In Reply The goal in writing our article1 was to highlight recent literature to create a conversation around overuse in the field of dermatology, and we appreciate the contributions to that discussion from Chu and colleagues and O’Connor and colleagues. Our review was not intended to be a comprehensive assessment of each topic, nor is it a consensus clinical guideline. Unique clinical scenarios and emerging use criteria (eg, sentinel lymph node biopsy to determine access to treatments instead of prognosis) will influence decisions when treating individual patients. Medical reversal is common, and our view of what constitutes overuse will certainly mature over time.2

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