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Practice Gaps
October 18, 2010

Identifying Biases: Comment on “Evidence-Based Medicine, the Research-Practice Gap, and Biases in Medical and Surgical Decision Making in Dermatology”

Author Affiliations

Author Affiliation: Department of Dermatology, Marshfield Clinic, Marshfield, Wisconsin.

Arch Dermatol. 2010;146(10):1164. doi:10.1001/archdermatol.2010.252

Physicians often do not implement the best evidence available when selecting therapy. In exploring this point, Eaglstein provides us with a valuable educational piece on a variety of biases that keep clinicians from instituting new therapies. He points out specific gaps that can result from these biases, including unnecessary recommendations that patients discontinue using retinoids in the perioperative period because of rare reports of altered wound healing. Data do not support these recommendations.

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