id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-322798-5r3kf9wa	Freeman, Esther E.	Creating Dermatology Guidelines for Covid-19: The Pitfalls of Applying Evidence Based Medicine to an Emerging Infectious Disease	2020-04-09		.txt	text/plain	675	48	55	title: Creating Dermatology Guidelines for Covid-19: The Pitfalls of Applying Evidence Based Medicine to an Emerging Infectious Disease To the Editor: We recently co-authored a piece in the JAAD about modifications the American Academy of Dermatology (AAD) implemented to enhance the rigor of evidence-based clinical practice guidelines. Due in part to these concerns, the AAD Covid-19 taskforce published interim guidance that did not distinguish among biologic classes. 4 In the face of uncertainty, societies including the American College of Cardiology took a stance to keep patients on ACE-inhibitors while they await more evidence. These changes to dermatology guidelines do not exist in a vacuum; important ethical implications include patient outcomes such as missed melanomas and the loss of employment for practice staff. We should acknowledge the shift from evidence based medicine to reliance on expert guidance, and appreciate the potential for guideline reversal.	./cache/cord-322798-5r3kf9wa.txt	./txt/cord-322798-5r3kf9wa.txt