{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:13:31Z","timestamp":1777515211284,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T00:00:00Z","timestamp":1589932800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Med Surg"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In this article, we present the Canadian Dermatology Association\u2019s (CDA) Choosing Wisely Canada (CWC) list of top \u201cFive Things Physicians and Patients Should Question in Dermatology\u201d and the evidence in support of each recommendation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a nominal technique, the CDA Working Group and Task Force generated an initial list based on literature review and expert consultation. After several rounds of list refinement via a modified Delphi process, a final list of recommendations was generated. These were approved by the CDA Board of Directors, presented at the CDA 93rd Annual Conference in 2018, and published by CWC in 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The top five recommendations are as follows: (1) Don\u2019t routinely prescribe antibiotics for bilateral lower leg redness and swelling; (2) Don\u2019t routinely prescribe topical combination corticosteroid\/antifungal products; (3) Don\u2019t routinely use topical antibiotics on a surgical wound; (4) Don\u2019t prescribe systemic antifungals without mycological confirmation of dermatophyte infection; and (5) Don\u2019t use oral antibiotics for acne vulgaris for more than 3 months without assessing efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This list of recommendations aims to encourage both physicians and patients to reevaluate ineffective, yet common, practices in treating dermatologic conditions. These recommendations represent actionable changes in practice, and therefore have considerable potential to enhance value-based care in dermatology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This list was developed to identify tangible changes in practice within dermatology that may reduce inefficiencies, prevent potential patient harm, and improve care. Future advocacy work may include updates, feedback obtainment, and patient care handouts, to continue to promote value-based healthcare and best practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1203475420928904","type":"journal-article","created":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T06:28:14Z","timestamp":1589956094000},"page":"461-467","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Canadian Dermatology Association\u2019s Top Five Choosing Wisely Canada Recommendations"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1941-3190","authenticated-orcid":false,"given":"Linghong Linda","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina","family":"Nurmohamed","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, University of Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila","family":"Au","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Beecker","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, University of Ottawa, Ottawa Hospital Research Institute, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Green","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, Dalhousie University, Halifax, NS, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynne","family":"Robertson","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, University of Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7782-6888","authenticated-orcid":false,"given":"Regine","family":"Mydlarski","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, University of Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,5,20]]},"reference":[{"key":"bibr1-1203475420928904","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2014-003821"},{"key":"bibr2-1203475420928904","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000270"},{"key":"bibr3-1203475420928904","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2012.03.024"},{"key":"bibr4-1203475420928904","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2011.10275.x"},{"key":"bibr5-1203475420928904","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2017.6196"},{"key":"bibr6-1203475420928904","doi-asserted-by":"publisher","DOI":"10.1016\/j.sder.2007.09.002"},{"key":"bibr7-1203475420928904","first-page":"bcr201521111710","volume":"2015","author":"Batra V.","year":"2015","journal-title":"BMJ Case Rep"},{"key":"bibr8-1203475420928904","doi-asserted-by":"publisher","DOI":"10.2310\/7750.2013.13075"},{"key":"bibr9-1203475420928904","unstructured":"Canada H. 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