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Sscaredy.fish

Speaking of inaccurate citations, I noticed that the Cass Review incorrectly cites the study as Hewitt et al. but Hewitt is not lead author on any of the studies, it's Taylor et al. Sloppy, but largely inconsequential except as another example of #CassFlaws

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Sscaredy.fish

Another charge the Cass Review has sparked is that all the professional guidelines cite each other, implying a circularity to their citations. A moment's thought reveals this as ridiculous. Of course they do, and should, cite each other. They're part of the literature on trans health. #CassFlaws

Figure showing links multiple links between clinical guidelines for transgender healthcare
(Taylor J, Hall R, Heathcote C, et al Clinical guidelines for children and adolescents experiencing gender dysphoria or incongruence: a systematic review of guideline quality (part 1)Archives of Disease in Childhood Published Online First: 09 April 2024. doi: 10.1136/archdischild-2023-326499)
Cass report paragraph 9.21: These two guidelines are also closely
interlinked, with WPATH adopting Endocrine
Society recommendations, and acting as a
co-sponsor and providing input to drafts of the
Endocrine Society guideline. WPATH 8 cited many
of the other national and regional guidelines to
support some of its recommendations, despite
these guidelines having been considerably
influenced by WPATH 7. The links between
the various guidelines are demonstrated in the
graphics in the guideline appraisal paper (Hewitt et
al., Guidelines 1: Appraisal).
9.22 The circularity of this approach may
explain why there has been an apparent
consensus on key areas of practice despite the
evidence being poor.
Tweet from Jesse Singal: A good sign someone hasn't read the Cass Review is when they say "BUT THE GUIDELINES," because the Review couldn't be clearer about why guidelines aren't enough, and why these particular guidelines are flawed and suffer from circular and inaccurate citations.
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Sscaredy.fish

Biological and psychosocial evidence in the Cass Review: A critical commentary (Spoiler alert, they have wildly varying standards of evidence for their claims and recommendations) #CassFlawsosf.io/preprints/so...

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EWlousadzak.bsky.social

I am sure there is much I have missed, and much more buried in the minutiae of the appendices. But hopefully these five threads, in flagging up some obvious #CassFlaws, have helped to show how so many of its conclusions are simply predicated on nonsense. Thanks for making it to the end.

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EWlousadzak.bsky.social

A fifth thread on #CassFlaws

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EWlousadzak.bsky.social

A fourth thread looking at #CassFlaws

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EWlousadzak.bsky.social

A third thread looking at #CassFlaws

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