Thread by @benryanwriter

The lead author of the new paper finding low gender-transition treatment regret is Dr. Katy Gast, a gender-affirming surgeon at UWHealth. She has been sued by a detransitioner accusing her of not properly obtaining informed consent before a double mastectomy at 21.

The patient also received a hysterectomy from a different surgeon at 19. The woman was diagnosed with gender dysphoria in her late teens.

The Milwaukee Journal Sentinel reports: "The suit alleges malpractice and failure to obtain informed consent by both doctors, negligence by the hospital, discrimination under the Affordable Care Act against the doctors and the hospital, and the denial of benefits and care that would have been provided to a non-transgender woman, according to the Wisconsin State Journal, which first reported the lawsuit."

The paper:
Dr. Gast's info:
An article about the suit: americanjournalofsurgery.com/article/S0002-…
witranshealth.org/providers/kath…
jsonline.com/story/news/hea…

I asked Dr. Gast for a PDF copy of the study. She declined to provide it, saying she'd agreed with the publisher not to do so. She directed me to the web site where I'd have to pay for it.

I have never in my career had a study author refuse me a PDF.
americanjournalofsurgery.com/article/S0002-…

I emailed Dr. Gast again and asked her this: "You did not grade the quality of the evidence, and yet you call this a systematic literature review. That seems to be a conflict. Can you reconcile this for me?"

She has not replied.

Here is the email in which Dr. Katy Gast refused to provide me a PDF of her paper finding low regret rates following gender-transition treatment. This is an unheard of refusal for me as a science reporter.

The title of Dr. Gast’s paper is:
“A Systematic Review of Patient Regret After Surgery- A Common Phenomenon in Many Specialties but Rare Within Gender-Affirmation Surgery”

Here @LeorSapir critiques the new paper reporting low regret rates following gender-transition surgery. A major problem with such studies is loss to follow-up. The investigators do not capture the full numerator.

To read my reporting on detransitioner lawsuits against medical providers and the @AmerAcadPeds for the @NewYorkSun see: benryan.net/the-new-york-s…

@AmerAcadPeds @NewYorkSun Psychologist @JamesCantorPhD says that the very title of this paper, specifically the fact that it calls itself a systematic literature review, is an error warranting not just a correction but a retraction by the journal.

For those just joining the thread, here is the paper that @JamesCantorPhD said is not a systematic literature review.
A Systematic Review of Patient Regret After Surgery- A Common Phenomenon in Many Specialties but Rare Within Gender-Affirmation Surgery
americanjournalofsurgery.com/article/S0002-…

@AmerAcadPeds @NewYorkSun @JamesCantorPhD Here is another critique of the paper about post-gender transition regret, by @JLCederblom, who does not mince words or pull punches. JL accuses the authors of not reading some of the literature they analyzed, given their apparent misinterpretations. medium.com/@JLCederblom/a…