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justdad7 Profile picture
@justdad7
May 13 • 5 tweets • 1 min read • Read on X
1/ This excellent New York Times interview with Hilary Cass ends with a statement from the president of the @AmerAcadPeds about their so-called systematic review which shows that he does not understand evidence-based medicine.
nytimes.com/2024/05/13/hea…
@AmerAcadPeds 2/ AAP president Dr. Benjamin Hoffman said that the group had considered the Cass Review and "added it to the evidence base undergoing a systematic review." This is not how systematic reviews work. Image
@AmerAcadPeds 3/ Systematic reviews consider primary research rather than government policy documents like the Cass Review. More importantly, the decision as to what is included in a systematic review is determined by pre-registered search criteria.
@AmerAcadPeds 4/ Systematic reviews in are supposed to be conducted by reviewers free of bias and conflict. If the president of an organization which is conducting the review can say what materials are or are not being considered it's not a proper systematic review.
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More from @justdad7

justdad7 Profile picture
Apr 28
1/ I suppose it's good that the @globeandmail have featured this article by @RobynUrback on the front page but the kids the medical system is labelling as trans and sterilizing deserve better still.theglobeandmail.com/opinion/articl…
@globeandmail @RobynUrback 2/ The article starts with a discussion of the Dutch approach to affirmative care but fails to note just how weak their research was. The whole model of care is based on a study of 55 subjects with a 1 year follow up period, and no control group.
tandfonline.com/doi/full/10.10…
@globeandmail @RobynUrback 3/ The article discusses the increase in referrals to clinics and the fact that 79% of patients are now "born female" but does not give a good idea of the magnitude and potential significance of this change. Image
Read 10 tweets
justdad7 Profile picture
Apr 23
1/ It is two weeks since the Cass Review was published the The @globeandmail, which describes itself as Canada's national news organization has not printed a word about it. Why the silence? Image
@globeandmail 2/ The @globeandmail cannot claim that the Cass Review is not newsworthy. Its main competitor, the @Nationalpost has written on it extensively as has every other major newspaper in the English speaking world. Image
@globeandmail @nationalpost 3/ Coverage of the Cass Review has not been confined to the conservative press. Liberal leaning outlets like the Guardian, the Washington Post, the New York Times and even The Toronto Star have given it balanced coverage.
thestar.com/opinion/star-c…
Read 7 tweets
justdad7 Profile picture
Apr 18
1/ Another falsehood in the awful CBC coverage of the Cass Report which needs to be refuted in detail is the claim the puberty blockers are reversible.
cbc.ca/news/health/pu…
Image
2/ This issue did not receive a lot of attention in the Cass report because NHS England updated its website to remove a claim that puberty blockers are fully reversible back in 2020. However, the claim still persists in Canada in the face of the evidence.
transgendertrend.com/nhs-no-longer-…
3/ The CBC story refers to the Canadian Paediatric Society position statement which in turn cites WPATH SOC8. This is what WPATH says. None of the references in the paragraph are to research that supports the claim that puberty blockers are reversible. tandfonline.com/doi/full/10.10…
In general, the goal of GnRHa administration in TGD adolescents is to prevent further development of the endogenous secondary sex characteristics corresponding to the sex designated at birth. Since this treatment is fully reversible, it is regarded as an extended time for adolescents to explore their gender identity by means of an early social transition (Ashley, Citation2019e). Treatment with GnRHas also has therapeutic benefit since it often results in a vast reduction in the level of distress stemming from physical changes that occur when endogenous puberty begins (Rosenthal, Citation201...
Read 13 tweets
justdad7 Profile picture
Apr 17
1/ The dismal CBC news report on the Cass review is dangerously misleading on evidence based medicine. It quotes Calgary family physician Jake Donaldson as saying this about the evidence base on ear infections. Even something as routine as treating a kid's ear infection with antibiotics or painkillers may not have robust evidence, notes Donaldson. "That doesn't mean we just every time we see an ear infection we turn around and walk the other way. Sometimes, an ear infection needs to be treated, sometimes it doesn't."
2/ There is a link to a Cochrane Review of antibiotics for acute middle ear infection in children which concludes that in high-income countries most children recover spontaneously and the benefits of antibiotics do not outweigh the risks.
cochrane.org/CD000219/ARI_a…
3/ A second Cochrane review of painkillers for middle ear infections which found that the evidence of the effectiveness of pain killers alone or in combination is uncertain.
cochrane.org/CD011534/ARI_d…
Read 11 tweets
justdad7 Profile picture
Apr 15
1/ At last, @CBCNews covers the Cass Review, but the article is packed with so much misinformation that it would have been better if they had said nothing. The story ignores key parts of the report and misrepresents others.
cbc.ca/news/health/pu…
@CBCNews 2/ The @CBC story on Cass repeats many of the common myths and misconceptions which are demolished in this excellent article by @lecanardnoir and adds a few new ones.
quackometer.net/blog/2024/04/b…
Image
@CBCNews @CBC @lecanardnoir 3/ The CBC refers to "standards of care" supported by WPATH, the American Academy of Pediatrics and the Canadian Pediatric Society. The Cass report evaluated both WPATH and the AAP and found that they were not reliable. Image
Read 14 tweets
justdad7 Profile picture
Feb 16
1/ The Hill Times suggests that gender identity could become a critical issue in marginal seats where there are significant numbers of socially conservative minority voters, but it could become more than that.
hilltimes.com/story/2024/02/…
2/ Canadian Liberals have traditionally been good at brokering compromises in this kinds of conflict but transgender activists have insisted on no compromise / no debate. Neither the Liberals nor the NDP will want to risk being the first to break ranks on gender issues.
3/ This was not a problem as long as the Conservatives were also unwilling to challenge the gender ideology. The Conservatives were trapped in their own dilemma of wanting to appeal to both their social conservative wing and the majority of Canadians who support LGB rights.
Read 8 tweets

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