批判性地评估卡斯报告:方法上的缺陷和没有证据的说法
Chris Noone1, Alex Southgate2, Alex Ashman3
1School of Psychology, University of Galway, University Road, Galway, H91 TK33, Ireland. chris.noone@universityofgalway.ie.
BMC medical research methodology
|May 10, 2025
概括
卡斯审查委员会 (Cass Review) 进行了审查.
科学领域:
- 医学研究方法论医学研究方法论.
- 基于证据的医疗保健政策
- 青少年性别认同服务
背景情况:
- 卡斯审查提供了关于英格兰性别多元化的青年服务的建议.
- 它使用了委托研究,包括系统审查和初级研究.
研究的目的:
- 批判性地评估卡斯审查委员会委托的研究及其方法论的严谨性.
- 评估支持卡斯报告结论的证据质量.
主要方法:
- 应用了系统审查中的偏差风险 (ROBIS) 工具到七个系统审查中.
- 批判性评估的初级研究:一项调查,两项定量研究和一项定性研究.
- 评估委托研究中的方法缺陷和没有证据的说法.
主要成果:
- 卡斯审查委员会委托的所有系统审查都表现出高风险的偏见.
- 在初级研究中发现了方法上的缺陷和没有证据的说法.
- 系统性审查和初级研究之间的质量评估存在差异.
结论:
- 卡斯报告的建议需要严格审查,因为方法上的缺陷和证据的歪曲.
- 确保为性别多样化的青年提供道德和有效的支持,需要对证据基础进行重新评估.
- 调查结果突出了关于性别肯定护理证据框架的担忧.
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