“In this report, we cite studies that are peer-reviewed, up to date, conducted by respected investigators, and published in high-impact journals that are widely read. This represents the highest-quality evidence available to physicians making treatment decisions in this context.”
In other words, they appear to want one to use use eminence (the bottom of the evidence pyramid)....not systematic reviews (the top). The are saying to pay attention to **who** is saying it, not what they are saying. (Hence the extreme focus on ad hominem attacks as well, in this approach.)
The latter, systematic reviews, would involve actually looking at the studies and trying to take out biases and stuff like that....can't have that! It is a particularly interesting view if it is said by someone at a high status institution....could be read as "don't look at the evidence, just listen to me"...if one were cynical...
You are correct....I believe activists, possibly including Reed, want to invert evidence pyramids. And they have been explicit about it.
From another report by the Yale group:
“In this report, we cite studies that are peer-reviewed, up to date, conducted by respected investigators, and published in high-impact journals that are widely read. This represents the highest-quality evidence available to physicians making treatment decisions in this context.”
https://medicine.yale.edu/lgbtqi/clinicalcare/gender-affirming-care/report%20on%20the%20science%20of%20gender-affirming%20care%20final%20april%2028%202022_442952_55174_v1.pdf
In other words, they appear to want one to use use eminence (the bottom of the evidence pyramid)....not systematic reviews (the top). The are saying to pay attention to **who** is saying it, not what they are saying. (Hence the extreme focus on ad hominem attacks as well, in this approach.)
The latter, systematic reviews, would involve actually looking at the studies and trying to take out biases and stuff like that....can't have that! It is a particularly interesting view if it is said by someone at a high status institution....could be read as "don't look at the evidence, just listen to me"...if one were cynical...
So I wonder if they'll agree that we should not defer to people who falsely present themselves as gender clinicians until they're under oath.