Research by the University of York was commissioned to inform the Cass Review’s final report.
Research suggests the majority of clinical guidelines on gender care have not followed international standards
Her comments came alongside a piece she wrote for the British Medical Journal in which she said that while medicine is usually based on the pillars of integrating the best available research evidence with clinical expertise and patient values and preferences, she had “found that in gender medicine those pillars are built on shaky foundations”.
But the University of York systematic review “found no evidence” they improve dysphoria, and “very limited evidence for positive mental health outcomes”. Most of the 23 guidelines – comprising international, regional and national – for managing children with gender dysphoria or incongruence “lacks an independent and evidence-based approach and information about how recommendations were developed”.
She said the World Professional Association of Transgender Healthcare had been “highly influential in directing international practice, although its guidelines were found by the University of York’s appraisal to lack developmental rigour and transparency”.
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