Critically appraising the cass report: methodological flaws and unsupported claims
We discuss these issues in relation to how evidence regarding gender affirming care is framed, the wider political context, and the future for gender affirming care. The Cass report's recommendations, given its methodological flaws and misrepresentation of evidence, warrant critical scrutiny to ensure ethical and effective support for gender-diverse youth.
Authors
- Dori M. Grijseels (ORCID: https://orcid.org/0000-0002-3822-5323)
- Maxence Ouafik (ORCID: https://orcid.org/0000-0002-9795-5721)
- Chris Noone (ORCID: https://orcid.org/0000-0003-4974-9066)
- David J. Comer (ORCID: https://orcid.org/0000-0002-3062-5461)
- Rachel Heath (ORCID: https://orcid.org/0000-0002-2182-2906)
- Margaret White (ORCID: https://orcid.org/0000-0003-2795-1431)
- Ryan Goulding (ORCID: https://orcid.org/0000-0001-8121-5393)
- John Gilmore (ORCID: https://orcid.org/0000-0002-3943-0724)
- Duncan Shrewsbury (ORCID: https://orcid.org/0000-0002-4388-338X)
- Thomas E. Woolley (ORCID: https://orcid.org/0000-0001-6225-5365)
- Victoria Simpson
- Ed Kiely
- Sibéal Coll
- Alex Southgate
- Quinnehtukqut McLamore
- Alex Ashman
- Florence Ashley
- Jo Hartland
- Éle Quinn (ORCID: https://orcid.org/0009-0008-3947-4525)
- Natacha Kennedy
- Joanna Paschedag
Institutions
- Brighton and Sussex Medical School (GB)
- University College Dublin (IE)
- NHS Lothian (GB)
- University of Hertfordshire (GB)
- University of Alberta (CA)
- University of Liège (BE)
- Queen Mary University of London (GB)
- Ollscoil na Gaillimhe – University of Galway (IE)
- University College Cork (IE)
- University of Bristol (GB)
- Thames Valley Hospital (GB)
- Max Planck Institute for Brain Research (DE)
- Action for Trans Health (GB)
- Goldsmiths University of London (GB)
- Lancaster University (GB)
- University of Missouri (US)
- University of Newcastle Australia (AU)
- Cardiff University (GB)
Publication Details
- Journal
- BMC Medical Research Methodology
- Published
- 2025-05-10
- DOI
- https://doi.org/10.1186/s12874-025-02581-7
- Citations
- 22
- Primary Topic
- Ethics in Clinical Research
- Type
- article
- Field-Weighted Citation Impact
- 41.33