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Breaking Down Cass Review Myths and Misconceptions: What You Need to Know – The Quackometer
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this post was submitted on 14 Apr 2024
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You haven't pointed out, let alone substantiated, any. If you truly believe you have then I implore to use the rapid response function on the bmj site and communicate these catastrophic flaws to the editorial team immediately. I'd be eager to know what their reply is.
I don't need to, it is already happening within the scientific community of which I am merely a part.
Don't abdicate responsibility to someone else, you've clearly got a firmer grasp of the issue than the editorial board of the British Medical Journal. You would be neglecting your duty as "part of the scientific community" to abdicate responsibility on such an important matter.
Indeed the whole medical establishment must be told about the critical flaws in the Newcastle-Ottawa scoring system before other medical scandals are allowed to happen. Imagine having that on your conscience.
Lol first sign that you might actually be human.
And it has already been widely criticized before that's why there was the parachute joke report. Hence it is already the brunt of jokes to use that scoring scale.
So strange that everyone waited over 20 years and 100's of systematic reviews in medicine and science before, serendipitously, discovering that the Newcastle-Ottawa Scale was infact no good during these two particular reviews into trans care in the UK.
Just what are the odds?
No the Cass report is just misusing the scale. It's not a disqualifying tool and the scale still has uses which just means further analysis into the subject matter. Which is why the Cass report needed to be books longer, it's not comprehensive.
That's a new goalpost. It's being used by Cass exactly the way it's supposed to by scoring studies based on their susceptibility to bias.
If you'd bother to read that similar systematic review on postoperative inflammatory bowel disease you would have seen the exact same usage.
Again that's a joke to do that.
Damn here's another "joke" about contraceptives and bone fractures
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009849.pub3/full
And one another abput yellow fever and HIV
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010929.pub2/full
And influenza vaccines in cancer patients
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008983.pub3/full
And there's another 96 on the first search tab alone!
Just what are those clowns at the Cochrane Library up to eh?
Relevance?
They all use the same Newcastle-Ottawa system to score studies based on their likelihood of bias in the exact same way the Cass reviews do. The method you described as a joke.
It's not an indicator of bias, no causal study has been done to show that there is a relationship between bias and the Newcastle Ottawa scale
Studies that self select their cohort and don't include adequate controls are more susceptible to bias than those that do otherwise. Evaluating studies based on their susceptibility to bias is a vital part of the systematic review process.
You can read more about it here https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp
But not actually proof of bias.
Ah young padawan, there is no such thing as proof of bias. There is merely the risk of susceptibility of it.
Exactly which is why the Ottawa whatever standard is not sufficient to discard a study. You have to do more.
Again, you really need to feed this startling discovery back to the medical community which has been using NOS for over 20 years. What a scandal.
No the medical community largely respects the short comings and uses of the Ottawa protocol. That's what made Class's report so insulting.
Blimey, you're speaking for the medical community itself as a whole now, pray tell then why haven't they binned every systematic review ever carried out using the NOS system?
Why after 20 years of use is this system only being rubbished after two reviews into gender affirming healthcare in the UK were published?
Why are you the only person complaining about the Newcastle-Ottawa system when everyone else online is making up lies like "98% of data was dismissed"?