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submitted 1 year ago by [email protected] to c/[email protected]

Actual evidence from actual scientists.

[Image description: A patient holds bottles of medications for hormone replacement therapy as part of her gender-affirming care.]

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[-] [email protected] 6 points 1 year ago

It wasn’t a blind study, as patients knew that they were either waiting for or receiving treatment

[-] [email protected] 20 points 1 year ago

There is no practical way to blind HRT treatment. Even if you attempt to with a placebo, within about two weeks the patient will know what they are receiving.

Anybody demanding a double-blind study is trying to set the standard for evidence higher than is possible.

[-] [email protected] 14 points 1 year ago

Exactly. Some things just can't be studied as part of a double blind RCT. For example, see: Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials

The perception that parachutes are a successful intervention is based largely on anecdotal evidence. Observational data have shown that their use is associated with morbidity and mortality, due to both failure of the intervention and iatrogenic complications...

The paper is funny, but the authors are making a serious point. RCTs are great when they're possible, but just because they're not possible doesn't mean we can't gather strong evidence anyway.

[-] [email protected] 4 points 1 year ago

Thank you for that paper, that's a great analogy honestly.

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this post was submitted on 23 Jun 2023
288 points (100.0% liked)

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