Dr. Gordon Guyatt, who created evidence-based medicine and the GRADE standard, reportedly signed a letter prioritizing patient autonomy even where evidence is very low in pediatric gender medicine. The critique argues this reverses the core EBM logic that recommendation strength should follow evidence quality. When founders validate autonomy-over-evidence, it legitimizes departures from the very guardrails they built.
— Founder-level endorsement of autonomy in low-evidence settings signals institutional vulnerability to activist pressure and risks normalizing evidence-light care across medicine.
Benjamin Ryan
2025.09.02
86% relevant
The article reports that Gordon Guyatt, co-founder of evidence-based medicine, disavowed SEGM funding, denounced using his team’s low-evidence reviews to justify bans, and contradicted his own findings under activist pressure—echoing the pattern where autonomy claims are used to override weak evidence in pediatric gender medicine.
Joseph Figliolia
2025.08.29
95% relevant
The article centers on Gordon Guyatt and McMaster HEI researchers endorsing patient 'values and preferences' to guide decisions in low-evidence pediatric gender medicine, mirroring the claim that EBM founders legitimize autonomy-over-evidence in contested care.
Jesse Singal
2025.08.27
90% relevant
Gordon Guyatt explicitly argues that once a multidisciplinary team assesses maturity and understanding, a 14-year-old’s autonomy should be respected in youth gender medicine despite acknowledged evidence limitations—directly exemplifying the 'autonomy over evidence' concern.
Leor Sapir
2025.08.27
66% relevant
Both pieces point to elite medical gatekeepers bending evidence standards in pediatric gender medicine—here, the AMA president defers to clinicians performing the procedures and misstates evidence, echoing the broader pattern that institutional leaders privilege values/authority over rigorous evidence hierarchies.
Dr. Eithan Haim
2025.08.21
100% relevant
Guyatt’s recent letter with colleagues apologizing and deferring to patient autonomy in pediatric gender care, as described by Dr. Eithan Haim.