Answer 04 · The Cass Review

Did the Cass Review Discard 98% of the Studies?

Quality appraisal is not the same as pretending a study never existed.

The answer

The teams supporting Cass searched for the available studies, assessed their quality, and gave weaker evidence less weight. That is the purpose of a systematic review.

The review concluded that the evidence base was weak and recommended a fundamentally different service model centered on broader assessment and psychosocial care. Cass can be scrutinized, but a slogan about “throwing out” evidence does not answer its findings.

Educational information only—not individual medical or legal advice.

Reviewed July 14, 2026