JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Syrian refugee women’s access to family planning services and modern contraception
during overlapping crises in Bekaa, Lebanon
Version: 2 Date: 03 Jun 2023
Reviewer:  Akihiro Seita
Reviewer's report:
Dear Authors,
Thank you so much for this very important manuscript. I read it with great interest. I strongly
believe this manuscript should be published as early as possible. This is because it has immediate
implication of the access to RHS for women in crisis. At the same time, it’s because continuously
deteriorating economic and societal crisis in Lebanon: unfortunately, the appalling situation that
you rightly described in late 2020 is further deteriorated at present (May 2023).
I have two small inquiries.
One is the RHS system in place for Syrian refugees in Lebanon. Either functioning optimally or
not, what is the health system in place for Syrian refugees in Lebanon? From your manuscript,
I assume they have access to MoPH Lebanon’s health centers, right? Sorry my knowledge on
Lebanese PHC is limited. Is it supposed to be free or with minimal charges? What is the role /
contribution of UNHCR, if any, at PHC centers? You may describe the RHS systems in place
for Syrian refugees in Lebanon.
Second is the presence of not, NGO and other charitable health services. Is there any NGO RHS
available for Syrian refugees? If not, it’s clear that they depend on private and MoPH health
facilities.
By showing the above, we may have more expanded understanding on the RHS present in
Lebanon for Syrian refugees.
Thanks a lot for your great manuscript.
Title: Syrian refugee women’s access to family planning services and modern contraception
during overlapping crises in Bekaa, Lebanon
Version: 3 Date: 01 Aug 2023
Reviewer:  Julie H. Hernandez
Reviewer's report:
Congratulations to the authors for this much improved and enriched version of the manuscript.
We particularly appreciate the added information in the Results and Discussion sections.
This reviewer would still like the authors to specify that the Beirut port explosion (as one of the
multiple shocks referred to by the authors) only had indirect effects on the study populations
(through the redirecting of NGOs resources and attention towards the capital city)
In addition, while the recommendation to increase the use of LARC among populations such as
Syrian refugees in Lebanon is an important one, it would be important to nuance this statement
within the framework of free, informed choice of methods (for which cost-effectiveness is not
always the most important criteria). The authors could also discuss the potential long-term
issues associated with LARC (early) discontinuation for users in fragile contexts (e.g. access to
qualified personnel, costs, etc…)
We have also noted below a few sentences that could be revised for accuracy.
l. 58 Suggest reorganizing the first sentence as “Before the conflict erupted in Syria in 2011,
the majority of women…”
l. 120 “Women and girls are typically disproportionately […]” avoid using two adverbs in a row
l. 204 “Bekaa hosts 39% of the most vulnerable Syrian refugees in Lebanon” # What makes
these refugees “most vulnerable”?
l.214 There is no explanation for the inclusion of women age 20 – 35 ?
l. 439  “many women were unaware OF them”
l. 581 “Using mHealth to INFORM refugee women about the PHC that are supported by
UNHCR”
Title: Clinical and epidemiological features of high-risk human papillomavirus infection in
patients with cervical intraepithelial lesions
Version: 0 Date: 18 Jun 2023
Reviewer:  Dominik Pruski
Reviewer's report:
Table 1:
Adding HR HPV
I prefer to type LSIL - CIN 1 and HSIL - CIN 2 and CIN 3
Table 2:
Adding HR HPV
Table 3:
Adding HR HPV
Table 4:
Expansion of the TCT abbreviation below the table.
Adding HR HPV
I prefer to type LSIL - CIN 1 and HSIL - CIN 2 and CIN 3
A very interesting job. Congratulations. Earlier this year, my team and I wrote a similar paper
on genotyping. It might be worth comparing the results of the gradual disappearance of HPV
type 18.
Conclusions:
High-grade squamous intraepithelial lesions (HSIL) have a higher incidence rate at a younger
age. High-risk HPV infections in patients with cervical epithelial lesion are predominately
HPV16, 33, 52, and 58, and a single infection is prevalent. Patients who are at least 30 years
old and positive for any of the 12 types of HPV but negative for TCT have a high incidence of
HSIL. -  We have similar observations in Poland !!!
- Przybylski Marcin†, Pruski Dominik†, Wszo#ek Katarzyna, de Mezer Mateusz, #urawski
Jakub, Jach Robert, Millert-Kali#ska Sonja.
† These authors contributed equally to this work.
Prevalence of HPV and assessing type-specific HPV testing in cervical high-grade squamous
intraepithelial lesions in Poland. – Pathogens
1 Data and methods:
Why does TBS not include cytological suspicion of squamous cell or adenocarcinoma?
Were pregnant patients and patients with clinical suspicion of cancer excluded?
Were the patients vaccinated against HPV?
The most important information about which patients were subjected to further treatment like
LEEP and LEETZ and were they vaccinated?
I propose to present more genotyping results from other countries in the discussion.
Did each biopsy end in a biopsy?
I would give the exact name of the HR HPV test.
A very interesting job. Congratulations.
Title: Clinical and epidemiological features of high-risk human papillomavirus infection in
patients with cervical intraepithelial lesions
Version: 0 Date: 23 Jun 2023
Reviewer:  Giorgio Bogani
Reviewer's report:
In my opinion, the analyzed topic is interesting enough to attract the readers’ attention.I think
that the abstract of this article is very clear and well structured.
In my opinion, the discussion could be studied in depth and extended. Maybe, it could be useful
the evaluation of the possible surgical outcomes related to the clinical features  of these patients
with this condition. In particular, I suggest these articles to get deeper in the topic: PMID:
37149905 and PMID: 36141917. Because of these reasons, the article should be revised and
completed. Considered all these points, I think it could be of interest for the readers and, in my
opinion, it deserves the priority to be published after minor revisions.
Title: Clinical and epidemiological features of high-risk human papillomavirus infection in
patients with cervical intraepithelial lesions
Version: 0 Date: 23 Jun 2023
Reviewer:  Andrea Etrusco
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal and offers a
high-quality overview of the topic.  This article is very timely, indeed, the topic is of the utmost
importance given the efforts made by the WHO for the prevention and early diagnosis of cervical
cancer and precancerous cervical lesions.
However, the manuscript must be corrected in several points to make it eligible for publication.
-The whole text should be revised by a native English speaker in order to make the work clearer
and more readable.
- The abstract sufficiently summarizes the contents of the manuscript but the introduction need
to be extended and completed. I suggest to make a reference to effects of surgical treatments for
the management of CIN on the obstetrical outcomes (see PMID: 33140628) and to highlight the
risk factors for the persistence of HPV in patients with high-grade CIN.
-Inclusion/exclusion criteria should be better clarified by extending their description.
- I also suggest authors to to better organize the discussion section following this ideal structure:
main findings of the study, strength and limitations of the study, implications and comparison
with literature, future directions.
- The authors have not adequately highlighted the strengths and limitations of their study. I
suggest better specifying these points.
Considered all these points, I think it could be of interest for the readers pending few major
revisions.
Title: Clinical and epidemiological features of high-risk human papillomavirus infection in
patients with cervical intraepithelial lesions
Version: 2 Date: 31 Jul 2023
Reviewer:  Andrea Etrusco
Reviewer's report:
I read with great interest the Manuscript titled “Clinical and epidemiological features of high-
risk human papillomavirus infection in patients with cervical intraepithelial lesions”, topic
interesting enough to attract readers' attention
The quality of the manuscript has improved thanks to the changes made. I think it could be of
interest to the readers and, in my opinion, it deserves the priority to be published.
Title: Influence of lymphadenectomy on survival and recurrence in patients with early-stage
epithelial ovarian cancer: a meta-analysis
Version: 0 Date: 30 Jun 2023
Reviewer's report:
In my opinion, the analyzed topic is interesting enough to attract the readers’ attention.I think that
the abstract of this article is very clear and well structured. In my opinion, the discussion could
be studied in depth and extended. Maybe, it could be useful the evaluation of what is currently
known about lymphadenectomy in ovarian cancer and all the possible surgical scenarios in
ovarian cancer. In particular, I suggest these articles to get deeper in the topic: PMID: 32036457
and PMID: 32779050. Because of these reasons, the article should be revised and completed.
Considered all these points, I think it could be of interest for the readers and, in my opinion, it
deserves the priority to be published after minor revisions.
Title: Influence of lymphadenectomy on survival and recurrence in patients with early-stage
epithelial ovarian cancer: a meta-analysis
Version: 0 Date: 02 Jul 2023
Reviewer's report:
1
Highlights:
1. The clinical outcomes of eEOC patients who did and did not undergo lymphadenectomy were
compared.
2.  Lymphadenectomy may be associated with survival outcome in patients with eEOC.
3.  Lymphadenectomy may be associated with recurrence rate in patients with eEOC.
how about ->
Highlights:
1. The clinical outcomes of eEOC patients who did and did not undergo lymphadenectomy were
compared.
2.  Lymphadenectomy was associated with better survival outcomes in patients with eEOC.
3.  Lymphadenectomy was associated with a lower recurrence rate in patients with eEOC.
2
in the lion study, omitting lymphadenectomy in eoc was feasible
authors can discuss this topic in 'discussion'
why does lymphadenectomy offer a survival benefit in a subgroup of a cohort, especially in the
early stage?
the clinicopathologic character of early-stage eoc must be apparently different from that of
cervical or uterine cancers
3
will there be a room for sentinel lymph node method for treating eeoc?
4
the 'introduction' is a little bit too long
some of the paragraphs can go to 'discussion'
also, 'discussion' can be more precise
5
Conclusion
In summary, the results of this study showed that lymphadenectomy may improve OS and PFS,
while reducing the risk of recurrence in patients with eEOC. However, the current evidence was
retrieved only from retrospective studies, and therefore high-quality RCTs with larger sample
sizes need to be conducted for verification.
how about ->
Conclusion
In summary, the results of this study showed that lymphadenectomy improves OS and PFS,
while reducing the risk of recurrence in patients with eEOC.
future tasks such as performing rcts can go to the 'discussion'
Title: Influence of lymphadenectomy on survival and recurrence in patients with early-stage
epithelial ovarian cancer: a meta-analysis
Version: 3 Date: 06 Aug 2023
Reviewer's report:
I read with great interest the Manuscript titled “Influence of lymphadenectomy on survival
and recurrence in patients with early-stage epithelial ovarian cancer: a meta-analysis”, topic
interesting enough to attract readers' attention
The quality of the manuscript has improved thanks to the changes made. I think it could be of
interest to the readers and, in my opinion, it deserves the priority to be published.
Title: Influence of lymphadenectomy on survival and recurrence in patients with early-stage
epithelial ovarian cancer: a meta-analysis
Version: 3 Date: 12 Aug 2023
Reviewer's report:
In abstract
Although there is evidence that lymphadenectomy is associated with reduced mortality in early-
stage epithelial ovarian cancer (eEOC), there is still no consensus on the survival value of
lymphadenectomy. This meta-analysis aimed to evaluate the effectiveness of lymphadenectomy
on survival and recurrence in patients with eEOC.
—> This meta-analysis aimed to evaluate the effectiveness of lymphadenectomy on survival
and recurrence in patients with eEOC.
Title: Factors associated with emergency room readmission after elective surgery for ovarian
carcinoma
Version: 1 Date: 24 May 2023
Reviewer's report:
The optimal assessment of the quality of care in complex ovarian cancer surgery remains un
unmet clinical need. Cytoreductive surgery aiming at achieving no gross residual disease is the
mainstay of treatment in ovarian cancer but this often requires an aggressive surgical effort
resulting in significant postoperative morbidity and mortality. Several outcome measures of the
healthcare quality have been investigate so fare, but none alone seems to appropriately depict
the complexity of ovarian-specific care.
The authors focused on another outcome measure, namely is the Emergency Room readmission,
which is different from hospital readmission and less commonly reported in the literature.
Although the study has several limitations due to the retrospective design, it provides interesting
data on this relevant topic.
However, my biggest concern is the inclusion of both primary (upfront and interval) and
recurrent surgery, the latest including only 6 cases. These are three completely different settings
with different patient and tumor characteristics, which could skew the overall results if analysed
altogether. I would suggest to limit the analysis to the primary setting and perform two different
analysis for the upfront versus the interval debulking surgery. This would help to decrease the
limitations and bias of this study.
Minor comments:
- Abstract: Describe briefly the type of analyses performed to assess for case-mix factors.
- Discussion: We are now in the era of precision medicine. I would briefly add a paragraph
describing how surgery and preoperative care remain crucial in the treatment of ovarian cancer,
even in the era of targeted therapies and PARP inhibitors (consider the following references:
PMID: 36928097; PMID: 34948446; PMID: 36707087).
Title: Factors associated with emergency room readmission after elective surgery for ovarian
carcinoma
Version: 1 Date: 03 Jun 2023
Reviewer's report:
In my opinion, the analyzed topic is interesting enough to attract the readers’ attention. I think
that the abstract of this article is well organized and clear.
In my opinion, the discussion could be studied in depth and extended. Maybe, it could be useful
the evaluation of preoperative frailty in order to better analyze those particular patients and their
pre and post operative complications. Furthermore, I suggest to analyze the surgical options
and the necessity of difficult surgical procedures, in order to reduce the complications' rate. In
particular I suggest these two articles , respectively: "  The role of preoperative frailty assessment
in patients affected by gynecological cancer: a narrative review Ottavia D’Oria, Tullio Golia
D’Auge, Ermelinda Baiocco, Cristina Vincenzoni, Emanuela Mancini, Valentina Bruno, Benito
Chiofalo, Rosanna Mancari, Riccardo Vizza, Giuseppe Cutillo, Andrea Giannini Vol. 34 (No. 2)
2022 June, 76-83 doi: 10.36129/jog.2022.34" and PMID: 32036457. Because of these reasons,
the article should be revised and completed. Tables are clear. Considered all these points, I think
it could be of interest for the readers and, in my opinion, it deserves the priority to be published
after minor revisions
Title: Dietary Quality Index and the Risk of Breast Cancer: A Case-Control Study
Version: 1 Date: 01 Jul 2023
Reviewer's report:
In this study, authors sought to assess the " Dietary Quality Index and the Risk of Breast Cancer:
A Case-Control Study ". The authors concluded that a higher DQI-I score was related to a lower
chance of breast cancer. Although some sections of the paper are well written, however, I think
that it should be revised before proceeding further. Therefore, to improve the manuscript as
much as possible, the several following corrections are necessary:
Introduction
1. The introduction is well-written and points out the importance of the topic well.
Methods
2. What was the sample size in this study and based on which scientific method determined?
3. Please give eligibility criteria and methods of case ascertainment.
4. Give the inclusion and exclusion criteria.
5. How are case and control groups matched? Give matching criteria and the number of controls
per case.
6. One of the confounding factors is having a special diet. Did the authors consider it in the
inclusion or exclusion criteria? (not having a special diet, including ones resulting in weight
reduction or increase).
Result
7. Line 151-152: In Table 1, in addition to the mentioned variables, wearing a bra during the
day and vitamin D supplements are also significant in the two groups.
8. The footnotes of Table 1 need revision. ("1 Using Mann-Whitney for abnormal continuous
variables.  2 Using independent samples T-test for normal continuous variables." It does not
match the superscripts in the table.)
9. Table 1: The interquartile range (IQR) should be presented as 25th, and 75th percentile (IQR
25th, 75th).
10. in case-control studies, matching is often done based on some variables such as age. In this
study, how was the matching done, and how do the authors explain the age difference between
the two groups?
11. Lines 153-158: By which test are the values compared? (Please mention the statistical test.)
13. Figure 1 and Figure 2 are confusing. It is better to present the results in the form of tables.
Title: Dietary Quality Index and the Risk of Breast Cancer: A Case-Control Study
Version: 2 Date: 19 Jul 2023
Reviewer's report:
In case-control studies, the control group should be similar to the case group in most
characteristics except for the disease, and for this aim matching should be done.
Some variables are unlikely to be not normal such as "Marriage age", as "Age at first pregnancy",
"BMI". Please recheck the normality of the variables. In addition, re-examined the significance
of some variables such as "Moderation score", "Adequacy score".
Title: Dietary Quality Index and the Risk of Breast Cancer: A Case-Control Study
Version: 2 Date: 23 Jul 2023
Reviewer's report:
Regarding Line lines 117-119. Please mention the reliability and validity of the questionnaire
in the manuscript.
Regarding Line 92. Please clarify and mention in the manuscript, any efforts to prevent selection
bias. Based on provided justifications, it sounds that the source population for the case and
control group are not similar.  How did you ensure that if patients would for example have
trauma would refer to the same hospital that they were referred to because of breast cancer?
Regarding Line 111. What did you mean by the general questionnaires used to gather
participants’ clinical, lifestyle, and socio-demographic-economic information? Was it a
questionnaire or a checklist? If it is a questionnaire, you need to introduce the name of the
questionnaire and its validity and reliability.
Regarding Tables 2 and 3, as you removed Figures 1 and 2, please explain what is the relevancy
of the separate comparison among the tertiles of DQI-I in the case and control group to the
research question. Comparing by case and control groups could be more informative rather than
among the tertiles of DQI-I in the case and control group.
Regarding the multivariable logistic regression models please explain the method (LR test, AIC,
BIC, etc.) used to determine the most optimal model.
Please provide a transparent interpretation of the results of the multivariable logistic regression
model (Table 4) in the discussion section.
Title: Prevalence of menopausal symptoms and attitudes towards menopausal hormone therapy
in women aged 40-60 years: A cross-sectional study
Version: 1 Date: 24 Jun 2023
Reviewer:  Ban Hadi Hameed
Reviewer's report:
thanks for your efforts
the title should be revised ''women undergoing physical examination''
language editing is mandatory
etc and others should be removed, instead, write details
the rationale behind the study to be more clarified
avoid repetition of data
Title: Prevalence of menopausal symptoms and attitudes towards menopausal hormone therapy
in women aged 40-60 years: A cross-sectional study
Version: 1 Date: 02 Jul 2023
Reviewer's report:
Thank you for referring me the manuscript,there are some notes to be added
1. In Figure 1 the author can add additional notes about other factors in relations like physical
excersie also add information about rural or urban areas as in the discussion
2.In Discussion the authors can add additional information about the relationships with the
age,marital status,number of children,women career and menstrual regulation
3.the authors  need to add additional information in the method for better results like hormonal
study
4.the discussion need further details and comparisons with other studies for best results
5.the author should correct some words for better language
Title: Prevalence of menopausal symptoms and attitudes towards menopausal hormone therapy
in women aged 40-60 years: A cross-sectional study
Version: 1 Date: 03 Jul 2023
Reviewer's report:
thank you for choicing this subject which is really very interesting.
i have one point  to focus on which is your defination for menopause ; its  complete abscence
of menstruation.
perimenopause period or the climactric period is the transition peroid from reproductive to non
reproductive women.
Title: Successful pregnancy in a female with embryonal rhabdomyosarcoma of the cervix who
received biopsy and chemotherapy alone without recurrence after 16 years: A case report and
literature review
Version: 1 Date: 24 Jul 2023
Reviewer:  Basilio Pecorino
Reviewer's report:
Thanks for the opportunity to review this very interesting manuscript that is clearly the outcome
of an enormous effort by the authors. The level of detail is extraordinary for a case report and
the authors should be congratulated on this and the effort to address a very clinically relevant
question for the practicing gynecological oncology surgeon.
There are a few minor English language errors and the manuscript could, overall gain value from
review by a native English language scientific writer.
"Case"
There are no data about radiologic staging before chemotherapy: the disease was localized or
distant?
What is the current staging system for this type of tumor?
"Discussion"
In my opinion, this section has to be summarized.
In conclusion, what do you recommend for reproductive-age patients? Is fertility-sparing surgery
the first choice for these patients?
Title: Successful pregnancy in a female with embryonal rhabdomyosarcoma of the cervix who
received biopsy and chemotherapy alone without recurrence after 16 years: A case report and
literature review
Version: 1 Date: 30 Jul 2023
Reviewer's report:
Dear author
I First wanted ro thank you for sharing this case. However,  I have some issues.
The introduction should be written in three parts
Generalities about the topic, what is the problematic of this article in other word why are you
reporting this case and what is missing in the literature  and finally a clear statement highlighting
the aim of this publication
As it is written right now the first part is highly predominant and a clear statmet highlighting
the aim is missing.
The case report section is rather poor missing too any details I kindly invite to rewrite  it using
a case report  checklist
The discussion is too long and hard to read
Adding some diagnistic and treatment algorithms can help.