JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title:  Breast cancer and the steadily increasing maternal age: Are they colliding?
Version: 3 Date: 18 Jan 2024
Reviewer's report:
While this study presents some interesting findings, I think it's an overstatement to include
general population recommendations for initiating childbirth at an earlier age, especially without
accompanying supports to assist young families. I have some suggestions to help strengthen this
manuscript.
Abstract: These data may support new studies to explore young-onset breast cancers, but I
think recommending policy approaches at this point may be premature.  I suggest removing
this statement and possibly adding a statement that health care providers could counsel younger
women that pregnancy at an older age carries additional health risks, and breast cancer risk may
increase.
Discussion: Although these findings are intriguing, there's no mention that 10 - 15% of breast
cancers are triple negative, which tend to disproportionately affect younger women and U.S.
women who are Black. Also, some risk factors for early-onset breast cancer are a bit different
than breast cancer in older women. I believe SEER has tumor subtype data available in their
dataset. It's also available online:
https://seer.cancer.gov/statistics-network/
Additionally, breast cancer incidence rates could also be increasing due to other factors as well,
such as changes in alcohol consumption, having obesity, lack of physical activity, and possibly
exposure to environmental chemicals that have estrogenic effects. Additionally, average age at
menarche is decreasing in the U.S. This could also increase breast cancer risk. In the United
States, population-based estimates are available for lifestyle variables that could also affect
breast cancer rates. These data are routinely collected in the Behavioral Risk Factor Surveillance
System, the National Health Interview Study, and other surveys.
In the discussion, you could also note that randomized controlled trials are needed to examine the
benefit of routine screening in women over age 30 or 35 years that have delayed childbearing.
Title: Socio-cultural beliefs and perceptions that influence diagnosis and treatment of breast
cancer among women in Ghana: evidence from a mixed methods systematic review
Version: 1 Date: 06 Aug 2023
Reviewer's report:
Thank you for this work on breast cancer- a very  challenging  health problem in  sub-Saharan
Africa .' The title is succinct  with an introduction presenting  appropriate background to the
study. However, I think the socio-cultural concept and perception should be explored more
ending with an operational definition to enrich /guide the scoping review.
The greatest  strength of  the study is the adopted study design of JPI which was appropriately
applied and guided reporting of results backed by evidence..
Your proffered solution to the identified problem  was solely  by awareness creation and
education of the people . Issues  related to beliefs , perceptions, values and attitudes   often
benefit more  from behavioral change models. Review and include  or report as limitations
Title: Socio-cultural beliefs and perceptions that influence diagnosis and treatment of breast
cancer among women in Ghana: evidence from a mixed methods systematic review
Version: 1 Date: 12 Aug 2023
Reviewer:  Tonia C. Onyeka
Reviewer's report:
1. There are a lot of error with English tenses. For example in line 58 and line 65. This should
be corrected throughout.
2. What is the difference between spiritual beliefs and religious beliefs?
3. The authors are unable to provide Ghanaian context to spiritual beliefs and religious beliefs,
as they did for cultural beliefs.
4. Why would a study looking at breast cancer in women have men in its population? This
happens in Table 1.
5. Within Table 1, in defining the 'concept', no mention is made of spiritual or religious beliefs.
Why???
6. Keywords mentioned at lines 120 to 121 do not correspond to key words used in the abstract;
7. At line 121, traditional beliefs is emerging here for the first time. What is the difference
between cultural beliefs and traditional beliefs?
8. How was study selection and data extraction done? Manually or with a software?
9. There is a considerable overlap between the spiritual and the religious. Therefore It is advised
to lump the two together
10.  Last line on page 18: Are all individual beliefs the same as traditional beliefs?
11. There is a need for the authors to stick to one nomenclature: Traditional of Cultural
12. According to the authors,  the varied perceptions about breast cancer suggests low knowledge
level of breast cancer? How did the authors measure the low levels?
13.  IMPLICATION FOR POLICY AND PRACTICE: Are there other culturally-sensitive
Interventions conducted previously in other countries that can be cited here? The last sentence
under this paragraph should be rephrased.
14. Conclusion does not adequately capture the essence of the research. Should be expanded
upon.
Title: Client satisfaction with abortion care service and its associated factors among women in
Ethiopia: a Systematic review and Meta-analysis
Version: 1 Date: 12 Feb 2024
Reviewer's report:
General comments
Authors should review the manuscript and correct grammatical errors as well as it needs basic
editing throughout the manuscript.
Topic
The study has limitations. “Prevalence of client satisfaction with abortion care and its associated
factors among   women in Ethiopia: a Systematic review and Meta-analysis” What type of
abortion care your study focuses, safe abortion care or post abortion care? Lacks clarity?
Abstract
Background: Please describe about client satisfaction with abortion care situation in Ethiopia?
Methods and materials
Only published articles were considered in this review. Why you exclude gray literature?
Why you prefer random effects model?
Result
The review also found that client satisfaction with abortion care had a statistical correlation with
the type of abortion care and the participant’s education level. Please indicate the p- value here
and give more clarify which type of abortion is significant?
Conclusion: “Therefore, there should be strict monitoring, evaluation, and supervision of the
quality of abortion care services available in health facilities by stakeholders like the Ethiopian
government and non-governmental organizations. The identified factors need to be improved
through organizing training programs for healthcare providers, educating women about the
kind of abortion care available, providing facilities, and providing community-based health
education” The above  recommendation is  general recommendation and it is not based on your
result? Please revise it based on your study result?
Introduction
The concepts stated in the introduction are fragmented and disjoint. Please state more concisely
study’s purpose and rationale?
Methods and materials
Inclusion and exclusion criteria
You included both published English-language articles as well as grey literature was taken into
consideration or what? It lacks clarity
Studies with other study designs were not included in this review. Which type of study designs?
Clarify
Result:
Discussions
Vast and unclear discussions. The discussion tries to compare and contrast the findings from
other research findings which are not similar with the current study (in the context of study
population, setting…
Justification of the discrepancy is not as such strong? Please make it clear and precise
Is it possible to discuss your review result with single primary studies for example studies
conducted   like Tigray (25%), Amhara (40.6%), and southern Ethiopia? Please discuss it with
other larger studies or?
Conclusions and recommendations
Generally your recommendations are not based on your result and please rewrite base on your
result?
Title: Client satisfaction with abortion care service and its associated factors among women in
Ethiopia: a Systematic review and Meta-analysis
Version: 1 Date: 24 Feb 2024
Reviewer's report:
Review report of “prevalence of client satisfaction on abortion care service in Ethiopia:
systematic review and meta-analysis”
Dear Editors,
Thank you very much for inviting me to contribute to this fascinating topic, which stands as a
significant cause of maternal morbidity, particularly in developing countries such as Ethiopia.
My gratitude extends to all the authors involved in this paper. It is indeed an engaging area for
a systematic review and meta-analysis.
Following is my review report and some comments and suggestion have been tracked within
the manuscript
1. Client satisfaction with abortion care service and its associated factors among   women in
Ethiopia: a Systematic review and Meta-analysis (recommended title)
2. Why only published studies included in the review?
3. Method and material in abstract should address about reporting system (PRISMA), paper
quality (JBI), analysis conducted, model used, method of publication bias and heterogeneity
assessment
4. Paraphrasing, grammar and flow of idea throughout the document
5. Result of abstract section associated factor should be addressed
6. Conclussion and recommendation should be different from result and based on finding?,
should be rewritten
7. CS: Better if written in full word as it is outcome variable
8. Funnel plot and forest plot for associated factors
9. JBI: cut of point to be incuded in the review
10. Report of meta regression, sensitivity analysis result
NB Interesting area of review, but should be proof read, for grammar and follow of idea,
Congratulation, you have done great things! Do on language quality
Title: Advanced-stage breast cancer diagnosis and its determinants in Ethiopia: a systematic
review and meta-analysis
Version: 1 Date: 05 Dec 2023
Reviewer's report:
For  Authors
I read with great interest the present manuscript, which focused on the current problem of women
in developing countries, particularly Ethiopia. Really, I have appreciated your undue effort to
produce this paper of this quality. In my honest opinion, the topic is interesting enough to attract
the readers’ attention. The introduction is clear, the methodology is accurate, and the conclusions
are supported by the data analysis. However, you could not restrict the year of publication in
the eligibility criteria, which may not indicate the current pooled prevalence of advanced breast
cancer, so please could justify it. Furthermore, the paper requires language washing.
I have seen the following points as strengths:
1.The use of PRISMA checklists to enhances the transparency and accuracy of reviews.
2.The use of the PROSPERO database to prevent further duplication,reduce reporting bias, and
promote transparency
3.Presented with PROSPERO database ID CRD42023435096.
4.The use of the Newcastle-Ottawa Quality Assessment Scale
Title: Advanced-stage breast cancer diagnosis and its determinants in Ethiopia: a systematic
review and meta-analysis
Version: 1 Date: 04 Apr 2024
Reviewer's report:
The study aims to summarize the evidence on the prevalence of advanced-stage breast cancer
diagnosis and its determinants in Ethiopia. This is the first systematic and meta-analysis on
advanced-stage breast cancer in Ethiopia. However, it appears that a systematic review and meta-
analysis on the determinants of breast cancer in Ethiopia has recently been published by Solbana
et al. I would strongly consider the authors to review this literature and contrast/compare how
their review is different/addresses a gap in the literature.
Abstract: Please include information of when the search was conducted (date) in the method.
Also include search terms in method and information on whether two people screened the
articles. The concluding sentence in the abstract does not align with the results in the abstract.
Please reframe this sentence. You could also consider adding your Prospero ID in the abstract.
Introduction: Suggest rewording the introduction to provide clarity and make it more concise.
Avoid unnecessary repetition and streamline the text to convey the message more efficiently.
Please consider include information from the systematic review titled “Determinants of breast
cancer in Ethiopia: A systematic review and meta-analysis.
Methods: Consider separating study design and setting into two sections to improve the flow
of the text.  For the title/abstract/full-text screening and data extraction, how many researchers
were involved in this process? Please include this information in your method. Please include
your search terms as a supplemental file.
Results: Figure 1 - Please use latest version of Prisma Flowchart and include number of articles
identified by each database/source and also the number of articles excluded for each reason.
- Table 1 – Include age of cohort for each study
- Table Two – Needs formatting – ensure Capital Letter is used at the start of each variable.
Discussion – The first paragraph of your discussion would be better suited for your introduction.
Consider starting the discussion with your main findings of your systematic review and meta-
analysis and then compare with other literature. Please include a section on the limitations of
your systematic review/meta-analysis
Title: Metaplastic Breast Cancer with a Unique Presentation and Complete Response to
Chemotherapy: A Case Report
Version: 0 Date: 30 Oct 2023
Reviewer:  Rafael Everton Assunção Ribeiro Da Costa
Reviewer's report:
I congratulate the authors on the case. Metaplastic breast carcinoma is a rare and still poorly
understood entity in the context of breast cancer, with the aggravating factor of being a subtype
associated with low overall survival rates. However, I have a few minor suggestions to make
regarding the case presented:
Background:
1) I suggest that the propositions made are better exemplified. In the paragraph "Considering
that MpBC possesses a worse prognosis than other non-metaplastic TNBCs, carries twice the
risk of recurrence, and has a shorter disease-free and overall survival (OS) [4], it is worth noting
that The National Comprehensive Cancer Network (NCCN) guidelines do not offer specific
treatment recommendations for MpBC beyond those intended for invasive breast carcinoma in
general [5]" I suggest bringing from the literature the overall survival in 5 or 10 years associated
with metaplastic breast carcinoma or at least a range of what the studies show to better explain
what was stated.
2) Regarding the paragraphs "In this report, we present the case of a 40-year-old woman
diagnosed with metaplastic breast cancer that, out of the ordinary, presented with a large
metastatic lymph node in the absence of any significant clinical or ultrasonic evidence of the
primary breast tumor to attract attention to this unique presentation of such a rare tumor that
might delay the diagnosis.
Furthermore, following the resection of that lymph node, our patient exhibited a
complete pathologic response to the combination chemotherapy regimen of doxorubicin and
cyclophosphamide (AC). This response warrants further investigation and inclusion in larger
studies, potentially contributing to the formulation of definitive recommendations for MpBC
treatment options.", there is no need to advance the case that will be reported in the introduction.
Instead, the ideal would be to bring the objective of the study. I suggest including instead of
these paragraphs: "The objective of this study was to report a case of metaplastic breast cancer
with a unique presentation and complete response to chemotherapy.
Case Presentation:
3) In any case presented in Oncology, the demonstrative value of the anatomopathological
findings is superior to imaging findings, which better illustrate macroscopic aspects of the
lesion. I suggest that a composite image be included with the histopathological slides and
the determining antibodies tested in immunohistochemistry, which would greatly enrich the
presentation. If there is a limit of 3 figures, I suggest omitting the US image to include the figure
showing histopathological and immunohistochemical images.
Title: Metaplastic Breast Cancer with a Unique Presentation and Complete Response to
Chemotherapy: A Case Report
Version: 0 Date: 11 Apr 2024
Reviewer:  Vanessa Monteiro Sanvido
Reviewer's report:
I am pleased to inform you that your article should be accepted for publication in BMC Women's
Health.
Congratulations on this achievement! I find your work highly relevant, well-written, and
valuable to our readers.
However, I suggest including post-chemotherapy exams or explaining the rationale for radical
treatment despite achieving complete response after chemotherapy.
I believe these additions will further enrich your article and increase its impact in the field.
Title: Discharge within 24 hours, Transvaginal Natural Orifice Transluminal Endoscopic
Surgery- More Suitable for Ambulatory Surgery in Gynecology Procedures: A Retrospective
Study
Version: 0 Date: 17 Nov 2023
Reviewer's report:
The paper requires a typo and language revision.
Running head should be revised
'Having the advantage such as magnifying the surgical area by optical systems, decreased
umbilical or port site hernia rates. NOTES procedures have better outcomes compared to
conventional laparoscopic and open surgeries. [9,10]' please clarify this sentence, which
technique provides this advantage?
Please provide a detailed statistical analysis section
please correct table one, no need extra p: capital in each boxes
what 'Ates(h)' means exactly?
'To the best of our knowledge, the minimally invasive surgery offers the advantage of minimal
trauma to the abdominal wall.' better to change the sentence
The discussion should be revised by adressing recent comparative studies. Otherwise it is all
about interpreation of the results of the current study. To enhance the discussion please consider
to refer to studies (PMID: 29503260, PMID: 35073493 ,  PMID: 34036898 , PMID: 34348579 ,
PMID: 36445449,  PMID: 32530343,  PMID: 34411729,  PMID: 32633168
Title: Discharge within 24 hours, Transvaginal Natural Orifice Transluminal Endoscopic
Surgery- More Suitable for Ambulatory Surgery in Gynecology Procedures: A Retrospective
Study
Version: 0 Date: 10 Jan 2024
Reviewer:  Cihan Comba
Reviewer's report:
The article should be re-evaluated and revised in terms of English language.
The statistical methods used in the study should be explained in more detail.
Articles on the subject in the literature should be included and current literature data should be
used.
The discussion section should be supported and enriched with current literature data.
Title:  Assessment of Mothers’ Satisfaction Towards Child Vaccination Service in South Omo
Zone, South Ethiopia Region: a survey on clients’ perspective
Version: 2 Date: 31 Oct 2023
Reviewer:  Thilagavathi Thangavel
Reviewer's report:
The manuscript needs a major correction for publication .
Comments:
*  Articulation of abstract is not satisfactory. Knowledge gap of the study is not mentioned
clearly/Methods :Sampling method,and level of significance not mentioned/In Results the
statements are incomplete/Inappropriate key words hard to reach area,satisfaction to be
removed .
* In background the knowledge gap and study Objectives are missing
* The exact class /Sample interval is not mentioned.
*In discussion ,page 12 paragraph 2 ,the statements are not clear .
*Page 13 typo error ARFI instead of AEFI.
*Study design limitation might not be shown under limitation.
*Authors’ contributions is too detailed.
Title:  Assessment of Mothers’ Satisfaction Towards Child Vaccination Service in South Omo
Zone, South Ethiopia Region: a survey on clients’ perspective
Version: 6 Date: 03 Apr 2024
Reviewer:  Ararso Hordofa Guye
Reviewer's report:
Since the authors addressed all of the important issues and made significant responses to my
concerns with the improved  status of the manuscript, I have no further comments to the authors.
Title: Is the MIND diet useful for Polycystic ovary syndrome? A case-control study
Version: 1 Date: 08 Jun 2023
Reviewer's report:
Line 64
Reference 15 was not relevant. It should be omitted.
Lines 108-113
In exclusion criteria drug use, lactation,  pregnancy and chronic diseases, were not considered.
All of these factors can impact on the results. Therefore, the results may not reflect the actual
relationship.
Lines 145-146
Was not Olive oil recognized as a brain-healthy food category?
-How was the sample size calculated?
Lines 160-164
It explains the adjustment for potential confounders in three models. These confounders and
their inclusion in the modeling were not consistent with the notes under Table 4.
As a potential confounding factor, the use of supplements should have been considered.
Line 163-What drugs were used for PCOS in cases and controls?
- Gastrointestinal, lipid-lowering drugs can’t be considered as specific drugs for PCOS.
Line 164 “The first quartile of the MIND dietary score was considered as a reference”.
-Was the first quartile of the MIND diet score taken as the reference or the first tertile?
In other parts of the text, only the first tertile of the MIND dietary score was mentioned.
Table 1 - What types of chronic conditions have been considered in cases and controls?
Table 2-How were subjects classified into three categories of physical activity? It wasn’t
mentioned  in the methods.
Table 1 - How was the visceral fat and fat mass percentage calculated? It wasn’t mentioned in
the methods.
Table 2 - What was the mind score of subjects in the first, second, and third tertiles?
lines 187-190
"Adherence to the MIND diet had a protective effect of 92%(OR for T3 vs. T1: 0.08 (95% CI:
0.03, 0.19), P <0.001)"..
This sentence differs from the content of Table 4.   In table 4   OR for T3 vs. T1: 0.09 (0.04_0.20)
was reported.
Lines 264 – 265 refer to the consistency of the results of the present study with the results of
reference 42.
Whereas, the result of reference 42 contradicts the findings of this study.
Moran et al (42) stated, “Women with PCOS were more likely to consume a dietary pattern
consistent with the Mediterranean diet”
-Reference 43 is a preprinted paper.
Lines 273-278 discussed the beneficial effects of olive oil on insulin resistance, while the results
of olive oil consumption in different tertiles were not evaluated and presented.