Reviewer ’s report  
 
Title: The effect of written information and counselling by an advanced practice nurse on  
resilience in women with vulvar neoplasia during six months after surgical treatment and the  
influence o f social support, recurrence, and age: A secondary analysis of a multicenter 
randomized  controlled trial, WOMAN -PRO -II 
 
Version: 0 Date: 24 Feb 2020  
 
Reviewer: Aliya Naz  
 
Reviewer's report:  
 
Please see the  following suggested minor revisions;  
 
1) Background: Woman with vulvar neoplasia complain after surgical treatment often about 
physical and psychological distress. Lack of information and support can influence resilience.  
 
To be changed to " Women"  
 
2) While uncertainty and symptom -related distress vary with cancer type and treatment, they are  
especially pronounced in cancers associated with taboos and stigmatization [6, 13]. Moreover, 
phenomenological studies have shown that women with vulvar neopla sia experienced a general 
lack of  
information about symptom management and strategies to manage handle their situation [5, 7].  
 
 
To be changed to "handle their situation "  
 
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the a uthors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your commen ts to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an  
additional statistical review?  
If an additional statistical review is recommended, please specify what aspects require further  
assessment in your comme nts to the editors.  
 
I am able to assess the statistics  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Needs some language corrections before being published  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the fo llowing questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary from an  
organisation that may in any way gain or lose financially from the publication of this  
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2. Do you hold a ny stocks or shares in an organisation that may in any way gain or lose  
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents relating to the content of the  
manuscript ? 
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds  or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial c ompeting interests in relation to this paper?  
 
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below.  If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests.  
 
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