JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Effect of marital status on the survival outcomes of cervical cancer: A retrospective cohort
study based on SEER database
Version: 2 Date: 27 Apr 2023
Reviewer's report:
The authors of the manuscript propose that being married was associated with a favorable
prognosis of cervical cancer, and marital status was an independent prognostic factor for cervical
cancer. Unlike previous similar studies, the authors used PSM to reduce differences in baseline
characteristics. Make the results more credible. Marital status as a social and psychological factor
has received increasing attention in the prognosis of cancer, such as breast and gynecologic
cancer, lung cancer….Here, the authors indicated that marriage tended to prolong the long-term
survival of patients with cervical cancer. The work is interesting, but some issues still need to
be clarified.
1. The author did not fully discuss why the value of CIF in married group death from other
causes (green line) is higher than unmarried group death from other causes (black line) after
about 280 months in Figure 3B.
2. The sentence “further studies are needed to explore the potential reason by which marriage
contributes to better cancer outcomes” in conclusion should not be so absolute.
3.  Is it appropriate to include the separated status in the unmarried category?
4.I don't think the author has interpreted and compared all the results presented in the figures
as necessary.
Title: Effect of marital status on the survival outcomes of cervical cancer: A retrospective cohort
study based on SEER database
Version: 2 Date: 27 May 2023
Reviewer's report:
Actually, this is a typical template article using the SEER database.
The authors failed to elaborate on what's new or significant in the work. I found a similar
one published a few years ago, which is even more comprehensive (http://dx.doi.org/10.1097/
IGC.0000000000001068). I don't think this work could be accepted without significant revision.
Title: Effect of marital status on the survival outcomes of cervical cancer: A retrospective cohort
study based on SEER database
Version: 4 Date: 30 Jul 2023
Reviewer's report:
1. The author claimed the novelty of the present work lies in the competing risk model, however,
a better interpretation of corresponding results is needed. What does the CIF correspond to?
2. The output styles from SPSS and R didn't match each other, R is capable of all the statistical
analysis presented in the manuscript. The author should adjust accordingly. By the way, data
cleaning could be easily performed in R,  and I believe the whole analysis could be performed
in R without a significant amount of codes. This is crucial for the reliability and reproducibility
of the work.
3. Given that marital status impacts cancer-specific survival significantly, a regression model
that considers all factors can provide a more comprehensive perspective of the contribution of
marital status in prognostic prediction.
4. Additionally,  subgroup analysis within marital subgroups could be performed as well. The
comparison between independent prognostic factors within each group can offer more insights.
5. The authors should collate the manuscript carefully before submission. inconsistent
capitalization in the abbreviation part is quite unprofessional.
Title: Effect of marital status on the survival outcomes of cervical cancer: A retrospective cohort
study based on SEER database
Version: 5 Date: 14 Dec 2023
Reviewer's report:
I read with great interest the Manuscript titled " Effect of marital status on the survival outcomes
of cervical cancer: A retrospective cohort study based on SEER database " which falls within
the aim of the Journal.
Although the manuscript can be considered already of good quality, I would suggest the
following recommendations:
-  I suggest round of language revision, in order to correct few typos and improve readability;
- The authors could extend the discussion by highlighting the possible relationship between
surgical treatment of cervical diseases, considering obstetric outcomes. I would be glad if the
authors discuss this important point, referring to PMID: 33140628
- Authors should consider recent evidence about HPV-related lower genital tract lesions, also
after treatment, considering the potential role of ant-HPV vaccination. I would be glad if the
authors discuss this important point, referring to PMID: 37978580
Because of these reasons, the article should be revised and completed. Considering all these
points, I think it could be of interest to the readers and, in my opinion, it deserves the priority
to be published after minor revisions.
Title: HPV prevalence and distribution characteristics in postmenopausal women from Nanjing,
China
Version: 2 Date: 01 Jun 2023
Reviewer's report:
The authors have presented a great work with interesting findings from the perspective of their
country. I have just some points that present below:
1. Abstract: more implications should be presented in the conclusion.
2. Methods:
2.1 Are there all sampling from January 2019 to December 2021 included in the study? (14608
records).
2.2 The authors should mention sampling criteria, the definition of variables, and the reference
number of Ethics
2.2 The authors should mention the sensitivity and specificity of the test Kit was used in this
study
3. Conclusion: Limitations should be presented in this part
Title: HPV prevalence and distribution characteristics in postmenopausal women from Nanjing,
China
Version: 2 Date: 19 Jun 2023
Reviewer:  Giuseppe Gullo
Reviewer's report:
Dear authors,
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, authors
should clarify some points and improve the discussion, as suggested below. Authors should
consider the  following recommendations:
In my opinion you hve to improve the paper refering to the common deseases as Urinary
incontinence and quality of life and its treatments as sacral nueromodulation as well to the
happens in pts after surgery treatments as OTC or uterus transplantation.
Its also important to refer to the update menopausal syntomps treatments by inositols and
melationin.
I suggest you to read and cite these articles:
The impact of stress urinary incontinence on sexual function and quality of life
Urinary incontinence and quality of life in high-performance swimmers: An observational study
Sacral neuromodulation for refractory lower urinary tract dysfunctions: a single-center
retrospective cohort study
Ovarian tissue cryopreservation and transplantation in menopause: new perspective of therapy
in postmenopausal women and the importance of ethical and legal frameworks
The reproductive potential of uterus transplantation: future prospects
Myo-inositol: from induction of ovulation to menopausal disorder management
Title: HPV prevalence and distribution characteristics in postmenopausal women from Nanjing,
China
Version: 3 Date: 09 Jul 2023
Reviewer:  Giuseppe Gullo
Reviewer's report:
Dear authors,
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, authors
should clarify some points and improve the discussion, as suggested below. Authors should
consider the following recommendations:
In my opinion you have to improve the paper refeing in the text how HPV could be related
to cervical cancer comparing to the fertility sparing treatments (FST) ALSO FOR OTHER
MALIGNANCIES  as endometrial cancer as well how these pts need to preserv thier fertility
sometimes for oncological reason and how in this case ( freezing by vitrification), there are
important psicological implication in their infetile pathway.
I suggest you to read and cite these articles:
Fertility-Sparing Strategies for Early-Stage Endometrial Cancer: Stepping towards Precision
Medicine Based on the Molecular Fingerprint
Endometrial Cancer in Reproductive Age: Fertility-Sparing Approach and Reproductive
Outcomes
Fertility-Sparing Approach in Patients with Endometrioid Endometrial Cancer Grade 2 Stage
IA (FIGO): A Qualitative Systematic Review
Endometrial Cancer in Reproductive Age: Fertility-Sparing Approach and Reproductive
Outcomes
Psychological variables in medically assisted reproduction: a systematic review
Oncofertility and Reproductive Counseling in Patients with Breast Cancer: A Retrospective
Study
Fertility preservation in female cancer sufferers: (only) a moral obligation?
Open vs. closed vitrification system: Which one is safer?
Title: HPV prevalence and distribution characteristics in postmenopausal women from Nanjing,
China
Version: 4 Date: 28 Dec 2023
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.
The methodology is accurate and the data analysis supports conclusions. The tables are clear
and interesting.
Although the manuscript can be considered already of high quality, I would suggest taking into
account the following minor recommendations:
- I suggest another language revision round to correct a few typos and improve readability.
- Discussions can be expanded by citing relevant articles about long-term risk factors for the
recurrence of HVP-related lesions (see PMID: 37401466 and  PMID: 37747763).
-What are the implications of these findings for clinical practice and/or further research?
It is important to report the results obtained by the authors in the context of clinical practice and
to adequately highlight what contribution this study adds to the literature already existing on the
topic and to future study perspectives.
Title: Risk Factors for Perioperative Blood Transfusion in Patients Undergoing Total
Laparoscopic Hysterectomy
Version: 2 Date: 03 Dec 2023
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.
Methodology is accurate and conclusions are supported by the data analysis. The tables and
figures are clear and interesting.
Although the manuscript can be considered already of high quality, I would suggest taking into
account the following minor recommendations:
- I suggest another round of language revision, in order to correct a few typos and improve
readability.
-Accumulating evidence suggests that the management of patients  should be personalized taking
into account the performance status of the patient, in particular in case of elderly women. It would
be interesting to discuss this point of paramount importance, referring to PMID: 35793638.
-What are the implications of these findings for clinical practice and/or further research?
It is important to report the results obtained by the authors in the context of clinical practice and
to adequately highlight what contribution this study adds to the literature already existing on the
topic and to future study perspectives.
Title: Risk Factors for Perioperative Blood Transfusion in Patients Undergoing Total
Laparoscopic Hysterectomy
Version: 3 Date: 28 Dec 2023
Reviewer's report:
Thank you for going through the manuscript and the reviewers' points
In my honest opinion, the authors have responded satisfactorily to the reviewers’ criticisms.
The manuscript is well written and falls within the aim of this Journal.
Title: Risk Factors for Perioperative Blood Transfusion in Patients Undergoing Total
Laparoscopic Hysterectomy
Version: 3 Date: 28 Dec 2023
Reviewer:  Phuc Nhon Nguyen
Reviewer's report:
Dear authors,
I appreciate  again the  authors  have sufficiently addressed all the  responses  to the reviewers
comments. The  paper is clearly improved in the current form and  suitable for the aim and scope
of  journal now.
Some limitations are irreversible since the lack of database on the record system.  However,
the study has revealed some  risk factors related to perioperative blood transfusion in patients
undergoing total laparoscopic hysterectomy.
Before the paper can be published. I suggest  again it will be better if the authors change the
description of total laparoscopic hysterectomy procedure in the Materials and Methods. Because
the current revision is very common in the literature and not related to the study.  The appropriate
mention should be in associated with the protocol at the study places including the indication,
contraindication, the surgeon, the  steps of surgey, etc...This issue is very important since it
relates directly to the estimated blood loss, blood transfusion, and other outcomes in the study.
If the authors are in the filed of anesthesia, the  authors may revise this point with an author who
specialized in ob/gyn field for better presentation.
After clarifying this  minor point, the revised manuscript can be considered for publication in
BMC Women's Health.
Congratulation for your greatly interesting work!
Phuc Nhon Nguyen MD, MSc
Tu Du Hospital, Ho Chi Minh City, Vietnam
Title: Risk Factors for Perioperative Blood Transfusion in Patients Undergoing Total
Laparoscopic Hysterectomy
Version: 5 Date: 12 Jan 2024
Reviewer:  Phuc Nhon Nguyen
Reviewer's report:
Dear authors,
Thank you for revising again your interesting  paper regarding risk factors of perioperative blood
transfusion after total  laparoscopic hysterectomy.
The current manuscript is well improved for  clearly additional description of total laparoscopic
hysterectomy at authors centers.
I must recommend it for publication  at this moment.
Congratulation on your work.
Regards,
Phuc Nhon Nguyen MD, MSc
Tu Du Hospital, Ho Chi Minh City, Vietnam
Title: Risk Factors for Perioperative Blood Transfusion in Patients Undergoing Total
Laparoscopic Hysterectomy
Version: 5 Date: 14 Jan 2024
Reviewer's report:
Thank you for going through the manuscript and the reviewers' points
In my honest opinion, the authors have responded satisfactorily to the reviewers’ criticisms.
The manuscript is well written and falls within the aim of this Journal.
Title: Understanding Trimester-Specific Miscarriage Risk in Indian Women: Insights from the
Calendar data of National Family Health Survey (NFHS-5) 2019-21
Version: 1 Date: 19 Jun 2023
Reviewer's report:
- In the conclusion part of the abstract, it should be reviewed based on the results of the article.
- Keywords should be selected based on the mesh.
- In the first part of the method, the relevant references should be presented in the data sources
section.
- The type of study should be specified in the first part of the method.
- Considering the cross-sectional nature of the study, how was the relative risk reported? (The
model output provided the adjusted relative risk of induced abortion among reproductive-aged
women, along with their 95% confidence interval)
- It needs to be discussed in more detail. Use new references.
Title: Understanding Trimester-Specific Miscarriage Risk in Indian Women: Insights from the
Calendar data of National Family Health Survey (NFHS-5) 2019-21
Version: 1 Date: 08 Jul 2023
Reviewer's report:
The authors have highlighted the critical matter of concern recently through the effort to
add scientific literature On Miscarriage. The manuscript quality needs a lot of improvement,
changes, and modification. The manuscript needs significant revision. It seems after going
through the manuscript authors have adopted a very casual approach while preparing the
manuscript
1- The author needs a clear understanding between miscarriage and abortion using both terms
interchangeably can not be justified.
2-The introduction section needs to rewrite. The author should work on the improvement of the
introduction the quality of English writing needs improvement, the introduction section needs
to be more substance with all available literature on miscarriage . The literature review is not
done in a proper way. The introduction section needs to be entirely changed
3-Their is a lack of references for some statements made in the manuscript the manuscript
citation needs improvement.
4-Authors should be careful while coding the determinats for example (a)SC & ST  can not be
clubbed together because there is a high chance the prevalence of miscarriage will be different for
SC & ST.(b)Education in Years -The zero years of education need a separate category (c)Total
number of living children should be added in determinants  section (d) Women employment
related variable needs to be added in determinants
5-The authors should do an interaction effect analysis between the determinants like being rich
and belonging to urban area can have a higher probability of miscarriage because in prevalence
table it is clearly showing that urban areas have higher prevalence of miscarriage, the prevalence
of miscarriage is higher in an urban area . The author can also check for the recent birth  sex
to see whether is there any pattern of miscarriage after the recent birth  or enumerator bias for
considering abortion as a miscarriage. Because in India there is a tendency that sex-selection
abortion is high and many times by error miscarriage is reported as abortion.In general first
miscarriages happen then women  go for an abortion for health and safety.  In the same line the
prevalence of miscarriage and abortion is questionable .
6-The author should also improve the discussion section need a little bit more elaborative and
findings of the manuscript should be substance in a proper way  through the literature
Title: Understanding Trimester-Specific Miscarriage Risk in Indian Women: Insights from the
Calendar data of National Family Health Survey (NFHS-5) 2019-21
Version: 2 Date: 04 Oct 2023
Reviewer's report:
I hope this message finds you well. I have carefully reviewed the revised manuscript and
appreciate the effort you and your team have put into addressing the comments and suggestions
from the first round of review. I would like to acknowledge the improvements made in response
to the initial feedback. However, I still have some concerns and recommendations that I believe
will further enhance the quality and clarity of your manuscript.
1. Interaction Effect Analysis: In my previous review, I had suggested conducting an interaction
effect analysis between determinants such as wealth status and urban residence to explore
the possibility of a higher probability of miscarriage in specific subgroups. I understand that
you mentioned attempting this analysis but did not obtain significant results. To provide a
comprehensive response to potential reader questions, I strongly recommend including the
interaction effect table in the appendix, regardless of whether the results were significant or not.
This will allow readers to assess the nuances of your analysis and better understand the absence
of significance if applicable.
2. Discussion Section: The discussion section in the current manuscript still requires
strengthening. In your response to my previous comment, you highlighted the educational
level of women as a key determinant of miscarriage. However, I noticed a discrepancy in the
findings table-2 where women with 10 years of education exhibited a higher miscarriage rate
compared to those with no education but in the discussion, you have written the women with
low education had higher miscarriage rate. This discrepancy warrants further elaboration and
possible explanations. Additionally, it is crucial to provide a more detailed discussion of why
women from the poorest wealth quintile had a lower miscarriage rate (20.1%) compared to
women from wealthier quintiles, where the rate was higher (e.g., 24.9% in the richest quintile).
Similarly, the lower miscarriage rate among women with a last male child (18.5%) compared to
those with a last female child (21.3%) needs more comprehensive exploration and interpretation.
3. Literature Substantiation: Your findings in Table 2, particularly regarding determinants such
as wealth quintile, age at marriage, sex of the last child, and regional variations, need to be
substantiated with relevant literature. It's essential to provide context and discuss how your
results align or differ from existing research. This will enrich the discussion and help readers
interpret the significance of your findings in the broader context of existing knowledge.
I believe that addressing these concerns and making the recommended revisions will
significantly enhance the manuscript's quality and clarity. I look forward to reviewing the
updated manuscript and providing further feedback if necessary.
Title: Pelvic floor status in opera singers. A pilot study using transperineal ultrasound
Version: 1 Date: 14 Nov 2023
Reviewer's report:
The study is well-conducted and provides valuable insights into the relationship between PFMs
and singing.  The study provides evidence for the usefulness of transperinial ultrasound to
measure the PFM movement during singing and the study contributes to the interdisciplinary
relationship between physical medicine, pelvic floor and singing voice research.  However, here
are the few concerns authors can address before recommending for publication.
- The authors can explain the justification for not requiring formal ethical approval in spite of
the study being medical research.
- Why there was a six-month gap between data collection and analysis.
- Only one researcher performing the offline analysis potentially would have introduced bias.
This can be added to the limitation.
Best wishes!
Title: Pelvic floor status in opera singers. A pilot study using transperineal ultrasound
Version: 2 Date: 15 Dec 2023
Reviewer's report:
Authors have included suggestions recommended. However, they can make the manuscript more
comprehensive by considering the following suggestions;
The method section requires further organization which can be achieved by arranging the content
more comprehensively.
Eg; Under 'participant'  Include how these classical singers were contacted by the authors in
Middle Norway and explain the exclusion criteria.
Instead of examination, authors can write it as data collection. Include ethical consideration
under data collection.  Eg; The project was evaluated by the Regional Ethics Committee (REK
vest 306498) and did not require formal approval as it was not considered medical research.
Participants were recruited for the study by obtaining informed consent.....
Line number 124 and 125 'ensuring blinding to whom of the singers each volume belonged to'
sentence is not comprehensive
In the discussion section line number 236 to 237 'Only one person examined the ultrasound
volumes, but she had over 10 years of experience in pelvic floor imaging.' How it should be
interpreted by the reader. Needs more clarity
Best wishes!
Title: Full title: Recurrent Stroke in A Reproductive Age Women With Patent Foramen Ovale
Version: 0 Date: 27 Sep 2023
Reviewer's report:
This is good case report to maintain awareness of stroke risk in young women.  The author
should include also designs of larger studies to better answer this question... is the risk of stroke
higher with COC in patietns with PFO? Should women be screened for PFO before start taking
COC?  In addition, include a comment regarding additional comorbidities in women that could
increase the risk of paradoxycal embolism. I suggest including this reference in your report
Morales Vidal S, Verma G, Goldschmidt C, Biller J. Stroke due to Paradoxical Embolization
Related to Fibroid Uterus Enlargement Compressing the Right Common Iliac Vein. Case Rep
Neurol. 2018 Nov 23;10(3):328-331