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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JMIRxMed</journal-id>
      <journal-id journal-id-type="nlm-ta">JMIRx Med</journal-id>
      <journal-title>JMIRx Med</journal-title>
      <issn pub-type="epub">2563-6316</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v2i2e29604</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/29604</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Peer-Review Report</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Peer-Review Report</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Peer Review of “Use of Spinal Anesthesia in Pediatric Laparoscopic Appendectomies: Case Series”</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Meinert</surname>
            <given-names>Edward</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="no">
          <collab>Anonymous</collab>
        </contrib>
      </contrib-group>
      <pub-date pub-type="collection">
        <season>Apr-Jun</season>
        <year>2021</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>28</day>
        <month>4</month>
        <year>2021</year>
      </pub-date>
      <volume>2</volume>
      <issue>2</issue>
      <elocation-id>e29604</elocation-id>
      <history>
        <date date-type="received">
          <day>13</day>
          <month>4</month>
          <year>2021</year>
        </date>
        <date date-type="accepted">
          <day>13</day>
          <month>4</month>
          <year>2021</year>
        </date>
      </history>
      <copyright-statement>© . Originally published in JMIRx Med (https://xmed.jmir.org), 28.04.2021.</copyright-statement>
      <copyright-year>2021</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the JMIRx Med, is properly cited. The complete bibliographic information, a link to the original publication on https://med.jmirx.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://xmed.jmir.org/2021/2/e29604" xlink:type="simple"/>
      <related-article related-article-type="companion" id="preprint25204" ext-link-type="doi" xlink:href="https://doi.org/10.2196/preprints.25204" vol="2" page="e25204" xlink:title="Preprint:" xlink:type="simple">https://preprints.jmir.org/preprint/25204/</related-article>
      <related-article related-article-type="companion" id="v2i2e29608" ext-link-type="doi" xlink:href="10.2196/29608" vol="2" page="e29608" xlink:title="Authors' Response to Peer-Review Reports:" xlink:type="simple">https://med.jmirx.org/2021/2/e29608/</related-article>
      <related-article related-article-type="companion" id="v2i2e25204" ext-link-type="doi" xlink:href="10.2196/25204" vol="2" page="e25204" xlink:title="Published Article:" xlink:type="simple">https://med.jmirx.org/2021/2/e25204/</related-article>
      <kwd-group>
        <kwd>pediatrics</kwd>
        <kwd>appendectomy</kwd>
        <kwd>spinal anesthesia</kwd>
        <kwd>general anesthesia</kwd>
        <kwd>laparoscopy</kwd>
        <kwd>vomiting</kwd>
        <kwd>keyhole</kwd>
        <kwd>surgery</kwd>
        <kwd>anesthesia</kwd>
        <kwd>appendix</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <p>
      <italic>This is a peer-review report submitted for the paper "Use of Spinal Anesthesia in Pediatric Laparoscopic Appendectomies: Case Series"</italic>
    </p>
    <sec>
      <title>Round 1 Review</title>
      <sec>
        <title>General Comments</title>
        <p>This paper [<xref ref-type="bibr" rid="ref1">1</xref>] is a retrospective case-control comparative study between spinal and general anesthesia for laparoscopic appendectomy in children. The manuscript is very well written with a good study design and robust statistical analysis and display to defend the conclusion.</p>
      </sec>
      <sec>
        <title>Specific Comments</title>
        <sec>
          <title>Minor Comments</title>
          <list list-type="order">
            <list-item>
              <p>Objective: “The objective of this study is to demonstrate that laparoscopic appendectomies are successful under spinal anesthesia and elicit clear advantages over general anesthesia.” The authors state the objectives with the conclusion in mind. Normally, the objective should be: “Comparing spinal and general anesthesia for the following variables…” This was done again in the last paragraph of the <italic>Introduction</italic> section where the final conclusion is stated.</p>
            </list-item>
            <list-item>
              <p>Methods: Should include only what was done and how it was done; results (Table 1) should be moved to the <italic>Results</italic> section.</p>
            </list-item>
            <list-item>
              <p>Results: In Table 2, it is not enough to have only a summary of the results (significantly higher or lower); the actual numbers should be presented.</p>
            </list-item>
            <list-item>
              <p>Results: Should include only data and numbers with no discussion or comments (make sense, encouraging, etc).</p>
            </list-item>
            <list-item>
              <p>Discussion: Please explain what is meant by extremity surgery here: “Laparoscopic surgery is now the method of choice for lower abdominal and (extremity) procedures.”</p>
            </list-item>
          </list>
        </sec>
      </sec>
    </sec>
    <sec>
      <title>Round 2 Review</title>
      <sec>
        <title>General Comments</title>
        <p>The authors have adequately answered the reviewer’s comments.</p>
      </sec>
    </sec>
  </body>
  <back>
    <app-group/>
    <fn-group>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
    <ref-list>
      <ref id="ref1">
        <label>1</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Hannan</surname>
              <given-names>MJ</given-names>
            </name>
            <name name-style="western">
              <surname>Parveen</surname>
              <given-names>MK</given-names>
            </name>
            <name name-style="western">
              <surname>Nandy</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Hasan</surname>
              <given-names>MS</given-names>
            </name>
          </person-group>
          <article-title>Use of Spinal Anesthesia in Pediatric Laparoscopic Appendectomies: Case Series</article-title>
          <source>JMIRx Med</source>
          <year>2021</year>
          <month>04</month>
          <volume>2</volume>
          <issue>2</issue>
          <fpage>e25204</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://med.jmirx.org/2021/2/e25204/">https://med.jmirx.org/2021/2/e25204/</ext-link>
          </comment>
          <pub-id pub-id-type="doi">10.2196/25204</pub-id>
        </nlm-citation>
      </ref>
    </ref-list>
  </back>
</article>
