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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">v2i3e33181</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/33181</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 Smartphone Apps for Improving Physical Function Capacity in Cardiac Patient Rehabilitation: Systematic Review”</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">
          <name name-style="western">
            <surname>Goessler</surname>
            <given-names>Karla</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-5934-9819</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Faculty of Medicine</institution>
        <institution>University of Sao Paulo</institution>
        <addr-line>Sao Paulo</addr-line>
        <country>Brazil</country>
      </aff>
      <pub-date pub-type="collection">
        <season>Jul-Sep</season>
        <year>2021</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>17</day>
        <month>9</month>
        <year>2021</year>
      </pub-date>
      <volume>2</volume>
      <issue>3</issue>
      <elocation-id>e33181</elocation-id>
      <history>
        <date date-type="received">
          <day>26</day>
          <month>8</month>
          <year>2021</year>
        </date>
        <date date-type="accepted">
          <day>26</day>
          <month>8</month>
          <year>2021</year>
        </date>
      </history>
      <copyright-statement>©Karla Goessler. Originally published in JMIRx Med (https://med.jmirx.org), 17.09.2021.</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 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://med.jmirx.org/2021/3/e33181" xlink:type="simple"/>
      <related-article related-article-type="companion" id="preprint21906" ext-link-type="doi" xlink:href="https://doi.org/10.2196/preprints.21906" vol="2" page="e21906" xlink:title="Preprint:" xlink:type="simple">https://preprints.jmir.org/preprint/21906</related-article>
      <related-article related-article-type="companion" id="v2i3e33179" ext-link-type="doi" xlink:href="10.2196/33179" vol="2" page="e33179" xlink:title="Authors' Response to Peer-Review Reports:" xlink:type="simple">https://med.jmirx.org/2021/3/e33179/</related-article>
      <related-article related-article-type="companion" id="v2i3e21906" ext-link-type="doi" xlink:href="10.2196/21906" vol="2" page="e21906" xlink:title="Published Article:" xlink:type="simple">https://med.jmirx.org/2021/3/e21906/</related-article>
      <kwd-group>
        <kwd>cardiac rehabilitation</kwd>
        <kwd>physical capacity</kwd>
        <kwd>exercise</kwd>
        <kwd>smartphone apps</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <p>
      <italic>This is a peer-review report submitted for the paper “Use of Smartphone Apps for Improving Physical Function Capacity in Cardiac Patient Rehabilitation: Systematic Review”.</italic>
    </p>
    <sec>
      <title>Review Round 1</title>
      <sec>
        <title>General Comments</title>
        <p>This is a systematic review [<xref ref-type="bibr" rid="ref1">1</xref>] investigating the utilization of smartphone apps for improving physical function capacity in cardiac rehabilitation (CR). Please find below my comments/suggestions.</p>
      </sec>
      <sec>
        <title>Specific Comments</title>
        <sec>
          <title>Major Comments</title>
          <p>1. CR interventions seem to be quite different between studies, making future comparisons inappropriate (ie, for CR programs including exercise programs, I would expect improvements in cardiorespiratory fitness (CRF), while for programs including diet, this outcome might not change).</p>
          <p>2. It is not clear how authors selected the papers. This process makes it difficult to understand the results, as the outcomes and types of interventions are quite different between studies. As the main outcome in CR is CRF, I would suggest making it your primary outcome for selection of the studies.</p>
        </sec>
        <sec>
          <title>Minor Comments</title>
          <sec>
            <title>Methods/Results</title>
            <p>1. I would suggest including a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram for the study selection process. This is available at http://prisma-statement.org/prismastatement/flowdiagram.aspx.</p>
            <p>2. Tables 2 and 3 are not clear.</p>
          </sec>
        </sec>
      </sec>
    </sec>
  </body>
  <back>
    <app-group/>
    <glossary>
      <title>Abbreviations</title>
      <def-list>
        <def-item>
          <term id="abb1">CR</term>
          <def>
            <p>cardiac rehabilitation</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb2">CRF</term>
          <def>
            <p>cardiorespiratory fitness</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb3">PRISMA</term>
          <def>
            <p>Preferred Reporting Items for Systematic Reviews and Meta-Analyses</p>
          </def>
        </def-item>
      </def-list>
    </glossary>
    <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>Tuttle</surname>
              <given-names>K</given-names>
            </name>
            <name name-style="western">
              <surname>Kelemen</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Liang</surname>
              <given-names>Y</given-names>
            </name>
          </person-group>
          <article-title>Use of smartphone apps for improving physical function capacity in cardiac patient rehabilitation: systematic review</article-title>
          <source>JMIRx Med</source>
          <year>2021</year>
          <month>09</month>
          <day>15</day>
          <volume>2</volume>
          <issue>3</issue>
          <fpage>e21906</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://med.jmirx.org/2021/3/e21906/"/>
          </comment>
          <pub-id pub-id-type="doi">10.2196/21906</pub-id>
        </nlm-citation>
      </ref>
    </ref-list>
  </back>
</article>
