<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "journalpublishing.dtd"><?covid-19-tdm?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="2.0" xml:lang="en" article-type="reviewer-report"><front><journal-meta><journal-id journal-id-type="nlm-ta">JMIRx Med</journal-id><journal-id journal-id-type="publisher-id">xmed</journal-id><journal-id journal-id-type="index">34</journal-id><journal-title>JMIRx Med</journal-title><abbrev-journal-title>JMIRx Med</abbrev-journal-title><issn pub-type="epub">2563-6316</issn></journal-meta><article-meta><article-id pub-id-type="publisher-id">56040</article-id><article-id pub-id-type="doi">10.2196/56040</article-id><title-group><article-title>Peer Review of &#x201C;COVID-19 National Football League (NFL) Injury Analysis: Follow-Up Study&#x201D;</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Anonymous</surname><given-names>&#x00AD;</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="editor"><name name-style="western"><surname>Meinert</surname><given-names>Edward</given-names></name></contrib></contrib-group><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>13</day><month>2</month><year>2024</year></pub-date><volume>5</volume><elocation-id>e56040</elocation-id><history><date date-type="received"><day>03</day><month>01</month><year>2024</year></date><date date-type="accepted"><day>03</day><month>01</month><year>2024</year></date></history><copyright-statement>&#x00A9;Anonymous. Originally published in JMIRx Med (<ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org">https://med.jmirx.org</ext-link>), 13.2.2024. </copyright-statement><copyright-year>2024</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 (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), 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 <ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org/">https://med.jmirx.org/</ext-link>, as well as this copyright and license information must be included.</p></license><self-uri xlink:type="simple" xlink:href="https://xmed.jmir.org/2024/1/e56040"/><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/preprints.45688" xlink:title="Preprint (JMIR Preprints)" xlink:type="simple">https://preprints.jmir.org/preprint/45688</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/55863" xlink:title="Authors' Response to Peer-Review Reports" xlink:type="simple">https://med.jmirx.org/2024/1/e55863</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/45688" xlink:title="Published Article" xlink:type="simple">https://med.jmirx.org/2024/1/e45688</related-article><kwd-group><kwd>COVID-19</kwd><kwd>injury</kwd><kwd>prevalence</kwd><kwd>adaptation</kwd><kwd>sports medicine</kwd><kwd>follow-up</kwd><kwd>training</kwd><kwd>football</kwd><kwd>epidemiology</kwd><kwd>sport</kwd><kwd>athlete</kwd><kwd>athletic</kwd><kwd>injuries</kwd></kwd-group></article-meta></front><body><p><italic>This is the peer-review report for &#x201C;COVID-19 National Football League (NFL) Injury Analysis: Follow-Up Study.&#x201D;</italic></p><sec id="s2"><title>Round 1 Review</title><sec id="s1-1"><title>General Comments</title><p>This paper [<xref ref-type="bibr" rid="ref1">1</xref>] provides epidemiological data on injury incidences in the National Football League (NFL) before and after the COVID-19 lockdown. This paper has the potential to be clinically meaningful; however, it has major flaws that should be addressed before it is reconsidered.</p></sec><sec id="s1-2"><title>Specific Comments</title><sec id="s1-2-1"><title>Major Comments</title><list list-type="order"><list-item><p>The authors stated that &#x201C;This is the first large scale opportunity to demonstrate the effects of these principles and how they are important to understanding injury epidemiology.&#x201D; However, there are studies that have looked at the effect of COVID-19 on other sporting leagues, for example, Bundesliga, Major League Soccer (MLS), etc. All this has been published and should be cited.</p></list-item><list-item><p>Can the authors please confirm or comment on the potential accuracy of this open data? What validity checks were employed to demonstrate that these data are accurate?</p></list-item><list-item><p>How can the authors be sure that the increase in injuries was due to COVID-19?</p></list-item><list-item><p>What is meant by injuries? Soft tissue injuries or concussions? Perhaps an analysis on time-loss injuries would be more beneficial and add value.</p></list-item></list></sec></sec></sec></body><back><fn-group><fn fn-type="conflict"><p>None declared.</p></fn></fn-group><glossary><title>Abbreviations</title><def-list><def-item><term id="abb1">MLS</term><def><p>Major League Soccer</p></def></def-item><def-item><term id="abb2">NFL</term><def><p>National Football League</p></def></def-item></def-list></glossary><ref-list><title>References</title><ref id="ref1"><label>1</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Puga</surname><given-names>TB</given-names></name><name name-style="western"><surname>Schafer</surname><given-names>J</given-names></name><name name-style="western"><surname>Thiel</surname><given-names>G</given-names></name><etal/></person-group><article-title>COVID-19 National Football League (NFL) injury analysis: follow-up study</article-title><source>JMIRx Med</source><year>2024</year><volume>5</volume><fpage>e45688</fpage><pub-id pub-id-type="doi">10.2196/45688</pub-id></nlm-citation></ref></ref-list></back></article>