<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "journalpublishing.dtd"><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><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">v5i1e64355</article-id><article-id pub-id-type="doi">10.2196/64355</article-id><article-categories><subj-group subj-group-type="heading"><subject>Peer-Review Report</subject></subj-group></article-categories><title-group><article-title>Peer Review of &#x201C;Development and Assessment of a Point-of-Care Application (Genomic Medicine Guidance) for Heritable Thoracic Aortic Disease&#x201D;</article-title></title-group><contrib-group><contrib contrib-type="author"><collab>Anonymous</collab></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>8</day><month>10</month><year>2024</year></pub-date><volume>5</volume><elocation-id>e64355</elocation-id><history><date date-type="received"><day>15</day><month>07</month><year>2024</year></date><date date-type="accepted"><day>15</day><month>07</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>), 8.10.2024. </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/e64355"/><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.1101/2023.12.22.23299696" xlink:title="Preprint (medRxiv)" xlink:type="simple">https://www.medrxiv.org/content/10.1101/2023.12.22.23299696v1</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/64436" xlink:title="Authors&#x2019; Response to Peer-Review Reports" xlink:type="simple">https://med.jmirx.org/2024/1/e64436</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/55903" xlink:title="Published Article" xlink:type="simple">https://med.jmirx.org/2024/1/e55903</related-article><kwd-group><kwd>genomic medicine</kwd><kwd>point of care</kwd><kwd>thoracic aortic aneurysm</kwd><kwd>aortic dissection</kwd><kwd>decision support</kwd></kwd-group></article-meta></front><body><p><italic>This is a peer-review report for &#x201C;Development and Assessment of a Point-of-Care Application (Genomic Medicine Guidance) for Heritable Thoracic Aortic Disease&#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>] highlights an important application of a point-of-care application in guiding clinicians in their management of patients. It will be of interest to the community served by the journal.</p></sec><sec id="s1-2"><title>Specific Comments</title><sec id="s1-2-1"><title>Major Comments</title><p>There needs to be some statistics on the &#x201C;accuracy&#x201D; of the application. For example, a number of expert clinicians in genomic medicine and its use (eg, 10) need to make clinical decisions without the use of the application, and then get 10 other clinicians who are not experts in genomic medicine to use the application and compare the level of agreement. A concordance study of this type needs to be done.</p></sec></sec></sec><sec id="s3"><title>Round 2 Review</title><sec id="s2-1"><title>General Comments</title><p>With respect to my initial recommendation: There needs to be some statistics on the &#x201C;accuracy&#x201D; of the application. For example, a number of expert clinicians in genomic medicine and its use (eg, 10) need to make clinical decisions without the use of the application, and then get 10 other clinicians who are not experts in genomic medicine to use the application and compare the level of agreement. A concordance study of this type needs to be done.</p></sec><sec id="s2-2"><title>Specific Comments</title><sec id="s2-2-1"><title>Major Comments</title><p>This should not be beyond the scope of the manuscript. Without this information, the manuscript is not high impact but low impact or a niche interest. I recommend you pursuing this recommendation.</p></sec></sec></sec></body><back><fn-group><fn fn-type="conflict"><p>None declared.</p></fn></fn-group><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>Patil</surname><given-names>R</given-names> </name><name name-style="western"><surname>Ashraf</surname><given-names>F</given-names> </name><name name-style="western"><surname>Abu Dayeh</surname><given-names>S</given-names> </name><name name-style="western"><surname>Prakash</surname><given-names>SK</given-names> </name></person-group><article-title>Development and Assessment of a Point-of-Care Application (Genomic Medicine Guidance) for Heritable Thoracic Aortic Disease</article-title><source>JMIRx Med</source><year>2024</year><volume>5</volume><fpage>e55903</fpage><pub-id pub-id-type="doi">10.2196/55903</pub-id></nlm-citation></ref></ref-list></back></article>