<?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">v6i1e79521</article-id><article-id pub-id-type="doi">10.2196/79521</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;Cardiotoxicity in Pediatric Cancer Survivorship: Retrospective Cohort Study&#x201D;</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Adhikari</surname><given-names>Archana</given-names></name><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff id="aff1"><institution>Sikkim Manipal University</institution><addr-line>Gangtok</addr-line><country>India</country></aff><contrib-group><contrib contrib-type="editor"><name name-style="western"><surname>Wu</surname><given-names>Fuqing</given-names></name></contrib></contrib-group><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>31</day><month>7</month><year>2025</year></pub-date><volume>6</volume><elocation-id>e79521</elocation-id><history><date date-type="received"><day>23</day><month>06</month><year>2025</year></date><date date-type="accepted"><day>23</day><month>06</month><year>2025</year></date></history><copyright-statement>&#x00A9; Archana Adhikari. Originally published in JMIRx Med (<ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org">https://med.jmirx.org</ext-link>), 31.7.2025. </copyright-statement><copyright-year>2025</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/2025/1/e79521"/><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.1101/2024.08.10.24311795v1" xlink:title="Preprint (biomedRxiv)" xlink:type="simple">https://www.medrxiv.org/content/10.1101/2024.08.10.24311795v1</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/79672" xlink:title="Authors' Response to Peer-Review Reports" xlink:type="simple">https://med.jmirx.org/2025/1/e79672</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/65299" xlink:title="Published Article" xlink:type="simple">https://med.jmirx.org/2025/1/e65299</related-article><abstract/><kwd-group><kwd>cardiotoxicity</kwd><kwd>cardiology</kwd><kwd>cardiovascular</kwd><kwd>heart</kwd><kwd>arrhythmias</kwd><kwd>self-reported questionnaires</kwd><kwd>oncology</kwd><kwd>survivors</kwd><kwd>pediatrics</kwd><kwd>prevalence</kwd><kwd>incidence</kwd><kwd>risk</kwd><kwd>epidemiology</kwd><kwd>anthracycline exposure</kwd><kwd>childhood cancer survivors</kwd></kwd-group></article-meta></front><body><p><italic>This is a peer-review report for &#x201C;Cardiotoxicity in Pediatric Cancer Survivorship: Retrospective Cohort 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>] gives valuable insights into cardiotoxicity in pediatric cancer survivorship: patterns, predictors, and implications for long-term care. The results and methodology are sound. However, some minor revisions would improve clarity and strengthen the overall impact of this paper. Below are my suggestions.</p></sec><sec id="s1-2"><title>Major Comments</title><list list-type="order"><list-item><p>Method section (study population and data source): In the Method section, specifically the fourth line, the description &#x201C;of 21 at one of 31 participating institutes&#x201D; is unclear. The sentence should be revised for better clarity.</p></list-item><list-item><p>Missing answer for seventh objective: The answer to the seventh objective is unclear.</p></list-item></list></sec><sec id="s1-3"><title>Minor Comments</title><list list-type="order"><list-item><p>Result presentation: It would be better if the results were presented in tabular format for easier comprehension. A table would help summarize the key findings and increase readability.</p></list-item><list-item><p>Clarity in results numbering: To improve clarity, it would be beneficial to present all the results with corresponding numbers, matching each result with the respective objective number for easier reference and alignment.</p></list-item></list></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>Mansoor</surname><given-names>M</given-names> </name><name name-style="western"><surname>Ibrahim</surname><given-names>A</given-names> </name></person-group><article-title>Cardiotoxicity in Pediatric Cancer Survivorship: Retrospective Cohort Study</article-title><source>JMIRx Med</source><year>2025</year><volume>6</volume><fpage>e65299</fpage><pub-id pub-id-type="doi">10.2196/65299</pub-id></nlm-citation></ref></ref-list></back></article>