<?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">v6i1e83476</article-id><article-id pub-id-type="doi">10.2196/83476</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;Real-World Performance of COVID-19 Antigen Tests: Predictive Modeling and Laboratory-Based Validation&#x201D;</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>de Puig</surname><given-names>Helena</given-names></name><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff id="aff1"><institution>Wyss Institute for Biologically Inspired Engineering, Harvard University</institution><addr-line>Boston</addr-line><addr-line>MA</addr-line><country>United States</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>6</day><month>10</month><year>2025</year></pub-date><volume>6</volume><elocation-id>e83476</elocation-id><history><date date-type="received"><day>03</day><month>09</month><year>2025</year></date><date date-type="accepted"><day>03</day><month>09</month><year>2025</year></date></history><copyright-statement>&#x00A9; Helena de Puig. Originally published in JMIRx Med (<ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org">https://med.jmirx.org</ext-link>), 6.10.2025. </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/e83476"/><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.1101/2024.10.21.24315762v1" xlink:title="Preprint (medRxiv)" xlink:type="simple">https://www.medrxiv.org/content/10.1101/2024.10.21.24315762v1</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/83474" xlink:title="Authors' Response to Peer-Review Reports" xlink:type="simple">https://med.jmirx.org/2025/1/e83474</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/68376" xlink:title="Published Article" xlink:type="simple">https://med.jmirx.org/2025/1/e68376</related-article><kwd-group><kwd>COVID-19</kwd><kwd>real-world data</kwd><kwd>limit of detection lateral flow test</kwd><kwd>probability of positive agreement</kwd><kwd>logistic regression</kwd><kwd>COVID-19 antigen test clinical performance</kwd></kwd-group></article-meta></front><body><p><italic>This is a peer-review report for &#x201C;Real-World Performance of COVID-19 Antigen Tests: Predictive Modeling and Laboratory-Based Validation.&#x201D;</italic></p><sec id="s2"><title>Round 1 Review</title><p>This is a good paper [<xref ref-type="bibr" rid="ref1">1</xref>] that models the performance of antigen tests.</p><sec id="s1-1"><title>Minor Comments</title><list list-type="order"><list-item><p>It would be good to include a schematic/analysis/methods and an image of how the lateral flow assays look and how test band intensities are obtained. Was that done with ImageJ?</p></list-item><list-item><p>An interesting aspect of the paper is the comparison between trained eye versus user of lateral flow assays (Figure 5). I think that adding a paragraph about the conclusions from that figure might be good in the Discussion section.</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>Bosch</surname><given-names>M</given-names> </name><name name-style="western"><surname>Garcia</surname><given-names>D</given-names> </name><name name-style="western"><surname>Rudtner</surname><given-names>L</given-names> </name><etal/></person-group><article-title>Real-world performance of COVID-19 antigen tests: predictive modeling and laboratory-based validation</article-title><source>JMIRx Med</source><year>2025</year><volume>6</volume><fpage>e68376</fpage><pub-id pub-id-type="doi">10.2196/68376</pub-id></nlm-citation></ref></ref-list></back></article>