Reviewer Evaluation Form
Surgical Research (SR)
Manuscript ID: _______________
Manuscript Title: _______________
Reviewer Name: _______________
Date of Review: _______________
Section A: Scientific Evaluation
Please rate the following on a scale of 1 (Poor) to 5 (Excellent), consistent with the criteria described in the Reviewer Guidelines:
| Criteria | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| Originality and novelty of the research | ☐ | ☐ | ☐ | ☐ | ☐ |
| Scientific soundness of surgical methodology or technique | ☐ | ☐ | ☐ | ☐ | ☐ |
| Appropriateness of study design | ☐ | ☐ | ☐ | ☐ | ☐ |
| Clarity and quality of data/imaging presentation | ☐ | ☐ | ☐ | ☐ | ☐ |
| Validity of conclusions based on results | ☐ | ☐ | ☐ | ☐ | ☐ |
| Quality and relevance of cited literature | ☐ | ☐ | ☐ | ☐ | ☐ |
| Overall clarity and quality of writing | ☐ | ☐ | ☐ | ☐ | ☐ |
Section B: Ethical Compliance
Per the journal's Ethical Approvals & Human/Animal Rights policy:
- Does the manuscript include appropriate ethical approval documentation (where applicable)? ☐ Yes ☐ No ☐ Not Applicable
- Is patient consent for identifiable images/case details adequately documented (where applicable)? ☐ Yes ☐ No ☐ Not Applicable
- Are conflicts of interest, including device manufacturer relationships, appropriately disclosed, per the Conflict of Interest Policy? ☐ Yes ☐ No
Section C: Detailed Comments
Comments to the Author (will be shared with the author):
Confidential Comments to the Editor (will not be shared with the author):
Section D: Recommendation
☐ Accept
☐ Minor Revision Required
☐ Major Revision Required
☐ Reject
Reviewer Declaration
☐ I confirm I have no conflict of interest in reviewing this manuscript, or any conflict has been disclosed to the editorial office, per the Conflict of Interest Policy.
☐ I confirm I will maintain the confidentiality of this manuscript throughout and after the review process, per the Reviewer Guidelines.
Reviewer Signature / Date: _______________