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: _______________