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Article Quality Tracking
Bhattacharya K. International guidelines for groin hernia management: Do they have a vested interest? World J Surg Proced 2026; 16(2): 124162 [DOI: 10.5412/wjsp.124162]
Reviewer's ID:
02948135
Submitted on:
September 16, 2026, 07:35
Peer-Review:
Anonymous
Reviewer's Country:
United Kingdom
Conflicts-of-interest statement

Reviewers should recognize, acknowledge and disclose any potential conflict of interest that may include (but not be limited) to the following, and inform the editorial office immediately upon discovery of any conflict of interest, stopping if the article review process is underway.

Close personal and/or professional relationship with the author(s); submitted similar or competing manuscripts to BPG or other journals; studied together with the author(s) and/or has former student, resident, fellow, mentor or family relative relationship; and have had in last 5 years collaboration or common grants and/or publications or financial interest with the authors?
Criteria for Article Quality Tracking-Peer-Review

The mission of BPG is to comply with publishing ethics/standards established by the industry and to publish high quality articles. In addition, we strive to make a strict peer-review of each article submitted, and tracking the scientific quality of each is the mission of the editorial board members and/or peer-reviewers.

The following evaluation points are for editorial board members and/or peer-reviewers’ reference only in evaluating an article:

1 Ethics: Does the ethical approval form provided by the author meet the requirements?

2 Methods: Is the experimental method effective? Can it be repeated by fellow researchers (according to adequate textual/citation content presented)?

3 Results: Are the results true and authentic? Is the theory or hypothesis of universal significance validated or partially validated?

4 Figures and tables: Does the author provide perfect tables, line charts and/or graphs? Or, does the author provide figures and tables that are confusing, poorly constructed and/or not well-annotated?

5 Biostatistics: Does the author provide perfect biostatistics data? Or, does the author provide tables and line charts that have mistakes in the data?

6 References: Does the author scientifically and reasonably cite the latest references which are important in this field and related to the scientific problems and research hypotheses addressed in the study? Or, does the author self-cite, omit, mis-cite and/or over-cite references?

7 Language: Does the language in article correctly, clearly and concisely express the information? Or, does the article have multiple grammatical and spelling mistakes?

8 Caveats or drawbacks: What are the caveats or drawbacks for the results?

Comments to Authors
Please make a specific and meaningful evaluation on the objectivity, credibility and scientific quality of the article according to above listed criteria. Please identify which issues have been resolved by the author and which not, what problems still exist, and which method the author intends to adopt to solve the problem in the next step, etc. Your high quality conclusion will also be advantageous for the author’s efforts in conducting future research, will contribute to raising the reader’s interest, and will promote discipline development. Please fill in your detailed comments to authors at below:
The title “Do they have a vested interest?” implies a conclusion of conflict or bias; the manuscript should use more neutral wording unless systematic evidence demonstrates that the guideline recommendations were actually influenced by financial interests. The authors should clearly distinguish declared industry relationships from demonstrated industry influence on recommendations. A financial conflict of interest does not, by itself, establish that a guideline is biased. Statements such as “these guidelines will always promote the hernia industry”, “guidelines are meaningless and industry-friendly,” and “industry funding may likely lead to less transparent clinical results” are overly categorical and should be supported by direct evidence or appropriately qualified. The manuscript should provide a systematic assessment of the HerniaSurge panel's individual conflicts of interest, including the type, magnitude, timing, and relevance of each relationship, rather than making broad statements about “most panel members.” The claim that industry funding was accepted for the guideline process should be documented with precise evidence, including the source and amount/type of funding, and clarification of whether industry had any role in evidence synthesis or recommendation formulation. The article should more carefully distinguish guideline recommendations from the authors' interpretation of those recommendations. In particular, claims that the guidelines “promote” mesh or minimally invasive surgery require direct comparison with the actual guideline recommendations. The discussion of mesh versus non-mesh repair is potentially unbalanced. The authors should acknowledge evidence supporting mesh repair, including recurrence reduction, while separately discussing chronic pain, mesh-related complications, and patient preferences. The statement that “clear-cut, hard-core level 1 evidence for the best groin hernia technique is still elusive” should be clarified because evidence may support different techniques for different patient groups; absence of a single universally superior technique is not equivalent to absence of high-quality evidence. The table comparing open, laparoscopic, and robotic repair is useful but oversimplified. Important outcomes such as recurrence, chronic pain, quality of life, complications, learning curve, and long-term follow-up should be supported by references. The assertion that robotic repair has “no proven superiority in major clinical outcomes” should be referenced to contemporary comparative evidence and should distinguish lack of demonstrated superiority from evidence demonstrating equivalence. The discussion of cost should incorporate healthcare-system differences and ideally include formal health-economic evidence rather than general statements about operative costs. The manuscript would benefit from explicitly acknowledging limitations of its own methodology. It appears to be a narrative/opinion-based critique rather than a systematic review, yet some conclusions are presented as established facts. Several quotations from Bendavid and other sources are rhetorically strong and may give the article an advocacy/opinion-piece character. The authors should ensure that these quotations are balanced by contemporary, objective evidence. The authors should discuss the 2023 HerniaSurge update in greater detail, including how its methodology addressed conflicts of interest, evidence grading, patient preferences, and multidisciplinary participation. Rather than concluding that current guidelines are “meaningless,” the authors could make a more scientifically defensible argument that guidelines should be continuously evaluated for transparency, independence, methodological rigor, and applicability to different patient populations. Overall critique The manuscript has a relevant and worthwhile subject, but its credibility would improve substantially with a more systematic and balanced evaluation of the HerniaSurge guidelines. The authors should replace allegations and categorical language with documented evidence, quantified conflict-of-interest analysis, transparent methodology, and appropriately cautious conclusions. The central argument—that guideline development should maximize independence, transparency, patient involvement, and rigorous evidence appraisal—is reasonable, but it should be separated clearly from claims that existing HerniaSurge recommendations are actually the product of industry influenc
Author Awards
1 Award aims: To praise the authors who have made outstanding contributions by publishing original and innovative Basic study, Clinical study, Case report and/or Review in any of the 43 open-access publications of BPG. Their publications represent meaningful contributions towards promoting the ability of readers to get the latest research results and towards the development of medical science. To thank such authors for their contributions, we have set up the ‘Baishideng Distinguished Award’ to track the quality of articles and award the corresponding authors.

2 Selection methods: Editorial board members will track the quality of the published articles in each issue, so that they can recognize excellent articles and categorize them for recommendation. Then, the annual Baishideng Distinguished Award winners will be selected according to the recommendation categories and the academic influence of the articles. The indexes for academic influence of the articles involves the number of citations, clicks and downloads the paper received.

3 Number of awards: Among articles published in the 43 journals of BPG, 12 total articles (3 Reviews, 3 Basic studies, 3 Clinical studies and 3 Case reports) will be recognized and their authors awarded.

4 Award amounts: The first prize will be 5000 USD. The second prize will be 3000 USD. The third prize will be 2000 USD. In addition, each winner will be presented an official certificate for their Baishideng Distinguished Award.

5 List of winners: The list of Baishideng Distinguished Award winners will be announced on the official BPG website.
Editorial board members and/or peer-reviewers should categorize articles according to the following recommendation categories, with consideration to results of the Track Article Quality assessment to identify excellent articles: