Dur. 1st rev. rnd
Tot. handling time
Imm. rejection time
Num. rev. reports
Report quality
Overall rating
Outcome
Year
14.4 weeks
25.7 weeks
n/a
1 reports
1
0
Rejected
2023
Motivation: 1- You don't have to spend half a year of your life and of the authors' life to reject their work, you sent your comments and reviews 3 different times, which could be done at the same time.
The first time you asked me about some clinical details which I have done.
The second time you asked to change the title, update references and do some format changes, which I did.
The last time: commenting on the abstract and rejecting my work.
All of that could have been done the first time, no need to waste your time, as such mine.

2- THE IMPORTANT point is the cause of your rejection: You angrily mentioned that the author is refusing to make changes which is previously suggested about updating the references and the maximum is 4 references more than 5 years. You really look like you didn't review my edited article well, as I sent you the file with only 3 references dated more than 5 years.

3- The last reviewers' comments carry a poor professional manner and bad communication:
You could reject my work but still, talk in a nice way using supportive sentences that encourage me to submit another work to your journal later on.
You have used a lot of abbreviations and had a quick judgment about the cause that you used to reject my work.

4- I am not sure I am the only one to be treated in such a manner by your journal reviewers. Still, I do suggest carrying out an audit, or a quality improvement project, involving most of the work submitted to your journal and doing a root cause analysis about the outcomes, the reviews, the times of reviewers' comments, and the timeline till the decision. I am sure if you do that, and are dedicated to improving your journal performance, I am sure this will improve your journal H INDEX.

5- Finally, I wish you all the best and look forward to submitting new work with you soon.