It has been almost 4 months under review, I have sent an email inquiry but received a very official reply without any status update. I would like to ask how long everyone has been under review.

(0) Thank | 白龙77

The minor revisions in the first review were accepted and the manuscript was directly accepted after revision. Overall, the submission process went smoothly. There were no multiple rounds of revisions as mentioned online, leading to direct rejection.

(1) Thank | 核弹发射井

That's right, if the direction is not suitable, you should reject the editing review, and then reject it again for this reason when it is returned for revision. It is indeed a waste of half a year.

(0) Thank | 萧锦铉

Did you experience any continuous changes in WE and DIP at that time?

(0) Thank | Yun888

Update
2.23 RRC
Then UR
3.11 RRC
Major revisions requested 20 minutes later
3.23 Revision submitted
Format issues raised on the same day and sent back
3.24 Submitted, with editor on the same day
UR on 3.25
4.2 RRC
With editor 20 minutes later
Decision in process on the same day
With editor again over an hour later
4.4 Consulted the editorial team today and learned that the final decision will be made by the EIC (with EIC for final decision)
Requesting acceptance.

(0) Thank | Yun888

No reason for rejection...just a direct rejection, claiming that the reviewer's opinion is not final.

(0) Thank | oopd1

It all depends on the editor's mood, the opinions of the reviewers are irrelevant. What's funny is that even if the reviewers are satisfied, if the editor is not, that cannot be used as a reason for revision. Reviewers' satisfactory comments. Submit - minor revisions - reject. It's a waste of six months for nothing.

(0) Thank | oopd1

Zhuhongyi should be sent to the Sixth Hospital.

(0) Thank | 骨科带锤侍卫ri

Currently, it is not recommended to submit manuscripts, as all articles are being sent for external review. Submitted in October 2024, revised three times, rejected in March 2025. If it doesn't work out, there's actually no need to submit for review, or if rejected on the first review, it's likely that all subsequent reviews will also result in rejection. I see many comments in the section sharing similar experiences as mine. For graduate students, half a year is too valuable to waste.

(0) Thank | NS--GU

In this journal, as long as your paper passes the technical review, it can be sent for external review without any additional editorial review. After it comes back, the editors will only slightly review your paper and may not consider the reviewers' feedback much.

(0) Thank | zdj2003

Is this magazine sending all submissions for review? I just submitted my manuscript and it was under review in less than a minute. What is going on?

(2) Thank | 小蜗牛

May I ask how to tell who rejected it? I can only see the name of the editor in the rejection email.

(0) Thank | cane

In the same situation, sending an email also resulted in a template reply. How can I file an appeal?

(0) Thank | cane

Update status
2.23 RRC
2.24 switched back to UR again
Is this because of conflicting opinions?

(0) Thank | Yun888

After more than a month of review, the opinions of the three reviewers were all different, but they were all gentle in tone and did not show any tendency towards rejection. However, the editor directly rejected the submission.

(0) Thank | 方格

This is the first time encountering such a journal, and the comments from netizens are all the same: ① The reviewers are changed with each round of revisions; ② The final decision on acceptance is not necessarily based on the reviewers' opinions; ③ The reasons for rejection could have been raised during the initial review, instead of wasting months of time; ④ It is mandatory to cite the journal's literature; ⑤ It is recommended that comrades remove those mandatory citations when submitting again.

(0) Thank | 为何倪敏

Submitted on May 2, 2024, received positive feedback from all reviewers in the first round of review within 10 weeks. After minor revisions, all submissions were accepted in the second round of review, except for one minor issue that needed clarification. The revised manuscript was quickly resubmitted and surprisingly sent for a third round of external review, with a new reviewer. Fortunately, all reviewers agreed to accept the manuscript. The editor held onto the manuscript for 20 days without providing any reasons for rejection, prompting a template response to the appeal. It has been an exciting journey, taking 9 months, and complaints have been lodged with the editor-in-chief, the editorial board, and the publisher. I sincerely advise caution when submitting manuscripts. The rating dropped from 9 this year to 4 or 5 next year.

(1) Thank | JustinJinZhang

Could you please advise on how to determine if the manuscript has been accepted for review? Is email the only way to do so? Every time I send an email, I receive a template reply. Thank you very much!
Updated on 1.23, status is still UR.

(0) Thank | Yun888

Six reviewers all agreed to publish after major revisions, but the editor rejected the paper, claiming that the reviewers' opinions were not decisive. What's the point of submitting for review then? This kind of journal should be avoided and submissions should be made carefully to avoid wasting six months of time.

(0) Thank | longing

The paper was submitted on 19th August 2024 and was also reviewed by more than 10 reviewers. After 5 months and 2 rounds of revisions, feedback was received from 5-6 reviewers. However, it was ultimately rejected on 21st January 2025. The problems encountered were similar to those faced by others - while some reviewers thought it was acceptable, the editor disagreed. Therefore, it is advised to be cautious when submitting papers to avoid wasting everyone's time. Blacklist.

(0) Thank | paradisal

How many days does the reviewer generally take to review the manuscript?

(0) Thank | jeop123

This is a reminder that no reviewers have been found, so we have sent out invitations again.

(0) Thank | jeop123

1.5 Submission
1.5 Requests to add information, modify statements, etc., are modified four times, and each upload is processed within a few hours.
1.6 Formal submission, with a reference number assigned.
1.7 Under review
1.15 Under review, but the time is refreshed.

The EM system sends emails inquiring about the progress of the manuscript review. Currently, how many reviewers have agreed to review or are reviewing the manuscript is indicated in the template response "the status is UR, a decision will be made at an appropriate time." I would like to ask how long the review process generally takes. What does it mean when the UR status remains the same but the time changes?

(0) Thank | YunQue0

How do you determine whether the reviewer's opinion is to reject or revise, or do you make a judgment based on the reviewer's comments?

(0) Thank | paradisal

Do retrospective clinical surgical case studies require research registration?

(0) Thank | lxcmail8