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Article
Peer-Review Record

Classification Model for Diabetic Foot, Necrotizing Fasciitis, and Osteomyelitis

Biology 2022, 11(9), 1310; https://doi.org/10.3390/biology11091310
by Jiye Kim 1,†, Gilsung Yoo 2,†, Taesic Lee 3,4,5, Jeong Ho Kim 1, Dong Min Seo 6 and Juwon Kim 2,5,*
Reviewer 1: Anonymous
Reviewer 2: Anonymous
Biology 2022, 11(9), 1310; https://doi.org/10.3390/biology11091310
Submission received: 19 July 2022 / Revised: 31 August 2022 / Accepted: 1 September 2022 / Published: 3 September 2022
(This article belongs to the Section Medical Biology)

Round 1

Reviewer 1 Report

In this study, the authors proposed a classification model for diabetic foot, NF and OM in a retrospective observational study. Despite the limitations related to a retrospective observational study, they used proper methodology for and a large case series that answers the study question. The section on statistical analysis does not indicate the correct methodology used for step-wise regression. After clarification I believe the study can be approved.

 

 

Author Response

Please see the attachment.

Author Response File: Author Response.docx

Reviewer 2 Report

- Results need to be tested in a prospective multicenter trial to be approved for clinical practice as mentioned by the authors. 

- The contradiction with available scoring systems like the (LRINEC) scoring system, the significance of creatinine and HbA1c needs more explanation in the discussion section to clarify these paradoxical results.

- Need to explain the significance of the results for the necrotizing fasciitis group of patients considering the small number (76) of this group of patients.

- The necrotizing fasciitis selection criteria need to be mentioned properly.

-  No mention of any microbiological culture for encountered bacteria. 

- Amputation &/or death are significant outcome measures for diabetic foot infection, however, these results are not mentioned in the data sets.

 

Author Response

Please see the attachment.

Author Response File: Author Response.docx

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