====== Peer review challenges ====== Challenges of the [[peer review]] process are: 1. The increasing need for [[reviewer]]s due to an increasing number of peer-review requests, because promotions are obtained based on the number of publications or “publish or perish” syndrome and due to various online and hard copy publishers ((Shen C, Björk BC: ‘Predatory’ open access: a longitudinal study of article volumes and market characteristics. BMC Med 13:230, 2015)). 2. Increasing demands from the reviewers primary jobs, related to clinical demands, financial constraints, or more time spent on their research program. 3. Heterogeneous [[quality]] of reviews and different methods used to analyze the manuscript, sometimes because of insufficient training ((Bourne PE, Korngreen A: Ten simple rules for reviewers. PLOS Comput Biol 2:e110, 2006)) ((Hak DJ, Giannoudis P, Mauffrey C: Increasing challenges for an effective peer-review process. Eur J Orthop Surg Traumatol 26:117–118, 2016)).