Moderate Prestige: Lags behind flagship journals like *Pain* or *The Journal of Pain* in terms of academic reputation.
Potential OA Bias: As a pay-to-publish model, it may raise concerns about publication quality control, although JPR is not classified as predatory.
Limited Transparency: Peer-review process details are not publicly disclosed (e.g., no open peer review).
Citation Quality Variability: Some published papers are cited frequently, but many receive few or no citations.
Risk of Editorial Drift: Rapid acceptance timelines could compromise methodological rigor in borderline submissions.