Title: Development of Nomogram model based on LASSO-Logistic regression for predicting
postoperative undernutrition to complex anorectal malformation: a pilot exploratory study
Version: 2 Date: 17 Jun 2025
Reviewer's report:
I have to say I do not recognize this problem (undernutrition after correction of ARM) in the
European practice but your study is well designed and well written. I suggest publication, maybe
it will help other countries to consider undernutrition as an important pre-operative aspect of
ARM care.
Here my minor revisions:
Please add how many patients developed postoperative complications like wound infection,
wound dehiscence, intestinal obstruction. Were these factors related to undernutrition? Did you
consider this in your analysis?
Is there any patient who was put on enteral feeding postoperative?  for instance due to intestinal
complications?
Did you have patients who developed major intestinal problems during the follow-up which can
have influenced the nutritional status? if so please specify
Title: Development of Nomogram model based on LASSO-Logistic regression for predicting
postoperative undernutrition to complex anorectal malformation: a pilot exploratory study
Version: 2 Date: 17 Jun 2025
Reviewer's report:
I have to say I do not recognize this problem (undernutrition after correction of ARM) in the
European practice but your study is well designed and well written. I suggest publication, maybe
it will help other countries to consider undernutrition as an important pre-operative aspect of
ARM care.
Here my minor revisions:
Please add how many patients developed postoperative complications like wound infection,
wound dehiscence, intestinal obstruction. Were these factors related to undernutrition? Did you
consider this in your analysis?
Is there any patient who was put on enteral feeding postoperative?  for instance due to intestinal
complications?
Did you have patients who developed major intestinal problems during the follow-up which can
have influenced the nutritional status? if so please specify
Please review this paper.
user
Title: Development of Nomogram model based on LASSO-Logistic regression for predicting
postoperative undernutrition to complex anorectal malformation: a pilot exploratory study
Version: 2 Date: 17 Jun 2025
Reviewer's report:
I have to say I do not recognize this problem (undernutrition after correction of ARM) in the
European practice but your study is well designed and well written. I suggest publication, maybe
it will help other countries to consider undernutrition as an important pre-operative aspect of
ARM care.
Here my minor revisions:
Please add how many patients developed postoperative complications like wound infection,
wound dehiscence, intestinal obstruction. Were these factors related to undernutrition? Did you
consider this in your analysis?
Is there any patient who was put on enteral feeding postoperative?  for instance due to intestinal
complications?
Did you have patients who developed major intestinal problems during the follow-up which can
have influenced the nutritional status? if so please specify
assistant