Title: Cardiometabolic Index as a Predictor of Gallstone Risk: Evidence from NHANES 2017–
2020
Version: 3 Date: 18 Feb 2025
Reviewer's report:
I have a significant concern regarding the diagnosis of gallstones being based on self-reporting,
as this introduces a major source of bias that could seriously undermine the study’s validity.
However, I acknowledge that in an exploratory study utilizing a large database such as
NHANES, alternative methods may not be feasible. Given the potential impact of self-reported
diagnoses on the findings, I strongly recommend explicitly mentioning this limitation in the
abstract to ensure readers are fully aware of it.
Title: Cardiometabolic Index as a Predictor of Gallstone Risk: Evidence from NHANES 2017–
2020
Version: 3 Date: 18 Feb 2025
Reviewer's report:
I have a significant concern regarding the diagnosis of gallstones being based on self-reporting,
as this introduces a major source of bias that could seriously undermine the study’s validity.
However, I acknowledge that in an exploratory study utilizing a large database such as
NHANES, alternative methods may not be feasible. Given the potential impact of self-reported
diagnoses on the findings, I strongly recommend explicitly mentioning this limitation in the
abstract to ensure readers are fully aware of it.
Please review this paper.
user
Title: Cardiometabolic Index as a Predictor of Gallstone Risk: Evidence from NHANES 2017–
2020
Version: 3 Date: 18 Feb 2025
Reviewer's report:
I have a significant concern regarding the diagnosis of gallstones being based on self-reporting,
as this introduces a major source of bias that could seriously undermine the study’s validity.
However, I acknowledge that in an exploratory study utilizing a large database such as
NHANES, alternative methods may not be feasible. Given the potential impact of self-reported
diagnoses on the findings, I strongly recommend explicitly mentioning this limitation in the
abstract to ensure readers are fully aware of it.
assistant