Title: Construction and Validation of a Predictive Model for the Return to Work of Patients
with Permanent Colorectal Stoma: a cross-sectional study
Version: 1 Date: 18 Jul 2024
Reviewer:  Chun Hin Angus Lee
Reviewer's report:
Thank you for the opportunity for me to review this article which proposed a predictive model
incorporating two validated scores (ostomy acceptance and psychosocial adaptation) for return
to work after having colorectal surgery with permanent ostomy in China.
Comments:
1. Selection criteria for colorectal cancer in terms of type and stage were not clear in methodoloy .
For clarify I would suggest to include colon vs rectum; distance from anal verge in rectal cancer;
use of neoadjuvant therapy should be included
2. Household income : in Chinese currency I assume?
3. Complementary therapy:  is this alternative medicine or adjuvant therapy for cancer?
4. Definition for stomal complications should be included in methodology
5. Definition of nature of work should be included. Is it based on previous study?
6. Can author explain why there was such high rate of permanent stoma despite most people
had early stage colorectal cancer?  How many of those were low recall cancer involving anal
sphincter ? How many were permanent ileostomy ?
7. Definition of return to work : does it imply return to pre-existing occupation ? how about
transiting to new occupation  ?
Minor:
1. There were several punctuation errors: extra space after hyphenation; no space after semicolon
etc.
Please spell check
Overall I found this study quite interesting. I applauded the authors’ effort in identity factors that
have impacting on social aspect of patients with permanent stoma which is often overlooked.
Due to patients demographic, the validated tool may not be applicable in other countries.
Title: Construction and Validation of a Predictive Model for the Return to Work of Patients
with Permanent Colorectal Stoma: a cross-sectional study
Version: 1 Date: 18 Jul 2024
Reviewer:  Chun Hin Angus Lee
Reviewer's report:
Thank you for the opportunity for me to review this article which proposed a predictive model
incorporating two validated scores (ostomy acceptance and psychosocial adaptation) for return
to work after having colorectal surgery with permanent ostomy in China.
Comments:
1. Selection criteria for colorectal cancer in terms of type and stage were not clear in methodoloy .
For clarify I would suggest to include colon vs rectum; distance from anal verge in rectal cancer;
use of neoadjuvant therapy should be included
2. Household income : in Chinese currency I assume?
3. Complementary therapy:  is this alternative medicine or adjuvant therapy for cancer?
4. Definition for stomal complications should be included in methodology
5. Definition of nature of work should be included. Is it based on previous study?
6. Can author explain why there was such high rate of permanent stoma despite most people
had early stage colorectal cancer?  How many of those were low recall cancer involving anal
sphincter ? How many were permanent ileostomy ?
7. Definition of return to work : does it imply return to pre-existing occupation ? how about
transiting to new occupation  ?
Minor:
1. There were several punctuation errors: extra space after hyphenation; no space after semicolon
etc.
Please spell check
Overall I found this study quite interesting. I applauded the authors’ effort in identity factors that
have impacting on social aspect of patients with permanent stoma which is often overlooked.
Due to patients demographic, the validated tool may not be applicable in other countries.
Please review this paper.
user
Title: Construction and Validation of a Predictive Model for the Return to Work of Patients
with Permanent Colorectal Stoma: a cross-sectional study
Version: 1 Date: 18 Jul 2024
Reviewer:  Chun Hin Angus Lee
Reviewer's report:
Thank you for the opportunity for me to review this article which proposed a predictive model
incorporating two validated scores (ostomy acceptance and psychosocial adaptation) for return
to work after having colorectal surgery with permanent ostomy in China.
Comments:
1. Selection criteria for colorectal cancer in terms of type and stage were not clear in methodoloy .
For clarify I would suggest to include colon vs rectum; distance from anal verge in rectal cancer;
use of neoadjuvant therapy should be included
2. Household income : in Chinese currency I assume?
3. Complementary therapy:  is this alternative medicine or adjuvant therapy for cancer?
4. Definition for stomal complications should be included in methodology
5. Definition of nature of work should be included. Is it based on previous study?
6. Can author explain why there was such high rate of permanent stoma despite most people
had early stage colorectal cancer?  How many of those were low recall cancer involving anal
sphincter ? How many were permanent ileostomy ?
7. Definition of return to work : does it imply return to pre-existing occupation ? how about
transiting to new occupation  ?
Minor:
1. There were several punctuation errors: extra space after hyphenation; no space after semicolon
etc.
Please spell check
Overall I found this study quite interesting. I applauded the authors’ effort in identity factors that
have impacting on social aspect of patients with permanent stoma which is often overlooked.
Due to patients demographic, the validated tool may not be applicable in other countries.
assistant