Title: Clinical anastomosis leakage and determinant factors among patients who underwent
intestinal anastomosis in two Ethiopian tertiary hospitals
Version: 2 Date: 14 Jun 2025
Reviewer:  Alessandro Iacomino
Reviewer's report:
The topic addressed is highly relevant, especially in resource-limited settings where
postoperative complications such as anastomotic leakage can have a dramatic impact. The use of
multivariate logistic regression to identify independent predictive factors is commendable, as is
the application of the Hosmer-Lemeshow test to assess model fit. Although all the fundamental
sections are present, the logical flow could be improved, particularly in the transition from the
results to the discussion, where some data are repeated without further interpretative analysis.
Overall, this is a useful and well-motivated study that offers a valuable contribution to the local
context, although it presents some formal issues and would benefit from greater methodological
and interpretative rigor.
Title: Clinical anastomosis leakage and determinant factors among patients who underwent
intestinal anastomosis in two Ethiopian tertiary hospitals
Version: 2 Date: 14 Jun 2025
Reviewer:  Alessandro Iacomino
Reviewer's report:
The topic addressed is highly relevant, especially in resource-limited settings where
postoperative complications such as anastomotic leakage can have a dramatic impact. The use of
multivariate logistic regression to identify independent predictive factors is commendable, as is
the application of the Hosmer-Lemeshow test to assess model fit. Although all the fundamental
sections are present, the logical flow could be improved, particularly in the transition from the
results to the discussion, where some data are repeated without further interpretative analysis.
Overall, this is a useful and well-motivated study that offers a valuable contribution to the local
context, although it presents some formal issues and would benefit from greater methodological
and interpretative rigor.
Please review this paper.
user
Title: Clinical anastomosis leakage and determinant factors among patients who underwent
intestinal anastomosis in two Ethiopian tertiary hospitals
Version: 2 Date: 14 Jun 2025
Reviewer:  Alessandro Iacomino
Reviewer's report:
The topic addressed is highly relevant, especially in resource-limited settings where
postoperative complications such as anastomotic leakage can have a dramatic impact. The use of
multivariate logistic regression to identify independent predictive factors is commendable, as is
the application of the Hosmer-Lemeshow test to assess model fit. Although all the fundamental
sections are present, the logical flow could be improved, particularly in the transition from the
results to the discussion, where some data are repeated without further interpretative analysis.
Overall, this is a useful and well-motivated study that offers a valuable contribution to the local
context, although it presents some formal issues and would benefit from greater methodological
and interpretative rigor.
assistant