• Chelsea M Hesterman, Christina L Szperka, and Dana P Turner.
• Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
• Headache. 2018 Nov 1; 58 (10): 1511-1518.

ObjectiveTo identify and characterize the reasons manuscripts are rejected after peer review from the journal Headache.BackgroundNumerous editorials, reviews, and research manuscripts have been published on the topic of manuscript rejection. However, few of these papers evaluate the reasons for rejection after peer review systematically. None are specific to the field of neurology or headache medicine.MethodsA retrospective analysis of all submissions to Headache from January 1, 2014 through December 31, 2016 was performed. Peer reviewer and editor comments for each manuscript were reviewed, and unlimited reasons for rejection were coded for each manuscript. Detailed reasons for rejection were then grouped into 9 broader categories.ResultsA total of 784 submissions were received from January 1, 2014 through December 31, 2016. Of those, 336 were immediately rejected and 434 went on to peer review. During this period, the overall rejection rate was 62.6% and the rejection rate after peer review was 35.7%. The 6 most common reasons for rejection after peer review were: flaws in methodology and study design, poor reporting of methodology, poor statistical analysis, overstatement of conclusions, problems with covariates or outcomes, and problems with the control or case group.ConclusionFlaws in methodology and study design were the most common reasons for rejection after peer review from Headache between 2014-2016.© 2018 American Headache Society.

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