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Research Article | DOI: https://doi.org/10.31579/2690-1919/556
1Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria
2Department of Obstetrics and Gynaecology, Rhema University Teaching Hospital, Aba, Nigeria.
*Corresponding Author: Emmanuel M. Akwuruoha, Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria.
Citation: Emmanuel M. Akwuruoha, Chisara C. Umezurike, (2025), Prevalence, Knowledge and Factors Associated with Uterine Fibroids Among Women Attending Abia State University Teaching Hospital, Nigeria, J Clinical Research and Reports, 20(3); DOI:10.31579/2690-1919/556
Copyright: © 2025, Emmanuel M. Akwuruoha. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 24 June 2025 | Accepted: 04 July 2025 | Published: 18 July 2025
Keywords: uterine fibroids; prevalence; risk factors; women’s health; ultrasonography
Background: Uterine fibroids are common benign tumors of the female reproductive tract that contribute significantly to gynecological morbidity worldwide. Despite their high prevalence, gaps persist in awareness and understanding of risk factors among women in developing countries, including Nigeria. This study assessed the prevalence, knowledge, and associated factors with uterine fibroids among women attending the Abia State University Teaching Hospital (ABSUTH), Aba.
Methods: A descriptive cross-sectional study was conducted among 340 women aged 15–49 years at the gynecology and radiology units of ABSUTH between February and May 2025. Participants were selected using systematic random sampling. Data collection involved a pretested interviewer-administered questionnaire and pelvic ultrasonography. Descriptive statistics were computed, while chi-square tests and logistic regression were used to identify factors associated with fibroid occurrence. Significance was set at p < 0.05.
Results: The prevalence of uterine fibroids was 26.92%. Most respondents had good (43.12%) or fair (34.56%) knowledge of fibroids. Significant associations were found between fibroid presence and age group (p = 0.005), parity (p = 0.027), BMI (p = 0.002), contraceptive use (p = 0.020), family history of fibroids (p < 0.001), and knowledge level (p = 0.035). Pearson correlation revealed weak but significant relationships between knowledge score and variables such as age (r = -0.162, p = 0.003) and BMI (r = 0.124, p = 0.022).
Conclusion: Uterine fibroids are prevalent among women at ABSUTH, with many demonstrating suboptimal knowledge. Key determinants include age, parity, BMI, contraceptive use, family history, and level of knowledge. Targeted health education and early screening are essential to improve awareness and reduce fibroid-related complications.
Uterine fibroids (also known as leiomyomas) are benign smooth-muscle tumours arising within the uterus. Globally, they affect approximately 20% to 80% of women by the age of fifty, with estimates around 171 million women impacted as of 2013 [1]. In women of African descent, including Nigerians, both prevalence and symptom severity are disproportionately higher, making them a major public health concern [1].
Among Nigerian women in particular, facility‑based studies have documented consistently high prevalence rates. A comprehensive transvaginal ultrasound population-based study reported a fibroid prevalence of 45% in a cohort of Nigerian women [2]. These findings align with other Nigerian tertiary centre reviews. Research from Ebonyi and Nnewi revealed that fibroids constituted 13.6% of gynecological admissions, with common presentations including infertility, abdominal mass, menstrual abnormalities, pain, and anaemia leading most often to surgical interventions such as myomectomy [3]. Nationally, studies suggest even higher rates: symptomatic fibroids account for a large proportion of gynecological admissions and surgical interventions, with hospital-based prevalence ranging from 20% to nearly 30% in tertiary institutions [4]. Such high rates may reflect both the true burden and the tendency for late presentations when complications are more severe.
Clinically significant fibroids present with a spectrum of symptoms including menorrhagia, pelvic pain or pressure, abdominal mass, urinary frequency, constipation, and reproductive issues such as subfertility and miscarriage [5]. Nigerian women typically present late, often with large tumors, increasing their risk of surgical complications and leading to more invasive interventions such as abdominal myomectomy or hysterectomy [6]. Beyond prevalence and clinical presentation, several socio‑demographic and reproductive factors have been implicated. Nulliparity, obesity, positive family history, late menarche, early menarche, and high parity show significant associations with increased fibroid risk [5]. Studies in Uganda, for example, reported increased risk in women aged 31–50 years, those overweight or obese and with marital separation, while delayed menarche had a protective effect [7].
Understanding and awareness of fibroids are uneven. In Lagos, almost all women diagnosed with fibroids had heard of the condition, but misconceptions were common: many believed fibroids were spiritual in origin, hereditary, or linked to being nulliparous, with a substantial number delaying hospital consultation due to fear of surgery or preference for spiritual healing [5]. This aligns with broader reports in Nigeria citing low disease knowledge, cultural stigmas, misinformation, and low health literacy as barriers to early diagnosis and management [8,9]. Risk factors identified among Nigerian women include age over 30, nulliparity, obesity, hypertension, family history, diets high in red meat and low in fruits and vegetables, vitamin D deficiency, and hormonal imbalances [10]. While surgical management remains the principal treatment modality due to limited access to less invasive options such as uterine artery embolization or hormonal therapies, growing evidence highlights the substantial negative impact fibroids have on women’s health-related quality of life. Up to 70% of treated women report major improvements in symptoms and well-being following myomectomy [11].
In addition to biological risk factors, knowledge and perception of fibroids influence health-seeking behaviour in Nigeria. A Lagos study found that although most women had heard of fibroids and understood some risk factors like obesity, two-thirds believed fibroids to have spiritual causes. This belief led to spiritual help-seeking behaviors before consulting healthcare providers [5]. Furthermore, limited health literacy, cultural stigma surrounding gynecological diseases, and poor healthcare access reinforce late presentation, which often necessitates surgical management [12,13]. Despite the burden, research on awareness or knowledge among patients remains comparatively sparse in Abia State. Most existing studies focus on prevalence and clinical patterns, leaving a gap in understanding women's knowledge, perceptions, and associated factors in ABSUTH. Such insights are crucial, as they directly affect timing of presentation, treatment choices, and outcomes. This study aims to fill critical knowledge gaps by assessing prevalence, awareness, and associated factors of uterine fibroids among women in Abia State.
Study Design
This study adopted a descriptive cross-sectional design aimed at determining the prevalence, knowledge, and associated factors of uterine fibroids among women attending Abia State University Teaching Hospital (ABSUTH), Aba, Nigeria. The design was appropriate for capturing data from a defined population at a specific point in time, enabling the assessment of both disease occurrence and associated risk factors simultaneously.
Study Area
The study was conducted at the Gynecology Clinic and Radiology Department of Abia State University Teaching Hospital (ABSUTH), located in Aba, Abia State, Nigeria. ABSUTH is a tertiary healthcare facility that serves a wide catchment area including both urban and rural communities across South-east Nigeria. The hospital has well-established departments for obstetrics and gynecology, diagnostic imaging, and laboratory services, making it an ideal setting for this research.
Study Population
The study population comprised women aged 15 to 49 years who attended the Gynecology Clinic and Radiology Department of ABSUTH for gynecological evaluation, antenatal care, or diagnostic imaging during the study period.
Inclusion Criteria
Exclusion Criteria
Sample Size Determination
The sample size was calculated based on Cochran’s formula for population proportion estimation, following the methodology described by Ezebuiro et al. [14]:
n = 
The formula components are defined as follows:
A recent study conducted by Nonye-Enyidah et al. [4] reports the prevalence of uterine fibroids in southern Nigeria is 27.8%
P = 27.8% = 0.278
q = 1 – 0.278
= 0.722
n = 
n = 
n = 
= 308.43
Although the initially calculated minimum sample size was 308, it was increased to 340 to accommodate an anticipated 10% rate of non-response.
Sampling Technique
A systematic random sampling technique was employed. Based on the clinic's average weekly attendance of approximately 100 women and the data collection period of 12 weeks, the sampling interval was determined as:
k = 
Every fourth eligible woman was selected after the first respondent was chosen randomly on each clinic day.
Data Collection Instruments
A pretested, semi-structured interviewer-administered questionnaire was used for data collection. The questionnaire was developed based on extensive literature review and had four major sections: Socio-demographic characteristics, Reproductive and medical history, Knowledge of uterine fibroids as well as Risk factors and lifestyle attributes. The questionnaire was pretested on 20 women attending another nearby facility to assess clarity, reliability, and internal consistency. Necessary adjustments were made based on pretest results.
Clinical and Ultrasonographic Assessment
All respondents underwent pelvic ultrasonography (transabdominal or transvaginal, depending on indication and consent) to determine the presence of uterine fibroids. Sonographic diagnosis of fibroids was based on standard criteria including the presence of well-defined, hypoechoic, heterogeneous masses within the uterine wall. The size, number, and location of fibroids were recorded for each confirmed case.
Ultrasound examinations were conducted by trained radiologists and gynecologists using standardized machines (GE Voluson P8) under consistent scanning protocols.
Variables Measured
The knowledge score was computed from responses to 10 questions regarding symptoms, risk factors, and complications of uterine fibroids. Each correct response earned 1 point, for a maximum of 10 points. Scores ≥7 were categorized as “good knowledge”, 4–6 as “fair knowledge”, and <4>
Ethical Considerations
Informed written consent was obtained from all participants after detailed explanation of the study's purpose, procedures, risks, and benefits. Confidentiality was maintained by de-identifying data and restricting access to only the research team.
Data Management and Statistical Analysis
Collected data were coded and entered into IBM SPSS Statistics version 26 for analysis. Descriptive statistics (frequencies, means, standard deviations) were used to summarize categorical and continuous variables. The prevalence of uterine fibroids was calculated as the proportion of women diagnosed via ultrasound.
Bivariate analysis using Chi-square and t-tests was conducted to identify associations between independent variables and the presence of uterine fibroids. Variables with p < 0>
Study Duration
The study was conducted over a 12-week period, from February to May 2025, including preparation, data collection, and preliminary analysis phases.
Out of 340 administered questionnaires, 327 were valid for analysis, yielding a 96.18 Percentage valid response rate. The majority of respondents were aged 35–44 years (37.61 Percentage), followed by those aged 25–34 years (29.66 Percentage) (Table 1). Most were married (66.67%), and a significant proportion had tertiary education (45.56 Percentage). Regarding parity, 34.26 Percentage had 3–4 children, while 21.41 Percentage had five or more. Age at menarche was most commonly between 14–15 years (38.84 Percentage) (Table 2). BMI assessment showed 39.45 Percentage of respondents had normal weight, 33.03 Percentage were overweight, and 23.85 Percentage were obese.
Most respondents (91.13 Percentage) had heard of fibroids, though only 66.97 Percentage knew symptoms, 59.94 Percentage knew risk factors, and 53.21 Percentage were aware of complications (Table 3). Knowledge scores revealed that 43.12 Percentage had good knowledge, 34.56 Percentage fair, and 22.32 Percentage poor. Hormonal contraceptive use was reported by 41.89 Percentage and 34.86 Percentage had a family history of fibroids. Alcohol use was noted in 31.19 Percentage, while 6.42% reported smoking (Table 4).
Ultrasound results revealed a fibroid prevalence rate of 26.92 Percentageamong participants (Figure 1). Among those diagnosed, 58.24 Percentage had a single fibroid while 41.76 Percentage had multiple. The most common location was intramural (42.86 Percentage), followed by subserosal (32.96 Percentage) and submucosal (24.18 Percentage). The average fibroid size was 4.3 ± 1.9 cm (Table 5).
Chi-square analysis (Table 6) showed significant associations between uterine fibroids and age group (p = 0.005), parity (p = 0.027), BMI (p = 0.002), contraceptive use (p = 0.020), family history (p Less-than sign 0.001), and knowledge level (p = 0.035). However, marital status and age at menarche were not significantly associated. Pearson’s correlation (Table 7) indicated a weak negative correlation between knowledge score and age (r = -0.162, p = 0.003), and parity (r = -0.109, p = 0.041), while BMI had a weak positive correlation (r = 0.124, p = 0.022). Knowledge score did not significantly correlate with fibroid size (p = 0.073).
| Variable | Frequency (n = 327) | Percentage (%) |
| Age Group (years) | ||
| 15–24 | 42 | 12.84 |
| 25–34 | 97 | 29.66 |
| 35–44 | 123 | 37.61 |
| 45–49 | 65 | 19.88 |
| Marital Status | ||
| Single | 66 | 20.18 |
| Married | 218 | 66.67 |
| Divorced/Separated | 29 | 8.87 |
| Widowed | 14 | 4.28 |
| Educational Level | ||
| No formal education | 17 | 5.20 |
| Primary | 48 | 14.68 |
| Secondary | 113 | 34.56 |
| Tertiary | 149 | 45.56 |
Table 1: Socio-demographic Characteristics of Respondents
| Variable | Frequency (n = 327) | Percentage (%) |
| Parity | ||
| 0 | 49 | 14.98 |
| 1–2 | 96 | 29.36 |
| 3–4 | 112 | 34.26 |
| ≥5 | 70 | 21.41 |
| Age at Menarche (years) | ||
| <12> | 28 | 8.56 |
| 12–13 | 113 | 34.56 |
| 14–15 | 127 | 38.84 |
| >15 | 59 | 18.04 |
| BMI Category | ||
| Underweight (<18> | 12 | 3.67 |
| Normal (18.5–24.9) | 129 | 39.45 |
| Overweight (25–29.9) | 108 | 33.03 |
| Obese (≥30) | 78 | 23.85 |
Table 2: Reproductive and Medical History
| Variable | Frequency (n) | Percentage (%) |
| Heard of Fibroids | 298 | 91.13 |
| Knows Symptoms | 219 | 66.97 |
| Knows Risk Factors | 196 | 59.94 |
| Knows Complications | 174 | 53.21 |
| Overall Knowledge Score | ||
| Good (7–10) | 141 | 43.12 |
| Fair (4–6) | 113 | 34.56 |
| Poor (<4> | 73 | 22.32 |
Table 3: Knowledge about Uterine Fibroids (n = 327)
| Variable | Frequency (n) | Percentage (%) |
| Smoker | 21 | 6.42 |
| Alcohol Use | 102 | 31.19 |
| Hormonal Contraceptive Use | 137 | 41.89 |
| Family History of Fibroids | 114 | 34.86 |
Table 4: Lifestyle and Family History (n = 327)
Figure 1: Prevalence of Uterine Fibroid
| Variable | Frequency (n) | Percentage (%) |
| Number of Fibroids | ||
| Single | 53 | 58.24 |
| Multiple | 38 | 41.76 |
| Location of Fibroid | ||
| Intramural | 39 | 42.86 |
| Submucosal | 22 | 24.18 |
| Subserosal | 30 | 32.96 |
| Average Size (cm) | Mean ± SD | 4.3 ± 1.9 |
Table 5: Clinical and Ultrasonographic Findings (n = 327)
| Variable | χ² Value | df | p-value | Significant? |
| Age Group | 12.73 | 3 | 0.005 | Yes |
| Marital Status | 4.92 | 3 | 0.177 | No |
| Parity | 9.14 | 3 | 0.027 | Yes |
| Age at Menarche | 7.65 | 3 | 0.054 | No |
| BMI | 14.81 | 3 | 0.002 | Yes |
| Contraceptive Use | 5.42 | 1 | 0.020 | Yes |
| Family History | 20.89 | 1 | <0> | Yes |
| Knowledge Category | 6.71 | 2 | 0.035 | Yes |
Table 6: Chi-square Test of Association Between Uterine Fibroids and Independent Variables
| Variable | r-value | p-value | Interpretation |
| Age | -0.162 | 0.003 | Weak negative correlation |
| BMI | 0.124 | 0.022 | Weak positive correlation |
| Parity | -0.109 | 0.041 | Weak negative correlation |
| Knowledge Score vs Size | -0.094 | 0.073 | Not significant |
Table 7: Pearson’s Correlation Between Knowledge Score and Continuous Variables
Uterine fibroids are among the most common benign tumors in women of reproductive age. Understanding their prevalence, associated risk factors, and level of awareness is crucial for improved reproductive health interventions in Nigeria. This present study screened 327 valid questionnaires and revealed a uterine fibroid prevalence of 26.92%. This figure aligns with the 20–40% prevalence reported in clinical and imaging studies in Nigeria and other countries of the world [4,7,15,16]. However, a 2023 population-based study across central Nigeria found a higher (45.1%) prevalence via transvaginal ultrasound [2]. The discrepancy may stem from methodological differences. This study utilized self-report questionnaires supplemented by clinical evaluation, whereas the ACCME study directly used ultrasound, which typically uncovers more asymptomatic cases.
Regarding socio-demographic factors, age and parity were significantly associated with fibroid presence. Women aged 35–44 comprised the largest age group (37.6%), and age showed a positive, though nonlinear, association with fibroids in chi-square (p=0.005) and a weak negative correlation with knowledge (r = –0.162, p=0.003). These findings mirror global and local literature, which consistently report that fibroid risk increases with age until menopause [2]. Parity was also significantly related to fibroid prevalence in this study (χ² = 9.14, p = 0.027), and a weak inverse correlation (r = –0.109, p = 0.041) between parity and knowledge scores was also observed. These observations align with findings from the ACCME cohort, which showed each additional childbirth reduced fibroid risk by about 17% (OR = 0.83, p = 0.002) [2]. Similarly, studies in coastal Karnataka reported an inverse relationship between parity and fibroids [17].
Body mass index (BMI) in our respondents revealed 56.88% were overweight or obese, with BMI significantly associated with fibroids (χ² = 14.81, p = 0.002) and a weak positive correlation (r = 0.124, p = 0.022) between BMI and knowledge. This is consistent with global studies indicating obesity as a strong risk factor; for example, fibroids have been shown to be 2–3 times more prevalent in women with high BMI [17]. Hormonal contraceptive use, reported by 41.9% of participants, was significantly associated with fibroids in this study (χ² = 5.42, p = 0.020). The literature remains mixed about this relationship. While ACCME found no significant link with oral contraceptives [5], some studies differentiate between contraceptive types [4,7,15].
A family history of fibroids emerged as the strongest predictor in this present study (χ² = 20.89, p Less-than sign 0.001), a finding that echoes robust genetic predisposition evidence. Family history was cited as a significant risk factor in other Nigerian studies, with around one-third of participants reporting this history [2]. Knowledge assessment showed 91.1 Percentageof respondents had heard about fibroids, 67.0 Percentage could identify symptoms, but only 43.1% had a good knowledge score overall. The finding that women with “good” knowledge were more likely to have fibroids (χ² = 6.71, p = 0.035) might suggest that awareness increases once the condition is personally experienced. A similar perception study from India indicated roughly two-thirds of women demonstrated average knowledge, with poor awareness linked to late presentation [17]. A Lagos-based study also reported limited symptom awareness despite high levels of nominal fibroid knowledge [5].
Clinical and ultrasonography data from this study showed a predominance of single fibroids (58.2 Percentage), primarily intramural in location (42.9 Percentage), with a mean size of 4.3 cm (±1.9 cm). This is consistent with findings in other African cohorts. For example, multiple fibroids were observed in 41.8 Percentage of cases in Akure, while intramural types accounted for over 60% of cases on imaging assessments [18]. In this study, the age at menarche (Less-than sign 12, 12–13, 14–15, Greater-than sign 15) showed no significant association with fibroids in your study (p = 0.054), consistent with the ACCME study and other global literature that reports mixed or null associations between early menarche and fibroid risk [2].
This study's prevalence estimate of 26.9% is within the expected range for Nigerian clinical settings yet lower than ultrasound-based studies that often capture asymptomatic cases. The significant associations with age, parity, BMI, contraceptive usage, family history, and knowledge categories are consistent with international and Nigerian data, strengthening the understanding of fibroid risk factors in Nigerian women. The lack of association with early menarche similarly mirrors current literature trends. Although awareness is relatively high, significant knowledge gaps remain. Educational and preventive strategies targeting identified risk groups are recommended.
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Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
