Pre-submission methodological and statistical review for clinical research

Put your methods, statistics, and conclusions to the test.

RigorMD reviews whether your study design and analysis support your claims, recalculates statistics where your reported numbers allow, and identifies conclusions that reach beyond the evidence. Receive a severity-scored report with findings tied to your manuscript and concrete recommendations for revision.

  • Address methodological concerns before submission
  • Reconcile inconsistent numbers across your manuscript
  • Calibrate your conclusions to the evidence

$99 per manuscript.

Free to create an account — you only pay when you confirm a package for review. If we cannot deliver a usable report, the fee is refunded in full.

Works from your manuscript and supporting files. Statistical recomputation requires sufficient reported information; it does not rerun your underlying dataset.

32 deterministic checks · 22 checks recompute numbers or test arithmetic possibility.

Domain Severity Scorecardspecimen
01Design / claim fitSerious
02Results / conclusionModerate
03Statistical methodSerious
04Reporting guidelineMild
05Numerical consistencyCritical
▸ opened — the same trace stands behind every row
In your Table 2In-hospital mortality — 4.2% vs 6.1%
In your abstract“…mortality fell to 2.4%…”
What to doYou revised the table but the abstract still carries the old figure. Reconcile them before a reviewer does.
06Clinical verdictModerate
07Contribution & positioningMild
Overall Criticalrevise before submission
Methodological appraisal

Does the design support the claim?

A manuscript can report internally consistent numbers and still draw a conclusion its design cannot support. RigorMD examines the relationship between the research question, study design, analysis, and interpretation.

Illustrative review questions

A treatment caused better outcomes in an observational study
Whether selection, confounding, and adjustment support that causal interpretation
An analysis treats patients as independent observations
Whether hospital clustering or repeated measurements are addressed
A nonsignificant result demonstrates ‘no difference’
Whether the confidence interval still permits a clinically important difference
Statistical recomputation

Recalculate the statistic. Show the discrepancy.

When the manuscript supplies enough information, RigorMD rebuilds the statistic and compares it with the reported value.

Constructed example. These are not patient or client data.

Reported infection counts
18/90 versus 27/90
Reported p-value
0.028
Recomputed Pearson χ² p-value
0.121

The reported statistical significance is not supported by these counts at α = 0.05.

See the calculation
Worked recomputation — one finding, every stepcheck pvalue_2x2 · p-value from a 2×2 table
Quoted — manuscript, Results
“Surgical-site infection occurred in 18 of 90 patients (20.0%) in the bundle group versus 27 of 90 (30.0%) with standard care (χ² = 4.83; p = 0.028).”
a constructed specimen — and this sentence is the check’s entire input
Rebuilt — the 2×2 that sentence implies
study armSSIno SSItotal
bundle187290
standard care276390
total45135180
Step 1 · expected counts
E = row × column ÷ N
90 × 45 ÷ 180 = 22.50
90 × 135 ÷ 180 = 67.50
Equal arms — both rows expect the same.
Step 2 · contributions
(O − E)² ÷ E, per cell
(18 − 22.50)² ÷ 22.50 = 0.900
(72 − 67.50)² ÷ 67.50 = 0.300
(27 − 22.50)² ÷ 22.50 = 0.900
(63 − 67.50)² ÷ 67.50 = 0.300
Step 3 · sum, then the p-value
χ² = 0.900 + 0.300 + 0.900 + 0.300 = 2.400
df = (2 − 1) × (2 − 1) = 1
p = P(χ² ≥ 2.400) = 0.121
Reported p = 0.028 · recomputed p = 0.121 — the significance call flips at α = 0.05Critical · Domain 05
The flip is not test-dependent: Yates-corrected χ² gives p = 0.1685 and Fisher’s exact gives p = 0.1681 — every applicable test agrees. That clears both of the engine’s own bars: a χ² that doesn’t say whether it was corrected is graded critical only if it flips with and without Yates’ correction, and a manuscript that names no test only if Pearson, Yates, and Fisher all flip.
Constructed example. These are not patient or client data. The calculation follows the numerical check used in RigorMD reports.

See the checks and their limits →

What we look at

Methods & statistical support

Whether the numbers hold up, and whether the design supports the kind of claim being made.

Integrity of the external record

Whether cited identifiers resolve, available retraction records raise concerns, and novelty claims agree with the prior literature retrieved for the report.

Results and conclusions in step

Whether the conclusions match what the data actually showed — tighter where the data will not carry them, bolder where they will.

Reporting completeness

Whether the paper meets the reporting standards its design and its target journal require.

32 deterministic checksEvery flag traces to your textNo training on your files

An independent, outside read — statistical and methodological. The review before the reviewers.

Or start free with our abstract-deadline directory — 73 meetings, every date sourced →

Not sure it fits your paper? See what we'll recompute for your study →

For departments, medical schools, and research offices

Every manuscript that leaves carries your program's name.

Focus your reviewers. Reviewer time is the scarcest thing a department or an editorial office has, and it is spent badly when a methodological problem surfaces on the third pass. RigorMD gives one consistent methodological and statistical checkpoint before submission — so the reading your people do is the reading only they can do.

Authors keep their reports private. Leaders see adoption, workflow status, and aggregate usage — not findings or severity. The author gets a candid review they control; the program gets a common methodological checkpoint before submission.

The author review

Methodological judgment. Reproducible statistical checks.

Independent methodological appraisal

Two AI engines assess the manuscript independently, and their findings are reconciled into one report.

Statistical recomputation

Applicable checks rebuild statistics from reported counts, estimates, intervals, and other inputs, showing discrepancies that exceed the check’s rounding tolerance.

Evidence behind the finding

Findings identify the supporting manuscript passage, calculation, or reference record and explain why the concern matters.

Recommendations you can use

Read the clinical implication first, with statistical reasoning and suggested remedies available underneath.

How the author review works

Two independent AI appraisers examine the manuscript across repeated readings. Their findings are reconciled, with additional verification required for some serious or critical concerns. Separate numerical checks show the calculations behind applicable discrepancies.

These safeguards describe the author review. The journal-facing editorial evaluation has a separate workflow. Read the methods and limitations.

See what the report actually looks like →

§01 — The study lifecycle
① Pre-submission review

Catch the flaw first

A severity-scored report with separate statistical checks and findings linked to manuscript passages, calculations, or reference records.

$99 · per manuscript
② Re-review

Check the revised draft

After you revise, the full review runs again — compared finding-by-finding with your first report: no longer flagged, still flagged, or new.

$39 · for manuscripts reviewed here
Start free

Two things you can use today, free. The paid review reads the whole manuscript.

Track the abstract deadlines that decide your calendar, and check that your citations resolve — no upload, and no account to browse a deadline or run a check. The $99 pre-submission review examines the whole manuscript. Two independent AI appraisers review the methods and conclusions. Separate numerical checks recalculate statistics from reported inputs.

Free directory

Abstract deadlines

Abstract-submission deadlines for 73 research meetings across 24 clinical and surgical fields. Every deadline we show carries the society page it was checked against and the date; a meeting that hasn’t announced yet is listed as TBA rather than guessed at. Browse and download a calendar entry without an account, or sign in free to save meetings and get an email reminder before each one.

Browse the directory →
Free tool

Reference integrity

Do your DOIs and PMIDs actually resolve — and to the work you cited? The same reference layer the paid review runs, against Crossref, the DOI handle registry, and PubMed.

Check your references →
§02 — Why RigorMD

Review the methods. Strengthen the manuscript.

Before submission, authors can examine whether the analysis supports the conclusions and whether the reported numbers agree. RigorMD provides a structured checkpoint for that review.

Time
Publication timelines vary

A 2021 review of accepted biomedical articles found reported median submission-to-publication times ranging from 70 to 558 days across included studies.

Cost
Automated statistical review

A report from one academic medical center describes demand straining statistical-support capacity. Authors can use a structured review to prepare questions for their research team.

Rigor
Analysis can affect conclusions

In a 2012 survey of 100 orthopaedic papers, reviewers judged that a different statistical analysis could affect the conclusions in 17%.

Integrity
Check the cited record

Reference checks resolve cited identifiers and check available retraction records. The report identifies concerns and records which references could not be checked.

Errors in analysis can distort how clinicians interpret a study.

§03 — How it works
STEP 01

Upload the package

Manuscript, tables, figures, supplement, cover letter, title page. PDF and DOCX. Confirm what's included.

STEP 02

Review the design and claims

We classify the study design and claim type, appraise the manuscript across six domains, and a separate literature layer positions it against retrieved prior work as a seventh.

STEP 03

Recompute & verify

Deterministic checks recompute p-values, denominators, percentages, and means where the reported numbers allow. The report shows the supporting manuscript passage, calculation, or reference record.

STEP 04

Severity-scored report

Your PDF and web report are available in your private dashboard. We send a content-free email notification when they are ready.

Processing takes time and varies by package complexity and service availability. Your PDF and web report are available in your private dashboard; we email you when they are ready.

§04 — What we check

Seven domains, every manuscript. The first question is always: does the design support the claim?

DOMAIN 01

Design / claim fit

Whether a causal, comparative, or equivalence claim is supported by the study design actually used.

DOMAIN 02

Results / conclusion alignment

Whether the abstract, results, and conclusions agree — without spin or reframed null findings.

DOMAIN 03

Statistical appropriateness

Models, power, missing-data handling, and multiplicity, matched to the design and endpoints.

DOMAIN 04

Reporting guideline adherence

Design-specific reporting requirements, item by item, with the gaps named.

DOMAIN 05

Numerical / statistical consistency

Whether numbers, denominators, p-values, intervals, tables, and text agree with one another.

DOMAIN 06

Clinical interpretability / verdict

What a clinician or editor can legitimately take from the manuscript as written.

DOMAIN 07

Contribution & literature positioning

Whether the manuscript's novelty and framing hold up against retrieved prior work — overstated firsts and unacknowledged priors flagged.

STROBECONSORTTRIPODPRISMAROBINS-ISTARDCARESPIRIT+ more
§05 — The deliverable

Every finding shows its work.

Findings point to supporting manuscript passages, calculations, or reference records so you can examine the evidence behind each concern.

Figure · Discriminationconstructed illustration · predictor timing
0.000.250.500.751.000.000.250.500.751.001 − SpecificitySensitivityillustrated reduction
Models · AUC
0.892
Dynamic · headline
+ unplanned readmission, reoperation
0.811
Static · discharge
baseline model at discharge
0.845
Early events excluded
early PEs (1–7 d) removed
Headline gain+0.081
Remaining gain+0.034

≈ 58% illustrated reduction in apparent gain after excluding early events.

A constructed illustration — these AUCs are invented, not taken from any manuscript. The shaded area shows the illustrated reduction in apparent gain after excluding early events. It raises a question about predictor timing; it does not establish a cause. RigorMD does not refit the model or recompute these AUCs.

Read a full sample report →See every check we run →Try a free check yourself →

§07 — Why you can trust the report

How we examine your manuscript. Independent appraisals and calculations from your reported numbers.

A · 06

Two independent AI appraisers examine your manuscript's methods, analysis, and conclusions. Separate numerical checks recalculate statistics when reported inputs allow. The report explains each concern and shows the supporting passage, calculation, or reference record.

A worked example: see a worked review of the corrected PREDIMED paper →

The report explains what the manuscript supports and what needs revision. Appraisal findings include statistical reasoning where applicable, with bias mechanisms and relevant framework detail when supported. Numerical findings show reported and recalculated values. Reference findings show the records checked. The headline conclusion also receives a calibration grade reflecting how its confidence compares with the evidence.

Fully automated, and we show our work: no human reads your manuscript as part of the analysis (operational access is limited to logged security review). Two independent engines and recomputed statistics produce a report you can verify yourself; delivery timing varies by package complexity and service availability.

And we are explicit about the limits: the report distinguishes checked and passed from not checkable from the submitted files. Without raw data, some questions can't be answered — and we say so. The report flags for your judgment and does not promise journal acceptance.

No paper is perfect — every study makes compromises. Use the findings to discuss limitations and revisions with your research team, mentors, and statistician.

RigorMD gives authors a structured review of the methods, reported statistics, and conclusions in a finished manuscript before submission.

The system draws on the research-on-research literature, statistical standards, and reporting guidelines. Its reports connect methodological concerns to their clinical implications, with statistical detail available for your co-authors.

§08 — Pricing

Per report. Or licensed for your organization.

① Pre-submission review · Recommended
$99
Built by a practicing academic surgeon and surgical journal editor with 61 peer-reviewed publications and 100+ editorial manuscript reviews.
The severity-scored report with deterministic checks.
  • Seven-domain severity scorecard
  • Contribution & literature positioning — your novelty claims checked against retrieved prior work
  • Deterministic statistical forensics
  • Findings, supporting evidence, and suggested revisions
  • PDF & web report in your private dashboard; email notification when ready
Start a review
② Institutional / editorial
Contact us
Validation infrastructure for departments, medical schools, journals, and publishers.
  • Usage-based pilots for manuscript QC programs
  • Author-private reports with an administrative activity view
  • Editorial triage workflows for journals and publishers

Launch pricing — current rates apply to any report you start now. Every report is fully automated — two independent engines plus deterministic checks, with no human review in the analysis. Delivery time varies with package complexity and service availability. Pricing details & author FAQ →

§09 — Common questions

Before you upload.

What is RigorMD?

RigorMD is an automated pre-submission review for clinical research manuscripts. You upload a manuscript package — text, tables, figures, supplement — and receive a severity-scored methodological and statistical report before you submit to a journal: two independent engines appraise the paper across multiple passes, a deterministic layer recomputes your reported statistics, cited DOIs and PMIDs are resolved against Crossref and PubMed, and the report shows the supporting passage, calculation, or reference record.

How does RigorMD review my manuscript?

RigorMD combines independent AI appraisal with separate numerical checks. Appraisal findings are reconciled across repeated readings, with additional verification required for some serious or critical concerns. Numerical checks show the calculation when reported inputs allow. Reference checks resolve cited DOIs and PMIDs and identify unchecked records. The Methods page explains the recurrence and verification rules.

Does RigorMD actually check my statistics?

Yes, and it goes further than arithmetic. A deterministic layer recomputes p-values, denominators, percentages, effect estimates against their confidence intervals, and related values from the manuscript's reported numbers, flagging any that do not reconcile — the recomputed number is shown in the finding. It also checks the study's reasoning the same way: it recomputes the interaction test behind a subgroup claim, whether a non-inferiority conclusion clears the paper's own margin, whether a "no difference" interval still reaches the important difference the authors themselves named, events per variable, the fragility index against loss to follow-up, the participant-flow arithmetic, I² from the reported Q, and the sample size the stated design requires.

How does RigorMD check my references?

Cited DOIs and PMIDs are resolved against Crossref, doi.org, and NCBI PubMed; identifiers that do not resolve, or that resolve to a different article than the one cited, are flagged in the report.

Is the report written for a clinician or a statistician?

Both. The report explains the concern, shows its supporting evidence, and suggests a next step. Appraisal findings include clinical explanations and statistical reasoning where applicable. Numerical findings show reported and recalculated values; reference findings show the records checked.

Does RigorMD read my paper in the context of the medical literature?

A dedicated literature layer retrieves a bounded set of PubMed titles and abstracts and compares your framing and novelty claims with that prior work. The report cites the retrieved records. This is not a complete literature search.

Send a stronger manuscript the first time.

Upload your package and we'll email you when the severity-scored report is ready. Delivery time varies with package complexity and service availability. Use the findings to address methodological concerns raised in your report.