Thank you to The Lancet Regional Health – Europe's clinical and statistical peer reviewers in 2025
Pooja Jha, Ivana Nedic, Stephanie Becker, Anna Johnson
Abstract
Peer Reviews
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TopicsAcademic Publishing and Open Access · Meta-analysis and systematic reviews · scientometrics and bibliometrics research
Peer review is the cornerstone of scientific publishing, relying on the expertise, judgement, and generosity of researchers who contribute their time to the evaluation of others’ work. As we reflect on peer review at The Lancet Regional Health – Europe in 2025, we extend our sincere thanks to the clinical and statistical reviewers whose contributions have been integral to the quality and integrity of the journal.
In 2025, 1305 reviewers reviewed for the journal. This represents continued growth from 1192 reviewers in 2024 and 917 reviewers in 2023, an increase of more than 40% over 2 years. This increase reflects both the rising volume and breadth of submissions received by the journal and the willingness of the research community to engage in the demanding and often invisible work of peer review. We acknowledge that this contribution comes alongside reviewers’ own research, clinical, and teaching responsibilities, and we are deeply grateful for their commitment.
Gender diversity among reviewers remains an important area of focus. In 2025, 57.6% of reviewers identified as men (up from 56.7% in 2024), 32.9% identified as women (down from 34.6%), 0.7% identified as non-binary or gender diverse (largely unchanged from 0.8%), and 8.8% chose not to disclose their gender identity (up from 8.0%). Taken together, these data indicate no improvement in gender balance in 2025, underscoring the need for renewed and more targeted efforts to address persistent structural barriers within academic peer review.
Geographical representation continues to reflect broader global inequities in research participation. Although the majority of our reviewers (92.4%) were from high-income countries, this proportion has decreased from 93.2% in 2024. We are encouraged to see contributions from low-income and middle-income countries (LMICs) increased from 5.5% in 2024 to 6.0% in 2025, although participation from LMICs remains limited.
Our reviewers were from 62 countries, compared with 55 countries in 2024, reflecting our expanding reach. The largest numbers of reviewers were based in the UK, the USA, Italy, Germany, Australia, France, and the Netherlands. We will continue to intensify efforts to broaden reviewer representation from under-represented regions in the years ahead.
Within Europe, regional imbalances in reviewer representation persist. In 2025, reviewers based in Eastern Europe accounted for approximately 1–2% of the total reviewer pool and around 3% of reviewers based in Europe. These low proportions likely reflect, at least in part, the comparatively small number of submissions received from eastern European countries. Nonetheless, as a pan-European journal, we recognise the importance of strengthening engagement with researchers across all parts of the region to ensure that diverse health system contexts and perspectives are adequately represented within the peer review process.
As part of ongoing efforts to improve transparency and inclusivity in peer review, optional Equity, Diversity, and Inclusion (EDI) personal classifications have been available to reviewers across The Lancet journals since September, 2024 (see margin description for EDI classification). Users can voluntarily assign these EDI classifications to submitted manuscripts or to their individual accounts to indicate their expertise. These classifications span a wide range of areas, including health equity and discrimination in health. In 2025, 2.7% of reviewers across The Lancet group who completed at least one review selected at least one EDI classification, and within The Lancet Regional Health – Europe, 1.8% of reviewers selected at least one EDI classification. Considering that many submissions and reviews are not directly related to these topics, these figures should be understood as a baseline measure of engagement. As these classifications continue to be adopted by reviewers, they provide an important reference point from which to monitor engagement and to inform future efforts to strengthen inclusive participation in peer review.
Across the past 3 years, these data illustrate that while expanding the reviewer pool is achievable, meaningful improvements in diversity are more gradual and challenging. Growth alone is insufficient; it must be accompanied by deliberate and sustained strategies to broaden participation across gender and geography. As editors, we remain committed to identifying, inviting, and supporting reviewers from under-represented groups and regions, while maintaining the high standards expected of peer review for The Lancet group.
Peer reviewers play a fundamental role in safeguarding the credibility of scientific publishing. Once again, we extend our profound thanks to all reviewers who supported The Lancet Regional Health – Europe in 2025. Your contributions remain essential to the journal's mission, and we look forward to continuing this work together in the years ahead.
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Mohammad Reza Saeb
Marc Saez
Apostolos Safouris
Marina Sagud
Philippe Saiag
Atsuhito Saiki
David P Salmon
Lucy Salmon
Amber Salter
Jerzy Samochowiec
Kristian Samuelsson
Pablo José Sánchez
Jane Sandall
Johanna Sandgren
Charbel Sandroussi
Raul Santos
Grant E Sara
Alain Saraux
Koji Sasaki
Daniel Satge
Gregory R Savage
Susan Sawyer
Andrea Schaffer
Maarten Schim van der Loeff
Sandra Schlegl
Ekkehard Schleußner
Moritz Schmelzle
Michael Rahbek Schmidt
Andreas Schnitzbauer
Robert Schoevers
Tobias Schupp
Matthias Schwab
Bjoern Schwander
Robert Schwartz
Michaël Schwarzinger
Daniel Schwarzkopf
Giorgio Scivoletto
Martin Sebastian
Farah Seedat
Jean M Seely
Petar Seferović
Leonie Segal
Hubert Seggewiss
Samuel Seidu
Abhijit Sen
Stefano Sensi
Gianluca Serafini
Walter Sermeus
Laurent Servais
Marianne Severinsen
Wissam Shalish
Huifang Shang
Michael Shapiro
Michelle W Sharp
Robert Sheldon
Guofeng Shen
Zaki Sherif
Jodi Sherman
Lizheng Shi
Neal Shore
Takehito Shukuya
Pierre Sicard
Noriane Sievi
Katarzyna Sikorska
Camillo Silibello
Gregory Simon
Colin Simpson
Shireen Sindi
Daisy Singla
Nirmish Singla
Susan B Sisson
Magnus Sjögren
Halyna Skipalska
Helen Skouteris
Jared Smith
Rebecca Smith-Bindman
Helen Snooks
Francesco Sofi
Olusegun Soge
Roy L Soiza
Maria José Soler Romeo
Renata Solimini
Jin Woo Song
Jing Song
Romain Sonneville
Silvia Sookoian
Sveinung Sørbye
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Antoni Soriano-Arandes
Veronica Southerland
Teresa Spadea
Paolo Spagnolo
Christoph Spinner
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Tanja Sprave
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Paddy Ssentongo
Adam Staffaroni
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Tom Stargardt
Sarah Steeg
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Peter Stehle
Giulia Stella
Erik Stenberg
Olof Stephansson
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Robert Stewart
Gregg Stone
Stefan Störk
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Tessa Strain
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Ulf Strömberg
Jan Styczyński
Tung-Hung Su
Ralf Sudbrak
Yuelian Sun
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Antonio Suppa
Jannet Svensson
Umang Swami
Peter Swoboda
Tamas Szakmany
Tibor Szarvas
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Derrick Tam
Kelvin Bryan Tan
Hajime Tanaka
Shinji Tanaka
Su'an Tang
Vin Tangpricha
Pieter Tanis
Philip Tarr
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Katja Taxis
Roy Taylor
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Joan M Teno
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Reimar Thomsen
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Richard Tothill
Dario Trapani
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Palak Trivedi
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Stephanie Tubert-jeannin
Patricia Tucker
Pauline Turnbull
Katy Turner
David K Turok
Christopher P Twine
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Alp Ucok
Kennichiro Uemura
Marleen Van Baak
Thomas P Van Boeckel
Niels van de Donk
David van de Vijver
Chris van den Akker
Roderick C N Van Den Bergh
Bert Jan H van den Born
Michiel van der Flier
Lorenz Van der Linden
Jelle van der List
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Karin van Dijk
H Rogier van Doorn
Frederieke H van Duijnhoven
Thilo van Eimeren
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Gianluca Vanni
Amanda M Varnava
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Latha Velayudhan
Balasubramanian Venkatesh
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Guido Veronese
Monique Verschuren
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Anita Villani
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Uwe von Fritschen
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Marija Vukoja
Renske I Wadman
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David Walsh
Emily S Wan
Johannes Wancata
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Jaw-Yuan Wang
Juan Wang
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Robert Wilkinson
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Thomas Williams
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Lilian Witthauer
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Kitty H F Wong
Ngai Sze Wong
Catherine B Woods
Roelie Wösten-van Asperen
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Jason Wu
Jianhua Wu
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Zhiwei Xu
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Ting Yang
Sheraz Yaqub
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Peng Yin
Guishuang Ying
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Jin-Tai Yu
Ke-da Yu
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Guoguang Zhao
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