Evidence map›Paper›PMID 40799859›Full record

ArticleCureus2025

The Peer Review Crisis Demands Radical Reform: Why Reviewers Should Become Paid Professional Referees.

Enzo Emanuele, Piercarlo Minoretti

Abstract readEditorial
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Enzo EmanueleClinical Pathology, 2E Science, Robbio, ITA.
Piercarlo MinorettiOccupational Health, Studio Minoretti, Oggiono, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The peer review system, fundamental to scientific quality control, faces a significant crisis. As journal editors, we often need to send up to 35 invitations just to secure two reviewers, confronting daily the collapse of voluntary participation. This reflects a critical imbalance: while publication pressure intensifies, willingness to evaluate diminishes, creating "literature elephantiasis", i.e., an overwhelming proliferation of papers exceeding human processing capacity. Current compensation models, relying on token recognition and database access, fail to incentivize quality engagement and may encourage ethically problematic practices like excessive self-citation. The unchecked infiltration of artificial intelligence into peer review, with minimal enforcement, further undermines system integrity. We propose transforming peer reviewers into professional referees, modeled on sports officiating. This radical solution involves formal training and certification for reviewers, equipping them to assess scientific merit, methodology, and ethics comprehensively. Like sports referees supported by assistants, scientific referees would collaborate with specialists - including statisticians, methodology experts, and reference checkers - ensuring thorough evaluation while distributing workload effectively. Funding would come from publishers or research funders, recognizing peer review as an essential, compensated component of the research lifecycle. Implementation faces challenges including publisher resistance and funding allocation, which we address through phased transition strategies. This professionalization addresses current inequities where conscientious scientists shoulder disproportionate reviewing burdens while others contribute minimally. Professional reviewers would view evaluation as valued career development rather than unwelcome obligation. Critics citing independence concerns overlook the sports analogy: referees maintain impartiality through professional standards despite league compensation. Quality scientific evaluation requires dedicated expertise, adequate training, and fair remuneration. Science deserves better than a system dependent on goodwill and guilt - it needs professional referees now.

Indexed as

peer reviewerspeer review in journalsreviewersscientific publishingworkers’ compensation

Identifiers

PMID40799859
PMCPMC12341012

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.