"Countries in which English is the primary language had higher acceptance rates than those in which English is not the primary language. Countries with English as the primary language, including Canada, the United Kingdom, and Australia, had rejection patterns similar to that of the United States. Language problems were not a major reason for rejection, except for manuscripts from China. Lack of new or useful knowledge was by far the most common reason for rejection in all countries. High-quality scientific work is key to overcoming barriers to publication. Designing an appropriate study that answers a clearly defined and pertinent question is an important first step. Language problems were not a major cause of rejection, except for manuscripts from China. "
Reasons for Rejection of Manuscripts Submitted to AJR by International Authors. AJR 2007; 188:W113-W116
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