Peer review is the standard that journals and granting agencies use to ensure the scientific quality of their publications and funded projects. The peer-review process continues to be criticized, but its actual effectiveness at ensuring quality has yet to be fully investigated. Here we use probability theory to model the peer-review process, focusing on two key components: (1) editars' prescreening of submitted manuscripts and (2) the number of referees polled. The model shows that the review process can include a strong "lottery" component, independent of editor and referee integrity. Focusing on journal publications, we use a Bayesian approach and citation data from biological Journals to show that top journals successfully publish suitable papers-that is, papers that a large proportion of the scientific community would deem acceptable-by using a prescreening process that involves an editorial board and three referees; even if that process is followed, about a quarter of published papers still may be unsuitable. The element of chance is greater if journals engage only two referees and do no prescreening (or if only one editor prescreens); about half of the papers published in those journals may be unsuitable. Furthermore, authors whose manuscripts were initially rejected can significantly boost their chances of being published by resubmitting their papers to other journals. We make three key recommendations to ensure the integrity of scientific publications in journals: (1) Use an editor or editorial board to prescreen and remove manuscripts of low suitability; (2) use a three-of-three or four-of-four decision rule when deciding on paper acceptance; and (3) use a stricter decision rule for resubmissions.
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Univ Sydney, Royal Prince Alfred Hosp, Sydney Med Sch Cent, Camperdown, NSW, AustraliaUniv Sydney, Royal Prince Alfred Hosp, Sydney Med Sch Cent, Camperdown, NSW, Australia
Burgess, Annette
McGregor, Deborah
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Univ Sydney, Royal Prince Alfred Hosp, Sydney Med Sch Cent, Camperdown, NSW, AustraliaUniv Sydney, Royal Prince Alfred Hosp, Sydney Med Sch Cent, Camperdown, NSW, Australia
McGregor, Deborah
Mellis, Craig
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Univ Sydney, Royal Prince Alfred Hosp, Sydney Med Sch Cent, Camperdown, NSW, AustraliaUniv Sydney, Royal Prince Alfred Hosp, Sydney Med Sch Cent, Camperdown, NSW, Australia
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Univ Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Pieters, Thomas A.
Susa, Stephen
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Univ Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Susa, Stephen
Agarwal, Nitin
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Univ Pittsburgh, Dept Neurosurg, Med Ctr, Pittsburgh, PA USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Agarwal, Nitin
Guthikonda, Bharat
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Louisiana State Univ, Hlth Sci Ctr, Dept Neurosurg, Shreveport, LA 71105 USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Guthikonda, Bharat
Menger, Richard
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Univ S Alabama, Dept Neurosurg, Mobile, AL USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Menger, Richard
Schirmer, Clemens
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Geisinger Hlth Syst, Dept Neurosurg, Wilkes Barre, PA USA
Geisinger Hlth Syst, Neurosci Inst, Wilkes Barre, PA USA
Geisinger Commonwealth Sch Med, Wilkes Barre, PA USA
Paracelsus Med Univ, Res Inst Neurointervent, Salzburg, AustriaUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Schirmer, Clemens
Cozzens, Jeffrey
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Southern Illinois Univ, Neurosci Inst, Sch Med, Springfield, IL USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Cozzens, Jeffrey
Steinmetz, Michael
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Cleveland Clin, Dept Neurosurg, Cleveland, OH 44106 USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Steinmetz, Michael
Rosenow, Joshua
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Northwestern Univ, Med Ctr, Dept Neurosurg, Chicago, IL 60611 USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Rosenow, Joshua
Kimmell, Kristopher T.
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Univ Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
Rochester Reg Hlth, Dept Neurosurg, Rochester, NY USAUniv Rochester, Med Ctr, Dept Neurosurg, Rochester, NY 14642 USA
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UC San Diego Hlth, Dept Radiat Med & Appl Sci, 3855 Hlth Sci Dr MC 0843, La Jolla, CA 92093 USAUC San Diego Hlth, Dept Radiat Med & Appl Sci, 3855 Hlth Sci Dr MC 0843, La Jolla, CA 92093 USA
Dragojevic, Irena
Hoopes, David
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UC San Diego Hlth, Dept Radiat Med & Appl Sci, 3855 Hlth Sci Dr MC 0843, La Jolla, CA 92093 USAUC San Diego Hlth, Dept Radiat Med & Appl Sci, 3855 Hlth Sci Dr MC 0843, La Jolla, CA 92093 USA
Hoopes, David
Mansy, Gina
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UC San Diego Hlth, Dept Radiat Med & Appl Sci, 3855 Hlth Sci Dr MC 0843, La Jolla, CA 92093 USAUC San Diego Hlth, Dept Radiat Med & Appl Sci, 3855 Hlth Sci Dr MC 0843, La Jolla, CA 92093 USA
Mansy, Gina
Rahn, Douglas
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UC San Diego Hlth, Dept Radiat Med & Appl Sci, 3855 Hlth Sci Dr MC 0843, La Jolla, CA 92093 USAUC San Diego Hlth, Dept Radiat Med & Appl Sci, 3855 Hlth Sci Dr MC 0843, La Jolla, CA 92093 USA
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
La Fe Univ & Polytech Hosp, Dept Radiat Oncol, Av Fernando Abril Martorell 106, Valencia 46026, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Martin-Garcia, E.
Celada-Alvarez, F.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Celada-Alvarez, F.
Perez-Calatayud, M. J.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Perez-Calatayud, M. J.
Rodriguez-Pla, M.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Rodriguez-Pla, M.
Prato-Carreno, O.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Prato-Carreno, O.
Farga-Albiol, D.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Farga-Albiol, D.
Pons-Llanas, O.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Pons-Llanas, O.
Roldan-Ortega, S.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Roldan-Ortega, S.
Collado-Ballesteros, E.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Collado-Ballesteros, E.
Martinez-Arcelus, F. J.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Martinez-Arcelus, F. J.
Bernisz-Diaz, Y.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Bernisz-Diaz, Y.
Macias, V. A.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Macias, V. A.
Chimeno, J.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Phys Sect, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Chimeno, J.
Gimeno-Olmos, J.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Phys Sect, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Gimeno-Olmos, J.
Lliso, F.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Phys Sect, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Lliso, F.
Carmona, V.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Phys Sect, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Carmona, V.
Ruiz, J. C.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Phys Sect, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Ruiz, J. C.
Perez-Calatayud, J.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Phys Sect, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Perez-Calatayud, J.
Tormo-Mico, A.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain
Tormo-Mico, A.
Conde-Moreno, A. J.
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La Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, SpainLa Fe Univ & Polytech Hosp, Dept Radiotherapy, Valencia, Spain