The editor treats all submitted manuscripts as confidential documents, which means they will not divulge information about a manuscript to anyone without the authors' permission. During the process of manuscript review the following people may have access to manuscripts:
- Editors and editorial staff at the journal.
- External reviewers, including statisticians and experts in trial methods.
- Members of the journal's various editorial committees involved in the peer review process.
- The only occasion when details about a manuscript might be passed to a third party without the authors' permission is if the editor suspects serious research or professional misconduct.
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