All submitted manuscripts are reviewed by the editorial staff for adequacy of documentation, composition and adherence to the guidelines of BEAT. Manuscripts not submitted in accordance with these guidelines will be returned to the author for correction before beginning the review process. BEAT follows a double-blind peer-review process which means neither the authors, nor the referees will get to know each side. The manuscripts that are considered suitable for review are assigned to a related section editor who is an expert in the field and is assessed initially. Then the manuscript is sent to at least two external referees for evaluation. The referees are asked to assess the originality, scientific merit, and design of the study including statistical analysis, professional interest and the overall quality of the manuscript. The referee may recommend accept as is or with revision. All the manuscripts are also subjected to plagiarism checks and verification of the data. It is unusual for a manuscript to be accepted without revision. Two copies of the revised manuscript are returned to the Editors-in-Chief for further processing. The final decision is made by the EIC based on the referees' comments and the section editor's recommendation. Those manuscripts that have conflicting peer-review results are sent to the third or fourth external referee. All accepted manuscripts are subject to editing for clarity, accuracy, and style. Currently, the primary peer-review process for those manuscripts submitted according to the journal’s guidelines takes at least 40 days.