Each submission to JRSR passes through a rigorous quality control and peer-review evaluation process before receiving a decision.Through a Double anonymized peer review, the articles will be reviewed by at least two external (peer) reviewers. Initially, articles which meet the minimum requirements for submission (such as including relevant title, abstract, the necessary descriptions of funding, privacy, ethics, statements of original work, having JRSR Record Form completed and signed by author(s), and so on,) are looked over by the executive manager. Once passed quality control, articles with good possibilities will be sent out for peer-review.

The peer-review process is designed to maintain scientifically credible information and research standards.It should be noted that articles submitted by the staff and editors of the JRSR will also be subjected to peer review and the editor plays no role in the review or decision.

For a most targeted peer-reviewing process, authors are encouraged to enclose in their Cover Letter at least three in-field researchers/physicians, but the JRSR is not obliged to use that suggestions. Papers are critiqued and approved by at least two experts prior to being accepted for publication. If these reviews are positive, the article may be accepted immediately by the editorial board, or may be referred back to the authors to address any comments by the reviewers. If one review is positive and one is negative, a third peer review is scheduled and the editor decision is based upon the third reviewer's comment. However, if the two conducted reviews are negative, a rejection notification will be sent to the corresponding author. This notification means that the submitted work has not minimum requirement for possible publication in the JRSR. Nonetheless, other submissions by the same authors to the JRSR are welcomed.