Chinese Journal of Endocrinology and Metabolism uses the remote manuscript management system of Chinese Medical Association Series Periodicals, whereby the manuscript is reviewed through a three-stage process based on a peer-review system (editorial review, external review by experts, final review by the Editorial Committee). Manuscripts that fail to meet the requirements in the preliminary review or are deemed to have no publication value will be rejected. Manuscripts that need to be reviewed externally will be submitted for expert review and handled according to privacy and confidentiality principles. Each manuscript is reviewed at least by two experts. After the external review, the Editor will determine whether the manuscript will be rejected or returned for revision. The Editorial Committee will make the final decision whether the revised manuscript will be accepted, further revised or rejected.