The Annals of Thoracic Surgery

L. Henry Edmunds, Jr, MD
Editor, The Annals of Thoracic Surgery
3440 Market St
Suite 306
Philadelphia, PA 19104-3325
Tel.: (215) 349-5542
FAX: (215) 614-0416
E-mail: ats@uphs.upenn.edu
Website: http://www.atseditorialoffice.org

Table of Contents

1. General Description of Content
2. Mechanics of Submitting a Manuscript
3. General Information for Formatting Manuscripts
4. Categories of Manuscripts and Word Limits
5. Order of Content Within Manuscripts

Title Page
Abstract
Text
Acknowledgments and Disclosures
References
Tables
Figure Legends
Illustrations

6. Protection of Human and Animal Subjects
7. Conditions for Publication Form
8. Miscellaneous

1. General Description of Content

• The Annals of Thoracic Surgery publishes original articles on topics in thoracic and cardiovascular surgery and features such as case reports, "how to do it" articles, image reports, new technology evaluations, STS workforce reports, review articles, articles on our surgical heritage, book reviews, invited editorials, correspondence, commentary and four Continuing Medical Education (CME) activities each month. The electronic issue of the journal posted on CTSNet ( http://ats.ctsnetjournals.org) is the journal of record.

2. Mechanics of Submitting a Manuscript

• All manuscripts, correspondence, and editorial material must be submitted to the online editorial office at http://www.atseditorialoffice.org. Authors must register with an e-mail address and password to submit manuscripts online. Unregistered authors can "create a new account" (ie, register) by following the instructions at the editorial office website. The registration process requires registrants to create a password which is used thereafter to access the website.
• Every submission, regardless of category, must include: acover letter, indicating the category of article (see below); the complete manuscript, including title page, abstract, text, tables, acknowledgments, required disclosures (see below),references and illustrations. All of this material is entered via the editorial office website, http://www.atseditorialoffice.org.
• Early in 2012, all authors of submitted papers in all categories will be required to complete the " Conditions for Publication Form" online via the editorial office website ( http://www.atseditorialoffice.org). Corresponding authors will be requested to supply the e-mail addresses of every author when manuscripts are submitted to the website. Later in the review process, each author will receive e-mail notification to log into the website and complete the Conditions Form. The e-mail request will include the manuscript tracking number and instructions for the author to locate and submit the completed Conditions Form directly to the editorial office website. Authors will need their personal password to the editorial office website to complete this task.

3. General Information for Formatting Manuscripts

• Submit manuscripts, prepared in Microsoft Word, through the editorial office website after signing in or creating a new account. Enter the "Author Area" and follow the instructions for submitting "Entry data," a cover letter, a complete manuscript file, including abstract and tables, if any, and figure files, if any. Each figure needs to be uploaded according to the specifications in "Illustrations" (Section 5) as an image file, separate from the manuscript file. The system will generate a single PDF for review purposes that includes your manuscript file and any image files. Please see "Order of Content Within Manuscripts" (Section 4) for all of the elements to be included in the manuscript you submit for review.
• In addition to the uploading of your manuscript file and any image files, separate entry of some metadata information (eg, the manuscript title, author names, abstract, etc.) is required during the online submission process. Thus, be sure to enter the metadata where asked, but also to include this information within your manuscript file as well.
• Under "Entry data," indicate the number of authors in the box and justify more than 10 authors.
• Arrange manuscript as follows: (1) title page, (2) abstract, (3) text, (4) acknowledgments, (5) disclosures if required, (6) references (do not use EndNotes), (7) tables and (8) figure legends. Number pages consecutively, beginning with the title page as page 1 and ending with the legend page. Do not number manuscript lines. Do not embed tables in the text.
• Manuscripts should be typed double-spaced throughout (including title page, abstract, text, references, tables, and legends) with one (1) inch (2.5 cm) margins all around.
• Microsoft Word is the preferred software program. Manuscripts written in 11 point Arial or Times New Roman fonts are preferred and more reliably convert to PDF files during electronic submission. (Note: Do not submit your manuscript in PDF format, which cannot be processed by the editorial office online manuscript tracking system.)
• American rather than British spelling should be used throughout the manuscript, including that within illustrations.

4. Categories of Manuscripts and Word Limits

• Original articles should not exceed 4500 words, which includes all words submitted regardless of location within the manuscript. The counted words include title page, abstract, text, acknowledgments, disclosures, tables, figure legends and references. The combined total of illustrations and tables should not exceed 10 and the number of references should not exceed 40.
• New Technology articles are limited to 2500 words including title page, abstract, text, acknowledgments, disclosures, tables, figure legends and references . The number of tables should not exceed three; the number of illustrations should not exceed six if tables are included; eight, if there are no tables. The number of references should not exceed 10. All New Technology papers require an Acknowledgment, which discloses funding sources and includes a freedom of investigation statement.
• Case reports and "how to do it" articles are limited to a total of 1500 words including title page, abstract, text, acknowledgments, disclosures, figure legends and references . These reports should not include tables; if essential a table should be justified in the cover letter and not have more than four columns and eight rows. The word count of the table is included in the 1500 word limit. Case reports should not be combined with "reviews of the literature." References are limited to eight. A "how to do it" article should be a description of a useful surgical technique and contain descriptive, illustrative material describing the innovation.
• Images in cardiothoracic surgery are limited to 300 words including title page, text and references, and to two, possibly three, figures. The entire contribution must fit on one printed page of The Annals.
• Review articles are limited to 6500 words, and all words are counted regardless of location within the manuscript. The word count includes title page, abstract, text, acknowledgments, disclosures, tables, figure legends and all references . The total number of references should not exceed 80.
• Surgical Heritage articles are limited to 4500 words and describe breakthrough achievements which created and directly led to new surgical therapy for thoracic diseases. These articles may or may not include biographical pre?L cis of the architects of the achievement. The category is designed to interest our entire readership and therefore does not include obituaries; tributes; anecdotes of isolated procedures which were not further developed; or vignettes of interesting history or discovery.
• Correspondence (Letters to the Editor) and commentaries are limited to 500 words. Do not include tables and subtract 100 words for each illustration.
• Editorials are limited to 2500 words including references. Subtract 100 words for each illustration and 300 words for each table.

5. Order of Content Within Manuscripts

(Items in order from front to back; pages must be numbered)
• Title Page (first page)
Title. The title is limited to 100 characters (including spaces) for original articles and to 80 characters (including spaces) for all other categories of manuscripts. The title may not contain acronyms or abbreviations. All submissions, including correspondence, must have a title.
Running Head. Supply a short title of 40 characters or less (including spaces).
Authors. List all authors by first name, all initials, family name and highest earned academic degree (eg,MD)or degrees (eg,MD,PhD).
Institutions and Affiliations. List the name and full address of all institutions in which the described work was done. List departmental affiliations of each author affiliated with that institution after each institutional address. Connect authors to departments using numbered superscripts.
Meeting Presentation. If the paper has been or is to be presented at the annual meeting of The Society of Thoracic Surgeons or the Southern Thoracic Surgical Association, provide the name, location, and dates of the meeting.
Keywords. Provide up to 5 keywords selected from the appended list to describe the manuscript. Do not use any keywords that are not on the list . Be sure to select the same keywords from the list provided as part of the online submission process.
Word Count. Provide the electronic total word count of the entire manuscript including title page, abstract, text, acknowledgments, disclosures, tables, figure legends and entire reference list.
Corresponding Author. Provide the name, exact postal address with zip or postal code, telephone number, fax number and e-mail address of the author to whom communications and requests for reprints should be sent after publication. The corresponding author must have a graduate degree; accept responsibility for the integrity of the submitted work; and attest that no undisclosed authors contributed to the manuscript.
• Abstract (second page)
Original articles. Provide a structured abstract, no longer than 250 words, divided into four sections: Background, Methods, Results, and Conclusions. These subject headings are not part of the adjacent sentence, which must be a complete sentence. Avoid abbreviations and acronyms. Indicate the abstract word count below the abstract.
New Technology. Provide a structured abstract, no longer than 175 words, divided into four sections: Purpose, Description, Evaluation, and Conclusions. Avoid abbreviations and acronyms. Indicate the abstract word count below the abstract. Case reports, "how to do it" articles, review articles, and our surgical heritage articles. Provide an unstructured abstract of no more than 100 words.
Images, correspondence, commentaries and editorials. No abstract is required.
• Text (third page, after title page and abstract and continuing up to "Acknowledgments")
Text should be organized as follows: Introduction, Patients and Methods (or Material and Methods), Results, and Comment.
Cite references, illustrations, and tables in numeric order by order of mention in the text.
Avoid abbreviations. Consult the American Medical Association Manual of Style, 10th edition, for recommended abbreviations. Define abbreviations at first appearance in the text. If 8 or more abbreviations or acronyms are used, provide a separate table of abbreviations and acronyms.
Measurements and weights should be given in standard metric units.
Statistical nomenclature and data analysis. Follow the "Guidelines for Data Reporting and Nomenclature" published in The The Annals of Thoracic Surgery (1988;46:260.1). Statistical models and formulas used in the analysis of data should be stated in the last paragraph(s) of "Patients and Methods."
Footnotes. Type footnotes at the bottom of the manuscript page on which they are cited.
Suppliers. Credit suppliers of drugs, equipment, and other commercial material mentioned in the article within parentheses in text by providing the company name, city and state or city and country if outside the United States.
• Acknowledgments and Disclosures
Grants, financial support and technical or other assistance are acknowledged at the end of the text before the references. All financial support for the project must be acknowledged and will be printed in the article. Conflict of interest disclosures are indicated on the " Conditions for Publication Form," which must be completed by all authors. This information will appear in a conflict box at the bottom of the first printed page of the article.
A disclosure statement is required for all studies that received financial, property or intellectual aid from a commercial source for all categories of articles printed in The Annals. The disclosure statement must state the source(s) of all funds used to support the study or to perform an evaluation and whether or not property or tested technology was purchased, borrowed or donated to the study. In addition, the authors must state that they had full control of the design of the study, methods used, outcome parameters and results, analysis of data and production of the written report. These statements are mandatory for all articles and conflicts of interest disclosures are published with the article. (See the " Conditions for Publication Form" for definitions of financial support and freedom of investigation. Note that undisclosed authors must be identified on the " Conditions for Publication Form.")
• References
Identify references in the text using Arabic numerals in brackets on the line (do not use superscripts or EndNotes). Do not cite personal communications, manuscripts in preparation, and other unpublished data as references.
Type references double-spaced after text or acknowledgments beginning on a separate sheet. Number consecutively in the order in which they appear in the text. The references must not be linked to the manuscript with EndNotes because that formatting is not compatible with automated publication production processes.
Journal references should provide inclusive page numbers; book references should cite specific page numbers.
Authors are solely responsible for accuracy, completeness and non-duplication of references and for the correct spelling of names of all authors.
Journal abbreviations should conform to those used in Index Medicus. The style and punctuation of the references should follow the formats outlined in the examples below:
Journal Article
8. McKhann GM, Selnes OA, Grega MA, Bailey MM, Baumgartner WA, Zeger SL. Subjective memory symptoms in surgical and nonsurgical coronary artery patients: 6-year follow-up. Ann Thorac Surg 2009;87:27.35.
(List all authors if 6 or fewer; otherwise list first 3 and add "et al.")
Chapter in Book
12. Vinten-Johansen J, Zhao Z-Q, Guyton RA. Cardiac surgical physiology. In: Cohn LH, Edmunds LH Jr, eds. Cardiac Surgery in the Adult. 2nd ed. New York, NY: McGraw-Hill; 2003:53.84.
Internet Address
3. 1996 NRC Guide for the Care and Use of Laboratory Animals. Available at http://www.nap.edu/readingroom/books/labrats/ contents.html . Accessed November 9, 2011.
• Tables
Tables should be typewritten double-spaced on separate sheets (one to each page). Do not use vertical lines. Each table should be numbered (Arabic) and have a title above. Legends and explanatory notes should be placed below the table. Abbreviations used in the table follow the legend in alphabetic order. Lower case letter superscripts beginning with ^"a" and following in alphabetic order are used for notations regarding statistics. Exact p values must be used; "NS" is obsolete. Tables should be self-explanatory, and tabulated data should not be duplicated in the text or illustrations. Tables must be submitted as part of the text file and not as illustrations.
• Figure Legends
Figure legends should be numbered (Arabic) and typed double-spaced in order of appearance beginning on a separate sheet. Identify (in alphabetical order) all abbreviations appearing in the illustrations at the end of each legend. Give the type of stain and magnification power for all photomicrographs.
Cite the source of previously published (print or electronic) material in the legend and indicate permission to republish has been obtained. Proof of permission must be surface mailed or faxed to the editorial office once the manuscript is submitted online.
• Illustrations
Images or figures are submitted online as one or more separate files that may contain one or more images. Within each file containing images, use the figure number (eg, Figure 1A) as the image filename. The system accepts image files formatted in TIFF, JPG and EPS. Powerpoint (.ppt) files are also accepted, but you must use a separate Powerpoint image file for each Powerpoint figure. Please obtain technical help if you are unfamiliar with image files. Call The Annals editorial office (215-349-5542) during business hours 9 am.5 pm, Eastern time U.S., Monday through Friday, if you cannot obtain technical help.
Illustrations may not be separately copyrighted or have a copyright logo. Illustrations may have a discrete signature of the artist if permitted by the payer of the illustrative work.Symbols, letters, numbers and contrasting fills must be distinct, easily distinguished and clearly legible when the illustration is reduced in size. Most illustrations will be reproduced at a width of one column (8.25 cm; 3-1/4 inches).
Black, white and widely crosshatched bars are preferable; do not use stippling, gray fill or thin lines.
Written permission from unmasked patients appearing in photographs must be obtained by the authors and must be surface mailed or faxed to the editorial office once the manuscript is submitted online.
Color illustrations. Color illustrations no longer incur a color surcharge and are usually preferable over black and white illustrations. All photomicrographs must be submitted in color.
Original illustrations. If your manuscript is accepted for publication and the electronic art you have submitted online is not acceptable for reproduction purposes, you may be required to send a set of original illustrations to the editorial office. You will be instructed accordingly by the staff. These illustrations will not be returned.

6. Protection of Human and Animal Subjects

• Human Investigation
When human subjects or information about human subjects are involved in the study, whether retrospective or prospective, indicate review by the relevant Institutional Review Board (IRB) or Ethics Committee (EC) or comparable group. The IRB or EC, not the author, makes review decisions for every study involving human subjects or information about human subjects. The investigator should retain and not submit the decision letter granting IRB approval. Study approval and patient consent or waiver of the need for consent must be stated in the first paragraph under "Patients and Methods."
• Humane Animal Care When animals are used as subjects, institutional approval of the protocol is necessary and authors should include a statement in "Methods" indicating that investigators complied with the 1996 "Guide for the Care and Use of Laboratory Animals" (See http://www.nap.edu/readingroom/books/labrats/contents.html), recommended by the U.S. National Institutes of Health, or with equivalent guidelines administered by the author's governmental regulatory body. When no formal ethics review process is available, authors must state that humane care was provided in animal experiments, in accordance with either of the above guidelines.

7. Conditions for Publication Form

• The Society of Thoracic Surgeons and The Annals require all authors to adhere to the highest ethical standards of our profession. Ethical breaches include scientific misconduct (falsification or fabrication), plagiarism and redundant publication and are described more fully in Ann Thorac Surg 1999;68:1 and Ann Thorac Surg 2007;84:717.9.
• Early in 2012, all authors of submitted papers in all categories will be required to complete the " Conditions for Publication Form" online via the editorial office website ( http://www.atseditorialoffice.org). Corresponding authors will be requested to supply the e-mail addresses of every author when manuscripts are submitted to the website. Later in the review process, each author will receive e-mail notification to log into the website and complete the Conditions Form. The e-mail request will include the manuscript tracking number and instructions for the author to locate and submit the completed Conditions Form directly to the editorial office website. Authors will need their personal password to the editorial office website to complete this task.
• Undisclosed Authors. The corresponding author must vouch for the absence of any undisclosed authors or reveal their identities and explain their contributions.
• Freedom of Investigation. Each author must indicate whether or not he or she has had full freedom of investigation before, during, and after the study. Freedom of investigation is defined as freedom from outside interests in controlling the design of the study, acquisition of data, collection, analysis and interpretation of data, and having freedom to fully disclose all results. Except for New Technology articles, statements regarding freedom of investigation do not appear in the published manuscript.
• Scientific Responsibility. Each author is required to certify that he or she has participated sufficiently in the work to take responsibility for a meaningful share of the content of the manuscript. Each author must specify his/her contributions to the work and at least one author, usually the corresponding or senior author, must vouch for the accuracy and completeness of all of the data reported in the manuscript. Except for New Technology articles, statements regarding Scientific Responsibility do not appear in the published manuscript.
• Relationships With Industry and Sources of Funding for the Study. These are defined on the " Conditions for Publication Form." All authors must disclose all financial relationships,occurring within the preceding 12 months prior to submission, which can be construed as influencing information within the article. Individual disclosures will appear in a Conflict of Interest statement on the first page of the published article. Disclosures relating to funding of research appear in "Acknowledgments" at the end of the text before the references. All original scientific articles, editorials, reviews, and New Technology articles must state sources of funding for the work described in the article in "Acknowledgments."
• Exclusive Publication Statement. Each author must certify that none of the material in the manuscript has been published previously in either print or electronic form, and that none of the material is currently under consideration for publication elsewhere. This includes symposia, transactions, books, articles published by invitation, posting in electronic format, and preliminary publications of any kind except an abstract of 400 words or fewer.
• Copyright Transfer. Authors of articles submitted to The Annals must transfer copyright of the entire article, including artwork, photographs and other matter, to The Society of Thoracic Surgeons. Illustrative work (art, drawings, and photographs) may not be separately copyrighted. The copyright transfer becomes binding upon acceptance of the article for publication. Elsevier Inc. administers reproduction permission requests on behalf of The Society of Thoracic Surgeons. No part of the material published in The Annals may be reproduced elsewhere without written permission from Elsevier Inc.
• If any previously published table(s), illustration(s) or photograph( s) are used in an Annals' article, it is the authors' responsibility to obtain written permission from the copyright owner to reproduce the material in The Annals in print and/or electronic media. The written permission must be sent to The Annals' editorial office for the record.
• Written permission from unmasked patients appearing in photographs is also required and must be sent to The Annals' editorial office for the record.

8. Miscellaneous

• NIH Initiative
The National Institutes of Health requires that all investigators funded by the NIH submit or have submitted for them an electronic version of their final, peer-reviewed manuscripts upon acceptance for publication. The electronic manuscript is sent to the National Library of Medicine's PubMed Central ( http://www.ncbi.nlm.nih.gov/pmc), where it is made publicly available no later than 12 months after the official date of publication ( http://publicaccess.nih.gov).
• Randomized Controlled Trials
The Annals of Thoracic Surgery endorses the CONSORT Statement regarding randomized controlled trials ( http://www.consort-statement.org) and recommends that investigators who plan to publish their work in The Annals review the CONSORT E-Flowchart and Checklist (available at http://www.consort-statement.org/consort-statement/overview0/) before enrollment of subjects begins. Randomized controlled trials should be free of bias and of misleading information due to, for example, insufficient numbers of subjects and failure to define primary and secondary endpoints. The Checklist succinctly and comprehensively defines the attributes of a well-designed and reported randomized controlled trial. Authors who submit reports of randomized controlled trials to The Annals should also submit a completed CONSORT Flowchart and Checklist, leaving blank the page number of any item that wasn't done as part of the study; no study is expected to have addressed all the items on the checklist. These documents are intended to be used for review purposes only, and will not be published.
• Registration of Clinical Trials
The Annals of Thoracic Surgery supports mandatory registration of all publicly or commercially funded clinical trials, including Phase I and II trials, as a condition for publication. Information regarding requirements for registration of a clinical trial may be found at http://www.icmje.org/#clin_trials. Information for registering a clinical trial is available at http://prsinfo.clinicaltrials.gov. The trial registration number should appear at the end of the abstract.
• Archiving Submissions in Editorial Office Online Manuscript Tracking System
The editorial office will delete unpublished manuscripts from the online system 6 months after the final decision is rendered. Manuscripts of published articles will be deleted 12 months after acceptance.

Required supplementary data to be surface mailed or faxed to the editorial office:

• The " Conditions for Publication Form" signed by all authors with appropriate boxes checked.
[Note: When in early 2012 electronic submission of the Conditions Form is activated, authors will receive e-mail notification to log onto The Annals' editorial office website to complete the " Conditions for Publication Form" online.]
• Written permission from the publisher to reproduce previously published illustrations or tables.
• Written permission from unmasked patients appearing in photographs.

Updated January 2012