Six steps from clinical question to accepted paper
1 September 2026 · Cohira team
Most papers do not fail at the analysis. They fail before it starts: a question the literature has already answered, a design the data cannot support, or a journal target picked after the fact. The fix is a fixed order of steps, each approved before the next begins.
1. Question
You bring the idea, or just a clinical area. A feasibility note answers three things before any money moves: the design that fits, the sample you can expect, and the journals that realistically publish work like it.
2. Plan
The protocol and analysis plan are written and locked before results are seen. Where the design requires it, the study is registered or submitted for ethics review first.
3. Data
The pre-specified analysis runs on the agreed dataset. You oversee and answer clinical questions; nothing changes without your approval.
4. Paper
The manuscript is drafted to the target journal's format, with figures and supplements. You edit and approve the draft; the argument stays yours.
5. Submit
An indexed shortlist, a cover letter, and the full submission package. You are the corresponding author.
6. Accepted
Reviewer responses, every round, to a decision. Your authorship, intact.
The whole journey is one fee per study, and it starts with the free feasibility note.