Editors are frequently asked about the turnaround time at their journals, but there is no standard way this “simple” statistic is defined, making comparisons across journals somewhat risky. The easiest number for an editor to access is based on all the time to reach a decision for all submissions. This lumps together the time it takes to immediately reject manuscripts (about 20 to 30 percent at Health Services Research [HSR]) with the more time-consuming process of getting external reviews back for the first submission and (usually faster) subsequent submissions. (This overall average also makes the review process look fast.) For the past several years at HSR, the “simple statistic” we reported has been in the 10- to 14-week range. Regardless of how it is calculated, reducing the turnaround time is obviously in the interest of authors and editors, especially if it can occur without reduction in the quality of the review process. Time to get external reviews, however, is not the only thing that authors are interested in; some want to know how long it takes from submission to acceptance (or rejection), which is quite another thing because that may involve several revisions and, thus, also include steps where the manuscript is in the author's hands. Others want to know how long it takes until an accepted manuscript appears officially in print and electronically. (That statistic at HSR is approximately five to six months.) In exploring the breadth of issues implied in the question, “How long will it take?”, it became clear that the authors' and editors' perspectives might be quite different. From the perspective of one trying to manage the review process, the primary concern is how long it takes us to reach a decision on a particular manuscript. The numerous steps involved are discussed elsewhere, but the simplified version is that a manuscript first goes to the editorial staff (usually one of the coeditors-in-chief, but occasionally also to one of the senior associate editors), who make a decision as to whether the manuscript will go on to an external peer review. If it does, then once the reviewers' comments are back, the editorial staff review the comments, reviews, and manuscript again. Then the coeditor-in-chief for the manuscript makes the final decision and notifies the author. (The reviewers are notified about the decision and reviews, blinded from names, at the same time.) Total turnaround time from the editor's perspective (what we will call “cycle time”) is measured as the time from receipt of the manuscript until a decision letter about that particular submitted version is sent to the author. For some authors, this is a definitive end to our process, that is, a rejection, or very rarely, an acceptance. For others, the decision is usually a “revise and resubmit” on a first submission, and it may be a long time before the entire process is finished, reaching a definitive rejection or acceptance. If one takes the perspective of an author who is primarily interested in “how long will it take until I know that my paper has finally been accepted or rejected?” the additional time for the multiple cycles of revisions and decisions is relevant.
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