The Lancet: review time and acceptance speed

ISSN 0099-5355 · ISSN 0140-6736 · Elsevier BV · Multidisciplinary

Half of the articles The Lancet accepted in 2025 were accepted within 34 days of submission (n = 500); the middle half took 6–104 days.

Submission → acceptance (2025)
34 days median
middle half 6–104 · n = 500
Acceptance → online
35 days median
middle half 15–78 · n = 409
Change since 2023
Faster than 2023: the median fell from 76 to 34 days (90% CI -53 to -31 days).
Open access · fees
Hybrid · ≈$7,890

Accepted articles only · dates deposited by the publisher in PubMed · data as of Sep 15, 2026

Plan submissions to a deadline — free

How long does The Lancet take to accept a paper?

days045901351802020: middle half 4–93 days292020n=4702021: middle half 12–114 days492021n=4152022: middle half 10–122 days532022n=4042023: middle half 19–130 days762023n=5172024: middle half 19–125 days732024n=3762025: middle half 6–104 days342025n=500
Line = median; shaded box = middle half of articles (25th–75th percentile). Year of acceptance.
Days from submission to acceptance, by year of acceptance
YearArticles (n)25th pctMedian75th pct90th pctAccepted <14 daysHave a revised date
202550063410418433.4%53%
2024376197312521121.0%72%
2023517197613017119.5%72%
2022404105312222527.7%67%
2021415124911421626.8%71%
20204704299319637.5%65%

Research articles vs reviews (2025)

Typen25th pctMedian75th pct
Research articles38942061
Reviews11196137219

Distribution in 2025

0–29 days: 47% (235 articles)030–59 days: 14% (71 articles)3060–89 days: 8% (38 articles)6090–119 days: 10% (51 articles)90120–149 days: 7% (34 articles)120150–179 days: 4% (19 articles)150180–209 days: 3% (14 articles)180210–239 days: 2% (8 articles)210240–269 days: 1% (6 articles)240270–299 days: 1% (6 articles)270300–329 days: 0% (2 articles)300330–359 days: 0% (1 articles)330360+ days: 3% (15 articles)360+days from submission to acceptance (30-day bins)
Show as a table
DaysArticlesShare
0–2923547.0%
30–597114.2%
60–89387.6%
90–1195110.2%
120–149346.8%
150–179193.8%
180–209142.8%
210–23981.6%
240–26961.2%
270–29961.2%
300–32920.4%
330–35910.2%
360+153.0%

From acceptance to online publication

After acceptance, half of the 2025 articles appeared online within 35 days (middle half 15–78 days, n = 409).

From submission to online publication, the median was 72 days (middle half 27–184 days, n = 407).

Read these numbers carefully

  • These times describe articles the journal accepted. Rejected manuscripts never appear in public data, so they cannot tell you how long a rejection takes.
  • Dates are the ones the publisher deposited with PubMed. Some publishers record the date a revised manuscript arrived as the submission date, which makes review look faster.
  • Invited articles and special issues can move faster than regular submissions.

Open access status and publishing fees

Hybrid (subscription journal with an open-access option). Listed APC: about $7,890 (as reported by OpenAlex).

OpenAPC has fewer than 5 reported payments for this journal in 2023–2025, so no typical amount is shown.

Many journals waive or reduce fees for authors from eligible countries or institutions with publishing agreements — check with the journal and your library.

Integrity and indexing signals

Facts from public records, shown without judgement. See the methodology for why each can be worth a closer look.

Listed in DOAJNo
Articles indexed for MEDLINE in 2025Yes
Retractions2 retracted articles among 3,220 added to PubMed in 2021–2025 (0.62 per 1,000), per the Retraction Watch Database.
Accepted within 14 days of submission33.4% of 2025 articles
Publication volume639 articles added to PubMed in 2025 (+11% vs 2024).

Topics and scope

Similar journals — faster or cheaper, side by side

Journals publishing on the most similar topics (OpenAlex), ordered by similarity. Only 2025 figures are compared with the 2025 median of The Lancet, 34 days.

Paid APC medianDOAJMEDLINE
Public Health161 (2025, n = 437)≈$3,130NoYes
Military Medicine113 (2025, n = 331)≈$4,748NoYes
Medical Principles and Practice145 (2025, n = 56)No fee (DOAJ)YesYes
Milbank Quarterly136 (2025, n = 54)≈$4,430NoYes
Trends in Molecular Medicine99 (2025, n = 111)≈$7,030NoYes

Frequently asked questions

How long does The Lancet take to accept a paper?

Half of the articles The Lancet accepted in 2025 were accepted within 34 days of submission (n = 500); the middle half took 6–104 days. Based on dates in PubMed for accepted articles only.

How long after acceptance are The Lancet articles published online?

Half of the articles accepted in 2025 appeared online within 35 days of acceptance (n = 409).

Does The Lancet charge an article processing charge (APC)?

Listed APC: about $7,890 (as reported by OpenAlex).

Sources and method

Journal identity: ISSN-L 0099-5355; NLM ID 2985213R; OpenAlex record. Speed figures use 500 articles accepted in 2025 with valid dates; excluded records for that year: same day non research 2.

Spotted a problem with this journal's data, or are you the publisher? Report a correction or email rafiq@gradsummit.com. Verified errors are corrected within five business days.

Get the free Journal Submission Go/No-Go Checklist

The pre-submission checks from Write and Publish a Scientific Paper: journal fit, formatting, cover letter and reviewer suggestions. We’ll email you the download link.

One email with your download, then occasional research tips. One-click unsubscribe, anytime. We never sell your data.

Get Write and Publish a Scientific Paper

Data sources. Submission, acceptance and publication dates: Courtesy of the U.S. National Library of Medicine (PubMed, entries through Sep 15, 2026). NLM does not endorse Journal Clock, and these figures may not reflect the most current PubMed data. Journal fees and open-access listing: DOAJ (CC0, retrieved Sep 16, 2026). Fees paid by institutions: OpenAPC (Open Database License, retrieved Sep 16, 2026). Retractions: Retraction Watch Database via Crossref (retrieved Sep 16, 2026). Journal identifiers and topics: OpenAlex (CC0). Currency conversion: ECB reference rates (Sep 15, 2026). How these numbers are calculated · For organisations.