The State of Cancer Care in America: 2015 report—released by the American Society of Clinical Oncology (ASCO) and published by the Journal of Oncology Practice—is an annual, comprehensive look at demographic, economic, and oncology practice trends that will impact cancer care in the United States over the coming years.  
With recommendations for addressing the cancer care delivery system’s most pressing concerns, this landmark ASCO report also examines the rapid expansion of health information technology and the growing emphasis on quality measurement and value.
ASCO developed the State of Cancer Care in America report to help cancer care providers, policy makers, and others more effectively shape the future of cancer care during these uncertain times. The Society will issue annual updates that will track trends and identify emerging issues.
In March 2014, the American Society of Clinical Oncology (ASCO) published its inaugural State of Cancer Care in America report to heighten awareness about advances in—and growing demand for—cancer care and to provide a comprehensive analysis of issues affecting patient access and delivery of cancer care in the United States. Our 2015 report continues this work by focusing on oncology practice trends and key challenges facing cancer care professionals in today’s demanding healthcare environment. 
This year’s examination of current data and trends clearly shows that oncology practices in all settings continue to experience tremendous pressures and volatility in the marketplace. At the same time, advances in both cancer treatment and health information technology are spurring exciting innovations in oncology care. In addition, changes resulting from ongoing implementation of the Affordable Care Act, along with heightened concern about increasing costs, are spurring major clinical practice changes that leverage technology, support efficiency, and foster patient-centered care.
As healthcare professionals, we value evidence-based practice to ensure that all of our patients receive high-quality cancer care. The State of Cancer Care in America: 2015 provides data-driven insight—on practice trends, workforce composition, innovative care strategies, and other emerging issues—that can inform the national dialogue on what the future of the cancer care delivery system might be, and support oncology practice efforts to adapt, survive and thrive in the coming days.
We deeply appreciate the many oncology practices and researchers that helped ASCO develop this report by sharing their experiences and information, and invite all readers to join us in finding solutions to the many challenges described on the following pages.
Peter Paul Yu, MD, FACP, FASCO
ASCO President, 2014-2015