The State of Oncology Practice in America, 2018

Infographic features key highlights from The State of Oncology Practice in America, 2018. Download PDF.

Since 2014, the American Society of Clinical Oncology (ASCO) has published a series of annual State of Cancer Care in America™ reports to examine important trends in the cancer care delivery system.

Beginning in 2018, ASCO broadened its State of Cancer Care in America initiative to include national events with thought leaders and experts from the cancer care community and a series of timely, in-depth articles that examine practice issues that impact the delivery of efficient, cost-effective, high-quality cancer care. Learn more about the new series in the introductory editorial published in the Journal of Oncology Practice.


The State of Cancer Care in America article series features original research, editorials, and commentaries from ASCO leaders and invited stakeholders that explore the current challenges, opportunities, and trends in the delivery of high-quality cancer care. The articles are featured as a special series in the Journal of Oncology Practice.

  • **NEW** CancerLinQ: Cutting the Gordion Knot of Interoperability (Published December 19, 2018) -- Looks at how ASCO’s commitment to CancerLinQ® can lead to improvements in the interoperability of electronic health records (EHRs), and shows the importance of properly leveraging practice data to improve quality of care and reduce costs.
  • Use of Patient-Reported Outcome Measures in Quality Oncology Practice Initiative–Registered Practices: Results of a National Survey (Published: September 12, 2018)-- Presents data on how practices are using patient-reported outcomes (PROs) in a real-world setting.
  • Understanding the Role of Advanced Practice Providers in Oncology in the United States (Published August 22, 2018) -- Provides an overview of advanced practice providers (APPs) in onoclogy, including their roles on the cancer care team.
  • The State of Oncology Practice in America 2018 (Published June 15, 2018) -- Examines important trends in the oncology practice landscape, including practice concerns, the oncology workforce, and practice ownership. 
  • Supporting the Future of the Oncology Workforce: ASCO Medical Student and Trainee Initiatives (Published on April 20, 2018) – Provides overview of initiatives to attract and support medical students and oncology trainees who are about to enter the workforce.
  • The Impact on Oncology Practices of Including Drug Costs in Bundled Payments (Published on April 12, 2018) – Explores the destabilizing impact of including cancer drug costs in bundled payments under Medicare and demonstrates that Medicare reimbursement would vary widely depending on the mix of patient conditions practices treat, rather than the quality of care they provide.

View State of Cancer Care reports from prior years.


On January 31, 2018, ASCO hosted the inaugural State of Cancer Care in America event, Precision Medicine: Expanding Opportunities. The event focused on the United States’ most urgent challenges in precision medicine and strategies to ensure new therapies are available to individuals with cancer. 

Watch the recording of the event.