NCRA s Cancer Registry Management Principles and Practice for Hospitals and Central Registries is the premier textbook and desk reference for the cancer registry profession. It has been revised by a volunteer team of cancer registry professionals who represent various organizations and entities from the cancer surveillance community in North America in a new, definitive update. As in earlier editions, this fourth edition provides a history of cancer registration, defines the roles of key organizations, outlines the cancer data collection process at the facility level, highlights the purpose and responsibilities of central cancer registries, and details the flow of the data to federal agencies and national organizations. Since the 2011 release of the third edition, there have been significant advancements in cancer care and treatment and important technological innovations that have impacted the cancer registry. To address these developments, the textbook has been organized into four sections: Introduction to the Cancer Registry, Data Collection and Abstraction, Data Aggregation and Quality, and Uses of Cancer Registry Data. The full manuscript has been updated, chapters on quality have been expanded, and new chapters have been developed to showcase the uses and importance of cancer registry data. Data used in examples are for illustrative purposes only and should not be interpreted as having any epidemiological or statistical significance, and references to specific products or software are not to be considered an endorsement of that product. A focus on the patient s journey has been added to provide context and to illustrate how a cancer patient s experience is connected to the collection and flow of the data. The expanded and updated appendices, glossary, and index are important reference tools for both faculty and students.