Supplementary data: Newfoundland and Labrador
This page provides data visualizations related to the priorities for Canada’s cancer system, as well as accessible descriptions.
Download data tables for all indicators.
Priority 1 Action 1: Help people to stop smoking or not start in the first place and live healthier lives
Topic: Keeping people smoke-free
Title of image: Percentage of individuals in NL (aged ≥ 12) classified as daily or occasional smokers in 2020
Caveats/limitations:
- This indicator was reported using the Canadian Community Health Survey (CCHS). Overall smoking rates are reported using 2020 data.
- Individuals who did not respond to the required CCHS questions regarding smoking status were not included in the analysis.
Data source: Canadian Community Health Survey
Topic: Keeping people smoke-free
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as daily or occasional smokers in 2019, by household income quintile and sex
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as daily or occasional smokers in 2019, by household income quintile and sex
| Sex | Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 |
|---|---|---|---|---|---|
| Female | 31.8% | 23.4% | 11.4% | 16.7% | 5.5% |
| Male | 38.6% | 19.2% | 24.1% | 25.2% | 16.0% |
Data source: Canadian Community Health Survey
Topic: Keeping people smoke-free
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as daily or occasional smokers in 2019, by highest level of education
Title of graph: Percentage of individuals in NL (aged ≥ 18) classified as daily or occasional smokers in 2019, by highest level of education
| Sex | Less than secondary school graduation | Secondary school graduation, no post-secondary education | Post secondary certificate/diploma or university degree |
|---|---|---|---|
| Female | 20.1% | 25.7% | 14.5% |
| Male | 30.8% | 24.9% | 21.2% |
Data source: Canadian Community Health Survey
Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as overweight or obese in 2019
Caveats/limitations:
- This indicator was reported using the Canadian Community Health Survey (CCHS). Overall obesity and overweight percentages are reported using 2019 data. Percentages by income quintile and/or sex are reported using 2017-2018 data.
- Individuals who did not respond to the required CCHS questions to derive the BMI classifications were not included in the analysis.
Data source: Canadian Community Health Survey
Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex
Title of graph: Percentage of individuals in NL (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex
| Sex | Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 |
|---|---|---|---|---|---|
| Female | 78.6% | 72.4% | 73.5% | 76.8% | 72.5% |
| Male | 68.3% | 78.0% | 82.7% | 83.2% | 86.0% |
Data source: Canadian Community Health Survey
Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as overweight or obese in 2017-2018, by sex
Data source: Canadian Community Health Survey
Priority 1 Action 2: Adopt proven practices known to reduce the risk of cancer
Topic: Increasing HPV vaccination
Title of image: Percentage of Grade 6 students in NL who received a final dose of HPV vaccination in the 2018-2019 school year
Topic: Increasing genetic testing
Title of image: Percentage of patients in NL under 40 years of age diagnosed with colorectal cancer in 2017-2019 who received genetic testing within one year of diagnosis
Caveats/limitations: 2017-2019 years were aggregated as number of colon cases per year were too small to report.
Data source: Provincial cancer agencies and programs
Priority 2 Action 1: Prioritize rapid access to appropriate diagnosis for those suspected of having cancer
Topic: Diagnosing cancer earlier
Title of image: Proportion of stage 4 diagnosis in NL in 2019
Data source: Provincial cancer agencies and programs
Priority 2 Action 2: Strengthen existing screening efforts and implement lung cancer screening programs across the country
Topic: Increasing participation in colorectal cancer screening
Title of image: Percentage of individuals in NL who had a successful FIT result in 2 years (2018-2019) or a colonoscopy in 5 years (2015-2019)
Title of graph: Percentage of individuals in NL who had a successful FIT result in 2 years (2018-2019) or a colonoscopy in 5 years (2015-2019)
| Overall (age 50-74) | Age 50-54 | Age 55-59 | Age 60-64 | Age 65-69 | Age 70-74 |
|---|---|---|---|---|---|
| 48.8% | 39.1% | 41.1% | 54.7% | 54.4% | 59.5% |
Data source: Provincial cancer agencies and programs
Priority 3 Action 1: Set best practices and standards for care delivery and promote their adoption
Topic: Implementing multidisciplinary care
Title of image: Percentage of patients in NL diagnosed with stages 1 to 3 rectal cancer in 2019 calendar that were discussed at least one time at a Gastrointestinal (GI) tumour board committee
Caveats/limitations:
- A patient may have been discussed multiple times at a tumour board over the specified time period. This indicator does not capture the frequency of discussions but rather whether a patient was discussed at least one time.
- For the gastrointestinal tumour board, there is not currently a benchmark for this indicator or criteria for those cases that must be discussed. In general, cases where there are ambiguities about staging, difference of opinion regarding management or uncertainties about the best line of management are brought forth by the attending or triaging physician voluntarily.
Data source: Provincial cancer agencies and programs
Topic: Implementing multidisciplinary care
Title of image: Number of pediatric patients in NL discussed at tumour board committee in 2019 and pediatric patients diagnosed in the same year
Data source: Provincial cancer agencies and programs
Priority 3 Action 2: Eliminate low-benefit practices and adopt high-value practices
Topic: Optimizing care at end of life
Title of image: Percentage of patients diagnosed with invasive cancer and died in 2018 who received chemotherapy in the last two weeks of life
Caveats/limitations: There is currently no way to determine the cause of death, and there was therefore no way to exclude deaths unrelated to cancer from the denominator.
Data source: Provincial cancer agencies and programs
Topic: Optimizing care at end of life
Title of image: Percentage of patients diagnosed with invasive cancer and died in 2018 who received chemotherapy in the last two weeks of life
Data source: Provincial cancer agencies and programs
Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of people with a cervix who had a Pap smear in 2019, by age group
Data source: Provincial cancer agencies and programs
Priority 3 Action 3: Design and implement new models of care
Topic: Expanding models of care
Title of image: Percentage of new patients with cancer in 2020 who were current smokers and received a referral to the smoking cessation program
Caveats/limitations: The Smoking Cessation Program runs one morning per week and provides patients with a combination of behavioural therapy and prescription and non-prescription medications. In the past, this been an in-person program, which was only offered in the province’s cancer clinics. Since the COVID-19 pandemic, the program has become telephone-based only and has seen an increase in compliance.
Data source: Provincial cancer agencies and programs
Priority 4 Action 2: Ensure rural and remote communities have the resources required to better serve their people
Topic: Increasing access to virtual care
Title of image: Percentage of patients with cancer from rural/remote communities using virtual health appointment in FY 2020
Data source: Provincial cancer agencies and programs
Topic: Increasing access to virtual care
Title of image: Percentage of patients with cancer from rural/remote communities using virtual health appointment in FY 2020
Title of table: Percentage of patients with cancer from rural/remote communities using virtual health appointment in FY 2020
| Category | RHA Eastern | RHA Central | RHA Western | RHA Labrador Grenfell |
|---|---|---|---|---|
| Patient level | 50.6% | 73% | 78.5% | 82.8% |
| Appointment level | 31.1% | 36.4% | 46.3% | 56.3% |
Data source: Provincial cancer agencies and programs
Priority 4 Action 3: Ensure care can be delivered between provinces, territories and federal jurisdictions when needed
Topic: Improving access to timely care for people who need to travel between jurisdictions
Title of image: Average wait time (in days) for patients with cancer required Allogeneic Stem Cell Transplant (ASCT) treatment outside of their home jurisdiction in 2019
Caveats/limitations:
- All patients from NL must leave the province for Allogeneic Stem Cell Transplantation.
- Chemotherapy is required to prepare for allogeneic stem cell transplantation. As such, patients must spend about one week receiving chemotherapy before transplantation, making the minimum possible wait time the time for chemotherapy + travel.
Data source: Provincial cancer agencies and programs
Priority 5 Action 1: Integrate the full spectrum of information and support services to ensure people are fully supported throughout the cancer experience
Topic: Improving access to shared medical records
Title of image: Percentage of family physicians in NL who have logged into HEALTHeNL viewer at least 50 times in 2019 (among family physicians that have access to HEALTHeNL)
Caveats/limitations: Information on patients with cancer is available but it cannot be separated from other patients without cancer at this time. This is a proxy indicator and does not measure access to electronic cancer care information directly. Rather, it measures access to general EMRs, where cancer information is a subset.
Data source: Provincial cancer agencies and programs
Topic: Improving access to shared medical records
Title of image: Percentage of family physicians in NL who have logged into HEALTHeNL viewer at least 50 times in 2019 (among family physicians that have access to HEALTHeNL), by regional health authority
Data source: Provincial cancer agencies and programs
Priority 5 Action 2: Address the limited and unequal access to palliative and end-of-life care across Canada
Topic: Improving access to quality end-of-life care
Title of image: Cumulative length of stay for cancer patients (overall) who were in or admitted to an acute care hospital 30 days prior to death across NL for fiscal years 2015, 2017, and 2019
Title of table: Cumulative length of stay for cancer patients (overall) who were in or admitted to an acute care hospital 30 days prior to death across NL for fiscal years 2015, 2017, and 2019
| Year | 25th percentile | Median | 75th percentile | 90th percentile |
|---|---|---|---|---|
| 2019 | 5 | 11 | 23 | 38 |
| 2017 | 6 | 13 | 26 | 43 |
| 2015 | 6 | 14 | 28 | 43 |
Data source: Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD)
Topic: Improving access to quality end-of-life care
Title of image: Cumulative length of stay for cancer patients (rural/remote) who were in or admitted to an acute care hospital 30 days prior to death across NL for fiscal years 2015, 2017, and 2019
Title of table: Cumulative length of stay for cancer patients (rural/remote) who were in or admitted to an acute care hospital 30 days prior to death across NL for fiscal years 2015, 2017, and 2019
| Year | 25th percentile | Median | 75th percentile | 90th percentile |
|---|---|---|---|---|
| 2019 | 6 | 15 | 25 | 45 |
| 2017 | 8 | 16 | 28 | 47 |
| 2015 | 5.5 | 14 | 30.5 | 50 |
Data source: Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD)
Topic: Improving access to quality end-of-life care
Title of image:Cumulative length of stay for cancer patients (urban) who were in or admitted to an acute care hospital 30 days prior to death across NL for fiscal years 2015, 2017, and 2019
Title of table: Cumulative length of stay for cancer patients (urban) who were in or admitted to an acute care hospital 30 days prior to death across NL for fiscal years 2015, 2017, and 2019
| Year | 25th percentile | Median | 75th percentile | 90th percentile |
|---|---|---|---|---|
| 2019 | 5 | 12 | 23 | 40 |
| 2017 | 6 | 14 | 26 | 40 |
| 2015 | 5 | 14 | 32 | 48 |
Data source: Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD)