Supplementary data: Ontario
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 (aged ≥ 12) in ON classified as daily or occasional smokers in 2019
Caveats/limitations:
- This indicator was reported using the Canadian Community Health Survey (CCHS) and is based on self-reported data. Overall smoking percentages are reported using 2019 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 ON (aged ≥ 18) classified as daily or occasional smokers in 2019, by household income quintile and sex
Title of table : Percentage of individuals in ON (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 | 15.3% | 12.7% | 10.5% | 9.9% | 7.2% |
| Male | 24.4% | 18.7%% | 17.5% | 19.6% | 12.3% |
Data source: Canadian Community Health Survey
Topic: Keeping people smoke-free
Title of image: Percentage of individuals in ON (aged ≥ 18) classified as daily or occasional smokers in 2019, by highest level of education and sex
Title of table: Percentage of individuals in ON (aged ≥ 18) classified as daily or occasional smokers in 2019, by highest level of education and sex
| Sex | Less than secondary school graduation | Secondary school graduation, no post-graduate education | Post-secondary certificate/diploma or university degree |
|---|---|---|---|
| Female | 18.4% | 15.1% | 8.9% |
| Male | 32.0% | 21.9% | 14.8% |
Data source: Canadian Community Health Survey
Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in ON (aged ≥ 18) classified as overweight or obese in 2019
Caveats/limitations:
- This indicator was reported using the Canadian Community Health Survey (CCHS) and is based on self-reported data. 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 ON (aged ≥ 18) classified as overweight or obese in 2017-2018, by sex
Data source: Canadian Community Health Survey
Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in ON (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex
Title of table: Percentage of individuals in ON (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 | 62.7% | 62.7% | 62.4% | 61.9% | 53.2% |
| Male | 64.9% | 72.6% | 68.3% | 72.8% | 75.7% |
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 7 students in ON who received final dose of HPV vaccination in the 2017-2018 school year, by sex
Data source: Provincial cancer agencies and programs
Topic: Increasing genetic testing
Title of image: Number of individuals aged 30 to 69 years in ON diagnosed with breast cancer, per 1,000 individuals who underwent genetic testing in 2018 prior to cancer diagnosis, by age group
Caveats/limitations: This indicator only included genetic testing through the High Risk OBSP; genetic testing performed outside the program was not included.
Data source: Provincial cancer agencies and programs
Priority 2 Action 1: Prioritize rapid access to appropriate diagnosis for those suspected of having cancer
Topic: Reducing wait for diagnosis
Title of image: Wait time (days) from suspicion of breast cancer to time of diagnosis (screening year 2019)
Caveats/limitations: This indicator includes all patients with breast cancer. For those with a prior breast cancer the algorithm may not be precise and may suggest longer wait times.
Data source: Provincial cancer agencies and programs
Topic: Diagnosing cancer earlier
Title of image: Proportion of stage at diagnosis in 2018 in ON for lung cancer
Caveats/limitations: “Unknown stage” means that an attempt was made to stage the case, but the patient record was missing the necessary information. This could be because of limited stage work-up in the clinical setting.
Data source: Provincial cancer agencies and programs
Topic: Diagnosing cancer earlier
Title of image: Proportion of stage at diagnosis in 2018 in ON for colorectal cancer
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 ON who had at least one of the following: 1) FOBT/FIT test (in the last 2 years), 2) flexible sigmoidoscopy (in the last 10 years), or 3) colonoscopy (in the last 10 years), as of December 31, 2019
Title of table: Percentage of individuals in ON who had at least one of the following: 1) FOBT/FIT test (in the last 2 years), 2) flexible sigmoidoscopy (in the last 10 years), or 3) colonoscopy (in the last 10 years), as of December 31, 2019
| Overall Age 50-74 | Age 50-54 | Age 55-59 | Age 60-64 | Age 65-69 | Age 70-74 |
|---|---|---|---|---|---|
| 63.1% | 51% | 62.1% | 66.3% | 70.1% | 71.4% |
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 GI Multidisciplinary Cancer Conferences (MCCs) that were standards concordant in 2019-2020
Data source: Provincial cancer agencies and programs
Topic: Implementing multidisciplinary care
Title of image: Estimated percentage of pediatric patients with cancer (all cancers combined) who were discussed by a multidisciplinary care team within 1 month of treatment initiation in the past year (2020-2021)
Caveats/limitations: These data are based on the estimated percentages of children with cancer discussed in multidisciplinary tumour boards, based on semi-structured interviews, conducted by POGO, with Tumour Board Leads at the pediatric cancer programs in Ontario.
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 cancer patients who received systemic therapy in the last two weeks of life in 2019
Caveats/limitations: Ontario Health reports systemic treatment within the last 30 days of life for Ontario-specific reporting.
Data source: Provincial cancer agencies and program
Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of individuals aged 40-49 who were screened with mammography, by year
Note: The percentage of individuals ages 40-49 screened with mammography has been declining from 2016-2019.
Data source: Provincial cancer agencies and programs
Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of Ontario Breast Screening Program (OBSP) participants aged 50-72, with a biennial screening recall recommendation in 2018 who had a subsequent OBSP screening mammogram within 18 months of the previous mammogram
Caveats/limitations: Since March 2020, some Ontario Breast Screening Program sites were at reduced capacity.
Data source: Provincial cancer agencies and programs
Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of people with a cervix aged 18-24 who received a Pap test in 2019
Caveats/limitations: The Ontario Cervical Screening Program does not recommend screening before age 21. Starting in June 2020, the program is encouraging healthcare providers to delay the initiation of cervical screening until age 25 for immune competent people. This is based on moderate quality evidence suggesting that people under age 25 do not benefit from cervical screening. The program will formally change the age of initiation for cervical screening from 21 to 25 for most people with the implementation of human papillomavirus testing in the program. Click here for more information.
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 cancer patients and visits from rural/remote communities using virtual health appointments in 2019, stratified by service type
Caveats/limitations: Virtual care visits have increased significantly during the COVID-19 pandemic.
Data source: Provincial cancer agencies and programs
Topic: Increasing access to virtual care
Title of image: Percentage of cancer patients and visits from rural/remote communities using virtual health appointments in 2019, stratified by service type
Title of table: Percentage of cancer patients and visits from rural/remote communities using virtual health appointments in 2019, stratified by service type
| Category | Systemic | Radiation | Psychosocial Oncology |
|---|---|---|---|
| By patients | 15.4% | 17.3% | 28.5% |
| By visits | 10.6% | 13.8% | 155% |
Data source: Ontario Ministry of Health
Topic: Increasing access to supportive care services
Title of image: Percentage of patients with cancer in rural/remote areas who received palliative care or psychosocial oncology services in 2019
Note: Palliative care and psychosocial service utilization in rural/remote areas was comparable to that of urban areas.
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: Number of patients who received funding approval under the Ontario Health Insurance Plan for cancer treatment outside of Canada in fiscal years 2019/20 and 2020/21
Caveats/limitations:
- The majority of approved Out-of-Country cancer services in fiscal year 2019/20 was for chimeric antigen receptor (CAR) T-cell therapy which became available in Ontario in late 2019.
- The decrease in number of Ontario patients receiving funding approval in fiscal year 2020/21 can be attributed to a decrease in Out-of-Country applications due to the COVID-19 pandemic and increased capacity to deliver CAR T-cell therapy in Ontario.
Data source: Ontario Ministry of Health
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 clinicians with access to clinical viewer with treatment data consolidated (including cancer) in 2020
Caveats/limitations: Data included patients with cancer but was not exclusively for this patient population. Data current as of September 20, 2020
Data source: Provincial cancer agencies and program
Priority 5 Action 3: Support children, adolescents and young adults at key transition points in their unique cancer journeys
Topic: Improving care for adolescents and young adults with cancer
Title of image: Percentage of AYA with cancer who had a specialized care plan pathway, 2021
Caveats/limitations:
- Other gender and remote location categories are suppressed due to fewer than 5 responses.
- Please note that recruitment for this survey did not target specific groups within the YACC’s community (e.g., by gender, location), but went to the community at large, which has a higher percentage of people identifying as female and living in an urban area. This means the proportion of respondents with different characteristics may not be evenly distributed.
Title of table: Percentage of AYA with cancer who had a specialized care plan pathway, 2021
| Overall | Age 15 -29 | Age 30-39 | Female | Male | Rural | Urban |
|---|---|---|---|---|---|---|
| 44% | 64.5% | 32.1% | 37% | 52.8% | 19% | 54.1% |
Data source: Young Adult Cancer Canada (YACC) Survey 2021
Topic: Improving care for adolescents and young adults with cancer
Title of image: Percentage of AYA with cancer who had a positive experience of transition in care along their cancer journey, 2021
Title of table: Percentage of AYA with cancer who had a positive experience of transition in care along their cancer journey, 2021
| Overall | Age 15 -29 | Age 30 – 39 | Female | Male | Rural | Urban |
|---|---|---|---|---|---|---|
| 40.5% | 45.2% | 37.7% | 32.6% | 52.8% | 28.6% | 42.6% |
Data source: Young Adult Cancer Canada (YACC) Survey 2021