Supplementary data: Prince Edward Island

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 PE (aged ≥ 12) classified as daily or occasional smokers in 2019
Caveats/limitations:

  • This indicator was reported using the Canadian Community Health Survey (CCHS). Overall smoking rates are reported using 2019 data.
  • Individuals who did not respond to the required CCHS questions regarding smoking status were not included in the analysis.

16.2% for Prince Edward Island, and 14.7% for Canada
Data source: Canadian Community Health Survey


Topic: Keeping people smoke-free
Title of image: Percentage of individuals in PE (aged ≥ 18) classified as daily or occasional smokers in 2019, by household income quintile and sex
Lowest quintile: males:21.5%, females: 9.5%. Highest quintile: males: 11.7%, females: 22.5%. Full table to follow. width=
Title of table: Percentage of individuals in PE (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
Male 21.5% 25.3% 23.7% 15.9% 11.7%
Female 9.5% 16.5% 19.0% 4.6% 22.5%

Data source: Canadian Community Health Survey


Topic: Keeping people smoke-free
Title of image: Percentage of individuals in PE (aged ≥ 18) classified as daily or occasional smokers in 2019, by highest level of education
Less than secondary school: females: 21.7%; males: 37.6%. Secondary school graduation, no post-secondary education: females: 19.6%; males: 20.7%. Diploma or university degree: females: 11.6%; males: 13.5%</li> <p>

Sex Less than secondary school graduation Secondary school graduation, no post-graduate education Post-secondary certificate/diploma or university degree
Female 21.7% 19.6% 11.6%
Male 37.6% 20.7% 13.5%

Data source: Canadian Community Health Survey



Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in PE (aged ≥ 18) classified as overweight or obese in 2019
72.8% for Prince Edward Island, and 65.9% for Canada
Data source: Canadian Community Health Survey


Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in PE (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex
Lower quintile: females: 69.2%; males: 66.2%. Upper quintile: females: 65.3%; males: 84.7%. Full table to follow.
Title of table: Percentage of individuals in PE (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
Male 66.2% 78.5% 80.3% 78% 84.7%
Female 66.9% 65.5% 65.9% 70.2% 65.3%

Data source: Canadian Community Health Survey


Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in PE (aged ≥ 18) classified as overweight or obese in 2017-2018, by sex
78.5% for males, and 67.0% for females
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 students aged 12 completely vaccinated* for HPV in PE in 2019. *Complete vaccination = Three doses for ages 12+ before 2015. From 2015, only two doses = Complete vaccination
Age 12: Males, 82.1%. Age 12: Females, 84%.
Data source: Provincial cancer agencies and programs


Topic: Increasing HPV vaccination
Title of image: Percentage of students aged 12 completely vaccinated* for HPV in PE in 2019, by age
*Complete vaccination = Three doses for ages 12+ before 2015. From 2015, only two doses = Complete vaccination
Highest age group by percentage completely vaccinated: Male, age 14 at 90%. Female, age 18 at 87%. Full table to follow
Title of table: Percentage of students aged 12 completely vaccinated* for HPV in PE in 2019, by age

Sex Age 12 Age 13 Age 14 Age 15 Age 16 Age 17 Age 18 Age 19 Age 20 Age 21 Age 22
Male 82% 86% 90% 85% 81% 79% 78%
Female 84% 86% 88% 84% 83% 85% 87% 79% 73% 66% 64%

Data source: Provincial cancer agencies and programs



Topic: Increasing genetic testing
Title of image: Percentage of PE patients with breast, colorectal and ovarian cancer who received genetic testing in 2019
Notes:

  • Close to half of women with ovarian cancer received genetic testing compared to almost 13% of women with breast cancer. This could be explained as all women with ovarian cancer are eligible for genetic testing while only a subgroup of women with breast cancer are eligible for genetic testing according to the guidelines for genetic testing.
  • Only 5% of people with colon cancer received genetic testing. Similarly, only a subcategory of people with colon cancer are eligible for genetic testing.
    Breast: 12.9%. Colon: 5.1%. Ovarian: 46.7%.

Data source: Provincial cancer agencies and program


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 in PE
Caveats/limitations: For women who had more than one cancer diagnosed in the year, only the earliest cancer was kept.
Mean: 33. Median: 22.5. 90th Percentile: 70.
Data source: Provincial cancer agencies and programs



Topic: Diagnosing cancer earlier
Title of image: Proportion of stage 4 or later stage cancer diagnosis in PE in 2018
52.7% for lung; 23.2% for colorectal; 19.6% for bladder (Stage 2 to 4 combined); 17.5% for melanoma (Stage 3 to 4 combined)
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 people in PE that had a FIT test in the past 2.5 years (Jul 1, 2017 – Dec 31, 2019) or had a sigmoidoscopy or colonoscopy in the past 10 years (Jan 1, 2010 – Dec 31, 2019)
Overall (Age 50 to 74): 59.9%. Age 50 to 54: 56.7%. Age 55 to 59: 54.6%. Age 60 to 64: 59.9%. Age 65 to 69: 66.9%. Age 70 to 74: 63.4%

Overall (age 50-74) Age 50-54 Age 55-59 Age 60-64 Age 65-69 Age 70-74
59.9% 56.7% 54.6% 59.9% 66.9% 63.4%

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 pediatric patients in PE not treated in the adult cancer treatment centre who were discussed at the multidisciplinary discussions in 2019
Overall: 100%
Data source: Provincial cancer agencies and programs


Topic: Implementing multidisciplinary care
Title of image: Percentage of adult patients with rectal cancer in PE discussed at multidisciplinary rounds or discussions in 2019
Overall: 33.3%
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 with cancer who received systemic therapy in the last two weeks of life in 2019
Overall: 3.6%
Data source: Provincial cancer agencies and programs


Topic: Optimizing care at end of life
Title of image: Percentage of patients with cancer who received systemic therapy in the last two weeks of life in 2019, by treatment type, cancer type, and age at death
Note: Lung cancer patients and those patients less than 70 years old were more likely to receive systemic therapy than those non-lung cancer or older patients.
Caveats/limitations: Denominator is all deaths among patients with cancer, not specifically deaths due to cancer.
96.4% received no treatment. Full table to follow.
Title of table: Percentage of patients with cancer who received systemic therapy in the last two weeks of life in 2019, by treatment type, cancer type, and age at death

Treatment type: Received new treatment Treatment type: Continuing treatment Treatment type: Received no treatment Cancer type: Lung Cancer type: All other Age at death: Less than 70 Age at death: Greater than or equal to 70
0.9% 2.8% 96.4% 9.1% 2.5% 7.5% 2.3%

Data source: Provincial cancer agencies and programs


Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of individuals in PE who had a second screen 11-18 months after first screen in 2018 (breast cancer by frequency)
Overall (Age 50 to 74): 33.4%. Age 50 to 59: 30.4%. Age 60 to 69: 35.3%. Age 70 to 74: 35.6%
Data source: Provincial cancer agencies and programs


Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of people with a cervix in PE aged 18-24 who were screened with Pap test in 2017-19
Caveats/limitations: Individuals with cervical cancer or hysterectomies were not excluded.
Overall (18-24): 42.1%. Age 18 to 20: 12.1%. Age 21 to 24: 63.4%
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 current or recent tobacco users who participated in a Tobacco Cessation program in the cancer treatment centre after receiving a referral to the program in 2021
Notes:

  • Over half of cancer patients who were current tobacco users were enrolled in the Tobacco Cessation Program at the ambulatory cancer treatment centre.
  • A higher proportion of lung cancer patients enrolled in the Tobacco Cessation Program than all other cancer patients.

Total tobacco users: 46.7%. Recent tobacco users: 21.4%. Current tobacco users: 52.5%.
Data source: Provincial cancer agencies and programs


Topic: Expanding models of care
Title of image: Percentage of current or recent tobacco users who participated in a Tobacco Cessation Program after receiving a referral to the program in 2021, by age group, sex, and cancer type
Note: Females were more likely than males to accept a referral to the Tobacco Cessation Program.
Females were more likely than males to accept a referral to the Smoking Cessation Program. Full table to follow.
Title of table: Percentage of current or recent tobacco users who participated in a Tobacco Cessation Program after receiving a referral to the program in 2021, by age group, sex, and cancer type

Category Age group: Less than 65 Age group: Greater than 65 Sex: Male Sex: Female Cancer type: Non-lung Cancer type: Lung
Total 46% 47% 43% 52% 45% 50%
Recent 40% 11% 18% 33% 25% 17%
Current 48% 55% 52% 54% 49% 59%

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 who had virtual appointments in 2019
Caveats/limitations: All the virtual out of province appointments conducted with PEI cancer patients participating at a PEI hospital were measured. It was difficult to recognize if the appointment was for treatment or for diagnosis.
Overall: 0.6%
Data source: Provincial cancer agencies and programs


Topic: Increasing access to virtual care
Title of image: Percentage of patients with cancer who had virtual appointments in 2019, by sex, age, and residence
Patients under 49 utilize the services mainly, with females slightly more likely and those living outside Charlottetown. Full table to follow.
Title of table: Percentage of patients with cancer who had virtual appointments in 2019, by sex, age, and residence

Sex: Male Sex: Female Age: Less than 49 Age: 50-59 Age: 60-69 Age: 70-79 Age: Greater than 80 Residence: In Charlottetown Residence: Outside Charlottetown
0.4% 0.7% 2.9% 1% 0.6% 0.4% 0.2% 0.5% 0.6%

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 who require cancer treatment outside of their home jurisdiction in 2019

Notes:

  • The average wait time for cancer patients who require cancer treatment outside of their home jurisdiction was about one and a half months (47 days).
  • Half of the cancer patients waited about one month (34 days) to have their virtual appointments.
  • The highest average wait time for cancer patients was among cancer patients aged less than 50.
  • Regarding the cancer site, prostate cancer patients represented the highest percentage of cancer patients who had virtual appointments for treatment and had an average wait time of 43 days.

Caveats/limitations:

  • Patients who had their referral request date after the treatment date (due to delayed referral request) were excluded from the analysis.
  • Sometimes, it is not clear if the referral was for diagnostic procedure or for treatment; hence if the date of referral was before the date of diagnosis, it was likely for diagnostic purposes.
  • Some wait times were extended because the patients were receiving preparatory treatment in the form of chemotherapy or radiotherapy before their out of province appointment.

Median is 34 days, mean is 47 days
Data source: Provincial cancer agencies and programs


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 who require cancer treatment outside of their home jurisdiction in 2019, by sex and age group
Mean is 45 days for males and 51 days for females. Median is 34 days for males and 31 days for females. Full table to follow.
Title of table: Average wait time (in days) for patients with cancer who require cancer treatment outside of their home jurisdiction in 2019, by sex and age group

Category Sex: Male Sex: Female Age: Under 18 Age: 18-49 Age: 50-59 Age: 60-69 Age: 70-79 Age: Over 80
Mean 45 51 8 73 40 41 45 62
Median 34 31 7 52 31 36 35 23

Data source: Provincial cancer agencies and programs



Topic: Improving access to transportation and general support for those needing to travel between jurisdictions
Title of image: Percentage of all PE patients with cancer with out of province appointments who were awarded transportation support in bus tickets, bridge or ferry passes, and plane tickets in 2019
Caveats/limitations:

  • The denominator included all patients in the cancer registry with an out-of-province appointments with cancer diagnoses. The exact reason(s) the patient went to this appointment cannot be checked so it was assumed that it was for cancer diagnosis or treatment.
  • There are other transportation supports for cancer patients provided by the Canadian Cancer Society (CCS) in Prince Edward Island according to the eligibility criteria of the CCS. This helps in reducing the burden of transportation needs.

Hope Air: 29.5%. Maritime bus: 1.8%
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 PE, for fiscal years 2015, 2017, and 2019
Median in 2019 is 12 days. Full table to follow.
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 PE, for fiscal years 2015, 2017, and 2019

Year 25th percentile Median 75th percentile 90th percentile
2019 5 12 25 42
2017 7 15 28 49
2015 6 15.5 31 51

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 PE, for fiscal years 2015, 2017, and 2019
Median in 2019 is 15 days. Full table to follow.
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 PE, 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 PE, for fiscal years 2015, 2017, and 2019
Median in 2019 is 8 days. Full table to follow.
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 PE, for fiscal years 2015, 2017, and 2019

Year 25th percentile Median 75th percentile 90th percentile
2019 4 8 22 41
2017 5 13 26 53
2015 9 18 34 54

Data source: Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD)



Topic: Improving access to culturally safe palliative care
Title of image: Percentage of patients identified for palliative care that have advanced care planning/goals for care discussions initiated
Caveats/limitations: This measurement includes all patients enrolled in the PEI Integrated Palliative Care Program (IPCP). Patients receiving palliative care treatment but not enrolled in IPCP are not included at this time.
Overall: 100%
Data source: Patient Reported Outcome (PROs) provincial partners