Supplementary NL Progress Test

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.
  • The COVID-19 pandemic had major impacts on the data collection operations and response rates for this survey.

19% for Newfoundland and Labrador, and 12.9% for Canada

NL P1 Act1 Smoking Progress EN – uploaded Jan 31

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
Caveats/limitations: The COVID-19 pandemic had major impacts on the data collection operations and response rates for this survey.

Lower quintile: females: 31.8%; males: 38.6%, Quintile 2: females: 23.4%; males: 19.2%, Quintile 3: females: 11.4%; males: 24.1%, Quintile 4: females: 16.7%; males: 25.2%, Upper quintile: females: 5.5%; males: 16.0%

NL P1 Act1 Smoking Male Income Progress EN – uploaded Jan 31

NL P1 Act1 Smoking Female Income Progress EN – uploaded Jan 31

 


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
Caveats/limitations: The COVID-19 pandemic had major impacts on the data collection operations and response rates for this survey.
Less than secondary school: females: 20.1%; males: 30.8%, Secondary school, no post-secondary education: females: 25.7%; males: 24.9%, diploma or university degree: females: 14.5%; males: 21.2%

NL P1 Act1 Smoking Education Progress EN – uploaded Jan 31

 

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.
  • The COVID-19 pandemic had major impacts on the data collection operations and response rates for this survey.

77.6% for Newfoundland and Labrador, and 65.9% for Canada

NL P1 Act1 Obese Overall Progress EN – uploaded Jan 31

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
Caveats/limitations: The COVID-19 pandemic had major impacts on the data collection operations and response rates for this survey.
80.5% for males, and 74.7% for females

NL P1 Act1 Obese Sex Progress EN – uploaded Jan 31


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
Caveats/limitations: The COVID-19 pandemic had major impacts on the data collection operations and response rates for this survey.
Lower quintile: females: 78.6%; males: 68.3%, Quintile 2: females: 72.4%; males: 78.0%, Quintile 3: females: 73.5%; males: 82.7%, Quintile 4: females: 76.8%; males: 83.2%, Upper quintile: females: 72.5%; males: 86.0%

NL P1 Act1 Obese Male Income Progress EN

NL P1 Act1 Obese Female Income Progress EN – uploaded Jan 31

 


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
Overall for year 2018 to 2019: 91.6%

No progress graph provided



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.
Overall: 58.3%

No progress graph provided
Data source: Provincial cancer agencies and programs


Priority 2 Action 1: Prioritize rapid access to appropriate diagnosis for those suspected of having cancer

Brand new NL P2 Act1 Suspicion EN – uploaded Jan 31 



Topic: Diagnosing cancer earlier
Title of image: Proportion of stage 4 diagnosis in NL in 2019
28.6% for lung; 19.3% for colorectal; 4.7% for bladder; 12.8% for melanoma (Stage 3 to 4 combined)

No progress graph provided
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)
Overall (Age 50 to 74): 48.8%, Age 50 to 54: 39.1%, Age 55 to 59: 41.1%, Age 60 to 64: 54.7%, Age 65 to 69: 54.4%, Age 70 to 74: 59.5%

No progress graph provided

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.
  • The COVID-19 pandemic may have affected service provision.

Overall: 50.0%

NL P3 Act1 GI Progress EN – uploaded Jan 31


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
Caveats/limitations: The COVID-19 pandemic may have affected service provision.
Discussed at pediatric tumour board committee: 12 pediatric cancer cases. Diagnosed with cancer: 14 pediatric cancer cases

NL P3 Act1 Multi Pediatric Progress EN – updated Jan 31 (this was provided as P5, but is P3)


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.
  • The COVID-19 pandemic may have affected service provision.

Overall: 4.1%

NL P3 Act2 Chemo Progress EN – uploaded Jan 31


Data source: Provincial cancer agencies and programs


Topic: Optimizing care at end of life
Title of imagePercentage of patients diagnosed with invasive cancer and died in 2018 who received chemotherapy in the last two weeks of life 
Any therapy: Male, 4.5%, Female 3.8%. New therapy: Male, 0.5%, Female, 0.5%.

No progress graph provided
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
Caveats/limitations: The COVID-19 pandemic may have affected service provision.
Age 21 and less: 0.9%, Age 21 to 24: 6.6%, Age 25 to 69: 88.7%, Age 69 and over: 3.8%

NL P3 Act2 Screened Cervical EN – uploaded Jan 31


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 was 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.
  • The COVID-19 pandemic may have affected service provision.

Overall: 37.8%, Male: 37%, Female: 38.6%.

NL P3 Act3 MoC Overall Sex Progress EN – uploaded Jan 31


Data source: Provincial cancer agencies and programs


Priority 4 Action 1: Provide better services and care adapted to the specific needs of underserved groups

brand new NL P4 Act1 Respectful EN – uploaded Jan 31


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
Caveats/limitations: The COVID-19 pandemic may have affected service provision.
Patient level: 67.95, Appointment level: 37%.

NL P4 Act2 Virtual Patient Appt Progress EN


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
Caveats/limitations: The COVID-19 pandemic may have affected service provision.
Patient level highest percentage in Labrador Grenfell at 82.8%. Full table to follow.

NL P4 Act2 Virtual Patient RHA Progress EN – uploaded Jan 31

NL P4 Act2 Virtual Appt RHA Progress EN – uploaded Jan 31

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 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.
  • The COVID-19 pandemic may have affected service provision.

Median is 166.5 days, and Mean is 176.8 days

NL P4 Act3 Wait Progress EN – uploaded Jan 31


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

Brand new – NL P5 Act1 Enough Info EN – uploaded Jan 31



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.
  • The COVID-19 pandemic may have affected service provision.

Overall: 84.9%

NL P5 Act1 Records Overall Progress EN


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
Caveats/limitations: The COVID-19 pandemic may have affected service provision.
Eastern 86%. Central 86.8%. Western 88.7%. Labrador Grenfell 83.6%.

NL P5 Act1 Records RHA Progress EN – uploaded Jan 31


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
Median in 2019 is 11 days

NL P5 Act2 Length of Stay Overall EN – uploaded Jan 31

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
Median in 2019 is 15 days. Full table to follow.

NL P5 Act2 Length of Stay Rural Remote EN

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
Median in 2019 is 12 days. Full table to follow

NL P5 Act2 Length of Stay Urban EN – uploaded Jan 31

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