Data sources

New cancer cases (incidence)

Data source	Statistics Canada, Canadian Cancer Registry
Year	All jurisdictions except Quebec: 2015-2017 Quebec: 2008-2010
Cancer Definition (using International Classification of Diseases for Oncology, 3rd Edition (ICD-O-3))	All cancers: all invasive cancers excluding non-melanoma skin cancer but including in situ bladder cancer Lung cancer: C34.0-C34.9 (lung and bronchus) Gynecological cancers: C53.0-C53.9 (cervix uteri), C54.0-C54.9 (corpus uteri), C55.9 (uterus, not otherwise specified) and C56.9 (ovary)
Note	Data were randomly rounded to a neighbouring multiple of 5 to meet the confidentiality requirement of the Statistics Act

Cancer deaths (mortality)

Data source	Statistics Canada, Canadian Vital Statistics Death Database
Year	All Cancers: 2018 (except Yukon: 2016) Lung Cancer: 2014-2018 (except Yukon: 2012-2016) Gynecological Cancers: 2000-2018 (except Yukon: 2000-2016)
Cancer Definition (using International Classification of Diseases for Oncology, 3rd Edition (ICD-O-3))	All cancers: C00 to D48 Lung Cancer: C34 Gynecological cancers: C51 and C58
Note	Data were randomly rounded to a neighbouring multiple of 5 to meet the confidentiality requirement of the Statistics Act

5-year prevalence

Data source	Statistics Canada, Canadian Cancer Registry linked to the Canadian Vital Statistics Death Database and death information from the T1 Personal Master File
Year	All jurisdictions except Quebec: number of primary malignant neoplasms diagnosed between January 1st, 2010 and December 31st, 2014, among people who were still alive on January 1st, 2015. Quebec: number of primary malignant neoplasms diagnosed between January 1st, 2006 and December 31st, 2010 (Table 1a) among people who were still alive on January 1st, 2011.
Cancer Definition (using International Classification of Diseases for Oncology, 3rd Edition (ICD-O-3))	All cancers: all invasive cancers excluding non-melanoma skin cancer but including in situ bladder cancer Lung cancer: C34.0-C34.9 (lung and bronchus) Gynecological cancers: C53.0-C53.9 (cervix uteri), C54.0-C54.9 (corpus uteri), C55.9 (uterus, not otherwise specified) and C56.9 (ovary)
Note	Data were randomly rounded to a neighbouring multiple of 5 to meet the confidentiality requirement of the Statistics Act.

Option A Human resources

Radiation Oncologists Medical Oncologists Thoracic Surgeons Hematologist Oncologist Anatomical Pathologist and/or General Pathologists Hematological Pathologist Neuropathologist	Data source: College of Physicians and Surgeons (where possible, validated and updated based on information provided by jurisdictional partners) NS, QC and MB: data were provided by partners Year: retrieved in 2022

Option B Human resources

Data source	College of Physicians and Surgeons (where possible, validated and updated based on information provided by jurisdictional partners) NS, QC and MB: data were provided by partners
Year	2022
Type of physician	· Radiation Oncologist · Medical Oncologist · Thoracic Surgeon · Hematologist Oncologist · Anatomical Pathologist and/or General Pathologist · Hematological Pathologist · Neuropathologist
General methodological notes	· A physician with multiple specialties may be mapped to more than one of the eight cancer care specialist categories. · A physician with two addresses may be mapped to more than one FSAs. · The Health Human Resource (HHR) counts at jurisdiction and health authority level are estimated by summing up the counts at the Forward Sortation Area (FSA – first 3 characters of postal codes) level. For this analysis, a HHR who practices across multiple locations and across FSAs is counted in each corresponding FSA. For this reason, the estimated number of HHR practicing at a given jurisdiction may be inflated. · Counts were retrieved from College of Physicians and Surgeons, where possible, validated and updated based on information provided by jurisdictional partners.
Methodology notes specific to QC	· For QC, the data at the establishment level (e.g., CISSS DU BAS-SAINT-LAURENT) were used to estimate the data at the FSA level. To ensure that the most accurate counts at the FSA level, a physician was counted across all FSA’s associated with each establishment in Quebec; this means that when the data is aggregated at the provincial level, a physician was counted more than once if more than one FSA was associated with a given establishment.
Limitations	· There may be some methodological differences across jurisdictions based on jurisdiction-specific details and data availability. Examples include (but not limited to): -Categorization of the cancer care specialists to the eight types of human resources -Inclusion/exclusion of specific license status/type depending on data availability · The current eight types of human resources used in the tool is not exhaustive list of all health human resources involved in cancer care. It should be recognized that there are other specialists types (e.g., family physicians in oncology, surgical oncologists) and other types of health care professionals (e.g., nurse practitioners, radiation therapists) that play an important role in cancer care model in a given jurisdiction. These will be considered for the future enhancement of the tool. · The enumeration of healthcare professionals is nuanced – for example, types of positions (allocated positions vs. filled positions, full time positions vs. part time positions, academic appointments) may be an important factor depending on jurisdiction’s cancer care model including the funding model. For this update of the tool, this factor was not able to be taken into consideration but will be considered for future updates. · The validation process revealed that there may be alternative data sources to the provincial college of physicians and surgeons, such as CIHI’s Scott Medical Database. They will be reviewed when the tool is being updated, while acknowledging that different data sources may require modifying the layout of maps (FSA vs. census subdivision).

_{Note:
Data includes:
·      College registered and actively practising physicians only
·      Physicians with in-province addresses only
·      Physicians with clearly identified specialties only
·      All licenses (including foreign licenses, if applicable)
·      Physicians marked as “conditional”, “Indicates a concern” and “additional information”
·      Quebec includes physicians “effectifs en place” only
Data excludes:
·       Physicians in postgraduate education, except those clearly identified as fellows
·       Paediatric Physicians if identified
·       Physicians clearly identified as “Administration only”
·       Physicians without primary practice address}