• 2,300 women
    women were determined to be at high risk for breast cancer by the High Risk Screening Program in Ontario in 2015
  • 86%
    of cancer patients saw a registered dietitian at a regional cancer centre within 14 days of referral in 2016
  • 71%
    of stage III colon cancer patients received chemotherapy within 60 days of after surgery in 2014
  • 86%
    of all cancer surgery patients received their consult within the recommended wait time in 2016, and 87% received their surgery within the recommend wait time
  • Over 43,000
    patients were discussed at comprehensive multidisciplinary cancer conferences (MCCs) in fiscal year 2016/2017
  • About 13%
    of patients who undergo lung, prostate and colorectal surgery have an unplanned hospital visit following surgery
  • 79%
    of breast cancer patients had a guideline-recommended mammogram in the first follow-up year
  • 74%
    of colorectal cancer patients diagnosed in 2013 had a surveillance colonoscopy within 18 months of surgery
  • Over 100
    patient and family advisors, who vary by their type of cancer and experiences, represent diverse regions and work with Cancer Care Ontario to ensure a person-centred cancer system
  • 383,023
    unique patients were screened for symptom severity using Your Symptoms Matter – General Symptoms (YSM-General) in 2016
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Central LHIN

 
Central LHIN map
Quick Statistics: 2017 (projected) data
Total Population
Central:1,935,189
Ontario:14,092,196
Percentage of population over 50
Central:36%
Ontario:38%
Projected new cancer cases
Central:10,444
Ontario:88,045
Projected number of deaths
Central:3,028
Ontario:30,003

LEGEND
Good
Fair
Incomplete Data
Better than Ontario Average
Worse than Ontario Average
Substantially same as Ontario Average
Green
Performance is better compared to the previously reported data.
Amber
There is no substantial change compared to the previously reported data. Also includes data where performance is worse compared to previously reported data however still meets target.
Red
Performance is worse compared to the previously reported data.
Grey
No data for previous year (ie no time trend information).

Using the most recent data year, the circles represent how the LHIN is performing compared to the Ontario average.

View explanation of how we determined the At a Glance information.

Ontario Cancer Registry counting rules have changed. Go to Ontario Cancer Registry on CCO’s website to find out more.

Calculating At a Glance

In determining whether an indicator was the same or different from the Ontario Average or whether an indicator was the same or different from the Comparison Data, we took the following approach:

Values were considered essentially "the same" if:

  1. There was no statistically significant difference between them; OR
  2. Where there was no significance information calculated, then if there were overlapping confidence intervals; OR
  3. Where there were no confidence intervals calculated, then if the percent values were less than or equal to 2 percentage points of each other. For absolute values, we calculated the percentage difference between the values. Less than or equal to a 2% change or difference was considered the same.
CONTEXT At a Glance Comparison Data Most Recent Data     
Cancer Incidence Rates (Projected new cases are based on the NCI SEER standards for counting multiple primary cancers, which were adopted by the Ontario Cancer Registry for cases diagnosed in 2010 and beyond. Direct comparisons with incidence counts for 2009 and years prior and with estimated counts based on data for 2009 and earlier years should not be made)  Estimated 2016 Estimated 2017 Total for Ontario Min Value in Ontario Max Value in Ontario Target  
Estimated number of new cancer cases NA NA 10444 88045 1568 10533 None 
  Estimated 2016 Estimated 2017 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Estimated incidence age-standardized rates for female breast cancer NA NA 147.2 146.4 135.4 155.4 None 
Estimated incidence age-standardized rates for prostate cancer NA NA 115.5 115.5 71.9 127.2 None 
Estimated incidence age-standardized rates for colorectal cancer NA NA 64.6 72.1 55.9 54.2 None 
Estimated incidence age-standardized rates for lung cancer NA NA 52.6 70.0 52.6 95.2 None 
Cancer Survival    2009-2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age standardized 5-year relative survival for female breast cancer  NA 91.9% 88.6% 84.6% 91.9% None 
Age standardized 5-year relative survival for prostate cancer  NA 99.0% 95.1% 85.4% 99.0% None 
Age standardized 5-year relative survival for colorectal cancer  NA 73.2% 67.5% 61.9% 73.2% None 
Age standardized 5-year relative survival for lung cancer  NA 26.1% 20.8% 15.0% 26.1% None 
 
PREVENTION At a Glance Comparison Data Most Recent Data     
Modifiable Risk Factors: Current Smoking   2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of adults (aged 20+) who are daily or occasional smokers Better than Ontario average, no previous dataNA 16.3% 19.0% 13.4% 26.3% None 
Modifiable Risk Factors: Alcohol Consumption   2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of adults (aged 19+) consumping alcohol that is exceeding the cancer prevention recomenndations defined as: >2 drinks/day for men and > 1 drink/day for women Better than Ontario average, no previous dataNA 4.5% 8.3% 4.5% 14.6% None 
Modifiable Risk Factors: Obesity   2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of adults (aged 18+) who were obese Better than Ontario average, no previous dataNA 21.0% 25.8% 16.0% 35.9% None 
Modifiable Risk Factors: Adequate Fruit and Vegetable Consumption   2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of adults (aged 18+) eating vegetables and fruit five or more times per day Same as Ontario average, no previous dataNA 33.3% 34.3% 29.5% 39.0% None 
Modifiable Risk Factors: Moderately Active or Active   2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of adults (aged 18+) who were moderately active or active during leisure time and transportation Same as Ontario average, no previous dataNA 51.2% 53.9% 44.7% 60.5% None 
Tobacco Screening in Ambulatory Care  2015 2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Reported tobacco screening in new ambulatory cancer patients Same as Ontario average, better than previous35.8% 60.0% 60.0% 42.2% 89.9% 70% 
 
SCREENING At a Glance Comparison Data Most Recent Data     
Breast Cancer Screening Participation  2012-2013 2014-2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age-adjusted percentage of Ontario women, aged 50–74, who completed at least 1 mammogram within a 30-month period Better than Ontario average, better than previous65.4% 66.6% 65.2% 61.5% 69.2% ≥70% 
Breast Cancer Screening Retention  2012 2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario screen-eligible women, aged 50-72, who had a subsequent OBSP screening mammogram within 30 months of a previous program mammogram Worse than Ontario average, worse than previous82.2% 80.7% 81.4% 77.2% 86.5% None 
Cervical Cancer Screening Participation  2010-2012 2013-2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age-adjusted percentage of Ontario screen-eligible women aged 21-69, who completed at least 1 Pap test in a 42-month period Better than Ontario average, worse than previous66.4% 61.6% 61.3% 57.2% 65.1% ≥85% 
Cervical Cancer Screening Retention   2011 2012 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario screen-eligible women aged 21-66, who had a subsequent Pap test within 42 months of a normal Pap test result Better than Ontario average, worse than previous74.9% 68.3% 65.6% 61.2% 68.3% None 
Percentage Overdue for Colorectal Cancer Screening  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age-adjusted percentage of Ontarians, aged 50–74, who were overdue for colorectal cancer screening in a calendar year Better than Ontario average, better than previous36.5% 35.6% 38.7% 34.9% 42.8% None 
Breast Cancer Screening: Follow-Up of Abnormal Results  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario screen-eligible women with an abnormal OBSP screening mammogram result, aged 50–74, who did not need a tissue biopsy and were diagnosed within 5 weeks of the abnormal screen date Better than Ontario average, better than previous95.4% 96.1% 94.1% 85.5% 96.4% ≥90% 
Percentage of Ontario screen-eligible women with an abnormal OBSP screening mammogram result, aged 50–74, who needed a tissue biopsy and were diagnosed within 7 weeks of the abnormal screen date Better than Ontario average, no substantial change80.6% 82.2% 79.4% 56.6% 85.6% ≥90% 
Cervical Cancer Screening: Follow-Up of Abnormal Results  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario screen-eligible women with a high-grade cervical dysplasia on a Pap test, aged 21–69, who underwent colposcopy or definitive treatment within 6 months of the high-grade abnormal screen date Same as Ontario average, no substantial change87.3% 85.3% 85.4% 66.3% 90.9% None 
Colorectal Cancer Screening: Follow-Up of Abnormal Results  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of screen-eligible Ontarians with an abnormal fecal occult blood test (FOBT) result, aged 50-74, who underwent colonoscopy within 6 months of the abnormal screen date Worse than Ontario average, better than previous72.7% 75.9% 78.3% 69.1% 82.6% None 
Percentage of screen-eligible Ontarians with an abnormal fecal occult blood test (FOBT) result, aged 50-74, who underwent colonoscopy within 8 weeks of the abnormal screen date Better than Ontario average, no substantial change48.5% 47.1% 43.9% 37.5% 48.1% None 
Breast Cancer Screening Quality & Efficiency: Positive Predictive Value (PPV)  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of women aged 50–74, with an abnormal OBSP screening mammogram result, who were diagnosed with breast cancer (ductal carcinoma in situ or invasive) after diagnostic work-up Same as Ontario average, no substantial change6.6% 6.8% 6.4% 4.8% 9.3% 5% 
Breast Cancer Screening Quality & Efficiency: Early Return Rate  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario women aged 50–72, who were screened in the OBSP with a 2-year screening recall recommendation who had a subsequent program mammogram within 18 months of the previous mammogram Worse than Ontario average, worse than previous8.6% 9.1% 5.0% 1.4% 9.1% None 
Breast Cancer Screening Quality & Efficiency: Women Confirmed High Risk  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario women aged 30-69, referred to the OBSP high risk screening program confirmed to be high risk by genetic assessment (counselling and/or testing) Worse than Ontario average, worse than previous31.2% 26.7% 30.5% 17.6% 42.9% ≥30% 
Percentage of Ontario women aged 30–69, screened within 90 days of confirmation of high risk status Better than Ontario average, worse than previous64.8% 54.1% 47.0% 17.0% 72.5% ≥90% 
Colonoscopies with Recent Normal Findings  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontarians aged 53 and older, who had a colonoscopy within 36 months of a previous normal and complete colonoscopy Worse than Ontario average, better than previous4.6% 4.0% 3.6% 2.1% 4.5% None 
 
DIAGNOSIS At a Glance Comparison Data Most Recent Data     
Wait time for Lung Diagnostic Assessment Programs  2015 2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients diagnosed in lung DAPs within target (28 days), referral to diagnosis Worse than Ontario average, better than previous48.7% 56.1% 61.2% 28.1% 86.4% 65% 
Access to PET/CT  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of NSCLC patients (diagnosed 2011–2015) who had a PET/CT scan prior to radical treatment Worse than Ontario average, no substantial change76.8% 73.7% 81.2% 72.3% 91.2% 90% 
Access to PET/CT   2011-2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of esophageal cancer patients (diagnosed 2011–2015) who had a PET/CT scan prior to radical treatment Worse than Ontario average, no previous dataNA 63.2% 77.6% 63.2% 89.9% 90% 
Post-surgical Turnaround Time for Pathology   2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percent of resection reports received within 14 calendar days from date of surgery Better than Ontario average, no previous dataNA 94.8% 82.8% 73.9% 95.5% 85% 
 
TREATMENT At a Glance Comparison Data Most Recent Data     
Peer Review Quality Assurance for Radiation Therapy  FY2014/15 FY2015/16 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of completed radical courses peer reviewed by radiation oncologists Better than Ontario average, worse than previous97.6% 93.3% 76.5% 62.0% 99.9% 75% 
Unplanned Hospital Visits After Surgery   2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients who had breast surgery and an unplanned emergency department (ED) visit or who were readmitted within 30 days after surgery Better than Ontario average, no previous dataNA 13.0% 14.4% 10.4% 27.3% None 
Percentage of patients who had colorectal surgery and an unplanned emergency department (ED) visit or who were readmitted within 30 days after surgery Better than Ontario average, no previous dataNA 19.2% 22.8% 16.6% 37.1% None 
Percentage of patients who had prostate surgery and an unplanned emergency department (ED) visit or who were readmitted within 30 days after surgery Same as Ontario average, no previous dataNA 23.0% 24.7% 19.5% 51.4% None 
Percentage of patients who had thyroid surgery and an unplanned emergency department (ED) visit or who were readmitted within 30 days after surgery Better than Ontario average, no previous dataNA 10.4% 12.7% 8.3% 20.5% None 
Unplanned Hospital Visits During Chemotherapy   2010-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of breast cancer patients receiving New Drug Funding Program (NDFP) drugs who visited the hospital during treatment Better than Ontario average, no previous dataNA 41.0% 46.0% 32.3% 66.9% None 
Percentage of colon-IV cancer patients receiving New Drug Funding Program (NDFP) drugs who visited the hospital during treatment Better than Ontario average, no previous dataNA 35.5% 49.2% 35.5% 69.8% None 
Percentage of lymphoma patients receiving New Drug Funding Program (NDFP) drugs who visited the hospital during treatment Better than Ontario average, no previous dataNA 52.7% 61.0% 52.7% 71.2% None 
Percentage of colon-oral cancer patients receiving New Drug Funding Program (NDFP) drugs who visited the hospital during treatment Same as Ontario average, no previous dataNA 38.1% 38.9% 16.2% 75.0% None 
Reoperations after Surgery   FY2014/15-FY2015/16 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of reoperations after cancer surgeries for patients diagnosed with colon cancer Same as Ontario average, no previous dataNA 4.8% 4.5% 2.7% 5.6% None 
Percentage of reoperations after cancer surgeries for patients diagnosed with rectal cancer Same as Ontario average, no previous dataNA 8.0% 6.0% 3.1% 10.0% None 
Percentage of reoperations after cancer surgeries for patients diagnosed with prostate cancer Same as Ontario average, no previous dataNA 1.7% 0.8% 0.0% 2.0% None 
Team-Oriented Care for the Patient: Multidisciplinary Cancer Conferences  FY2015/16 FY2016/17 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Multidisciplinary cancer conference (MCC) standards concordance measure Same as Ontario average, better than previous67.6% 84.8% 88.6% 73.3% 98.9% 80% 
Treating Colon Cancer According to Guidelines   2010-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients aged 65 and older with stage III colon cancer who received guideline-recommended chemotherapy following surgery Better than Ontario average, no previous dataNA 63.3% 55.7% 47.7% 68.2% None 
Percentage of stage III colon cancer patients who received adjuvant chemotherapy within 60 days of surgery Same as Ontario average, no previous dataNA 68.8% 66.5% 40.0% 83.3% None 
Pre-operative Staging Prior to Rectal Surgery   FY 2012/2013-FY2015/2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients with rectal cancer who received an MRI or TRUS in the 6 months prior to rectal cancer surgery (chemotherapy/radiation before surgery) Same as Ontario average, no previous dataNA 93.9% 92.4% 78.3% 98.7% None 
Percentage of patients with rectal cancer who received an MRI or TRUS in the 6 months prior to rectal cancer surgery (chemotherapy/radiation after surgery or surgery only) Worse than Ontario average, no previous dataNA 56.2% 67.9% 56.2% 87.2% None 
Access to Psychosocial Oncology Services   2015-2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of referred cancer patients seen within 14 days for registered dietitian services Same as Ontario average, no previous dataNA 84.7% 82.4% 50.3% 99.3% 85% 
Percentage of referred cancer patients seen within 14 days for social worker services Better than Ontario average, no previous dataNA 93.8% 86.8% 61.2% 98.7% 85% 
Wait Times for Specialist Consult for Cancer Surgery   2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of cancer surgery patients whose surgical consult occurred within their respective Wait 1 priority access target Better than Ontario average, no previous dataNA 92.7% 85.7% 76.3% 92.7% 90% 
Wait Times for Cancer Surgery - Consult to Procedure  2015 2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients whose surgical procedure occurred within their respective Wait 2 priority access target Better than Ontario average, no substantial change96.0% 95.0% 87.0% 74.9% 95.0% 90% 
Access to Radiation Treatment  2014/2015 2015/2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of cancer cases treated with radiotherapy at any time in the course of their illness Same as Ontario average, no substantial change38.8% 38.1% 39.0% 30.4% 47.0% 48% 
Person Centred Care  FY2014/2015 FY2015/16 Ontario Average Min Value in Ontario Max Value in Ontario Target  
[Composite indicator]: Percentage of positive responses to selected questions based on three dimensions of care – communication, self-management and support for shared decision-making Same as Ontario average, worse than previous74.1% 71.9% 70.4% 65.4% 77.1% None 
Symptom Assessment and Management  FY2014/2015 FY2015/16 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of cancer patients who were screened at least once per month for symptom severity Better than Ontario average, worse than previous81.1% 72.0% 60.5% 39.8% 81.9% 70% 
Patient Experience with Symptom Management    2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
[Theme: communication] Percentage of patients who report that their healthcare team talked to them about symptoms of concern Better than Ontario average, no previous dataNA 69.0% 64.0% 52.0% 83.0% None 
[Theme: response to symptoms] Percentage of patients who report that their healthcare team treats and manages their physical symptoms Better than Ontario average, no previous dataNA 85.0% 81.0% 65.0% 89.0% None 
[Theme: response to symptoms] Percentage of patients who report that their healthcare team responds to their worries, concerns or feelings of sadness Better than Ontario average, no previous dataNA 84.0% 77.0% 65.0% 84.0% None 
[Theme: shared decision-making] Percentage of patients who report that their healthcare team includes them in decisions about how to treat and manage their symptoms Same as Ontario average, no previous dataNA 86.0% 85.0% 79.0% 94.0% None 
Wait Times from Diagnosis to Radiation Treatment   2014-2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Median wait times (in days) from diagnosis to start of treatment for oropharynx patients NA NA NA 49 35 57 None 
Median wait times (in days) from diagnosis to start of treatment for patients with cervical cancer NA NA NA 61 33 75 None 
 
RECOVERY At a Glance Comparison Data Most Recent Data     
Survivorship Care: Breast Cancer Survivorship Care According to Guidelines   2011 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients with mammogram tests in the third (37–48 months from diagnosis) follow-up year for breast cancer patients Same as Ontario average, no previous dataNA 78.4% 75.0% 63.2% 80.5% None 
Survivorship Care: Colorectal Cancer Survivorship Care According to Guidelines  2012 2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients with at least 1 colonoscopy following diagnosis with colorectal cancer in 2013 within 18 months after initial surgery Same as Ontario average, better than previous63.2% 82.8% 74.3% 64.1% 82.9% None