• 2,500 women
    were determined to be at high risk for breast cancer by the High Risk Screening Program in Ontario in 2014
  • 84%
    of cancer patients saw a registered dietitian at a regional cancer centre within 14 days of referral in 2015
  • 72%
    of stage III colon cancer patients received chemotherapy within 60 days after surgery
  • 84%
    of all cancer surgery patients received their consult within the recommended wait time in 2015, and 88% received their surgery within the recommend wait time
  • 29%
    of patients with oropharynx cancer and 20% with cervical cancer visited the emergency department while undergoing a course of curative radiation therapy between 2012 and 2015
  • 44%
    of breast cancer patients, 48% of colon cancer patients and 62% of lymphoma patients visited the emergency department or were admitted to hospital at least once while receiving chemotherapy
  • About 25%
    of patients who undergo lung, prostate and colorectal surgery have an unplanned hospital visit following cancer surgery
  • 64%
    of cancer patients had a first consult with an outpatient palliative care team within 14 days of referral in 2015
  • 40%
    of cancer patients visited the emergency department in the last 2 weeks of life in 2012
  • 361,991
    unique patients were screened for symptom severity using ESAS in 2015, representing 60% of patients
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Central LHIN

 
Central LHIN map
Quick Statistics: 2016 (projected) data
Total Population
Central:1,904,666
Ontario:13,948,757
Percentage of population over 50
Central:35%
Ontario:38%
Projected new cancer cases
Central:10,137
Ontario:85,616
Projected number of deaths
Central:2,971
Ontario:29,167

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 2015 Estimated 2016 Total for Ontario Min Value in Ontario Max Value in Ontario  
Estimated number of new cancer cases NA NA 10,137 85,616 1,531 10,234  
  Estimated 2015 Estimated 2016 Ontario Average Min Value in Ontario Max Value in Ontario  
Estimated age-standardized incidence rates for female breast cancer NA NA 147.4 146.1 135.0 154.8  
Estimated age-standardized incidence rates for prostate cancer NA NA 115.6 115.3 69.2 127.2  
Estimated age-standardized incidence rates for colorectal cancer NA NA 65.0 71.7 56.0 83.0  
Estimated age-standardized incidence rates for lung cancer NA NA 52.9 70.5 52.9 95.9  
Cancer Survival    2008-2012 Ontario Average Min Value in Ontario Max Value in Ontario  
Age-standardized 5-year relative survival for female breast cancer  NA 90.6% 86.1% 83.1% 90.6%  
Age-standardized 5-year relative survival for prostate cancer  NA 98.8% 93.9% 84.9% 98.8%  
Age-standardized 5-year relative survival for colorectal cancer  NA 69.8% 64.5% 58.2% 69.8%  
Age-standardized 5-year relative survival for lung cancer  NA 22.8% 19.6% 13.7% 22.8%  
Social Determinants of Health    2006 Ontario Average    
Percentage of population over the age of 50   29.8% 31.9%    
Population of population with low income    17.7% 14.7%    
Median income   $67,322 $60,455    
Percentage of population receiving government transfers    8.3% 9.8%    
Percentage of population with less than high school education   11.4% 13.6%    
Percentage of population unemployed   6.4% 6.4%    
Percentage of population that are immigrants   47.9% 28.3%    
Percentage of population that are recent immigrants   8.6% 4.8%    
Percentage of population that are of visible minority   42.1% 22.8%    
 
PREVENTION At a Glance Comparison Data Most Recent Data     
Modifiable Risk Factors   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 
   2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of adults (aged 19+) consuming 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 
   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 
   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 
   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 
 
SCREENING At a Glance Comparison Data Most Recent Data     
Breast Screening (Mammogram) Participation    Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age-adjusted percentage of Ontario women, 50-74 years old, who completed at least 1 mammogram within a 30-month period (OBSP)  Better than Ontario average, no previous dataNA 53.8% 51.0% 41.4% 57.2% ≥70% 
Age-adjusted percentage of Ontario women, 50-74 years old, who completed at least 1 mammogram within a 30-month period (non-OBSP)  Better than Ontario average, no previous dataNA 12.5% 13.8% 5.6% 24.9% ≥70% 
  2011-2012 2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age-adjusted percentage of Ontario women, 50-74 years old, who completed at least 1 mammogram within a 30-month period Better than Ontario average, better than previous66.0% 66.3% 64.8% 60.4% 68.7% ≥70% 
Cervical Screening (Pap test) Participation  2009-2011 2012-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age-adjusted percentage of Ontario screen-eligible women, 21-69 years old, who completed at least 1 Pap test in a 42-month period Better than Ontario average, worse than previous67.8% 63.9% 63.4% 59.2% 67.1% ≥85% 
Percentage Overdue for Colorectal Cancer Screening  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age-adjusted percentage of Ontarians, 50–74 years old, who were overdue for colorectal cancer screening in a calendar year  Better than Ontario average, better than previous37.8% 36.2% 39.9% 36.1% 44.2% None 
Overall Cancer Screening Participation  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Age-adjusted Percentage of Ontario screen-eligible women, 50-69 years old, who were up-to-date with all cancer screening tests (mammogram, Pap test and at least 1 of the colorectal tests : fecal occult blood test, colonoscopy, or flexible sigmoidoscopy) Better than Ontario average, worse than previous39.6% 38.8% 34.3% 28.0% 38.8% None 
Age-adjusted percentage of Ontario screen-eligible women, 50–69 years old, who were up-to-date with at least 1 of the cancer screening tests (mammogram, Pap Test, or one of the colorectal tests: fecal occult blood test, colonoscopy, or flexible sigmoidoscopy]) Better than Ontario average, better than previous79.6% 80.1% 79.3% 76.3% 81.8% None 
Early Return Rate for Breast Cancer Screening  2012 2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario women screened in the OBSP, 50-72 years old, with a 2-year screening recall recommendation who had a subsequent program mammogram within 18 months of the previous mammogram Worse than Ontario average, better than previous9.0% 8.6% 4.6% 1.4% 8.8% None 
Women Confirmed High Risk  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario women referred to the OBSP High Risk Screening Program, 30–69 years old, confirmed to be at high risk by genetic assessment (counselling and/or testing) Worse than Ontario average, no substantial change28.3% 31.1% 34.2% 25.6% 46.8% None 
Percentage of Ontario women, ages 30 to 69, screened within 90 days of confirmation of high risk status Better than Ontario average, no substantial change67.6% 65.5% 56.4% 29.6% 81.8% None 
Colonoscopies with Recent Normal Findings  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontarians, 53 years and older, who had a colonoscopy within 36 months of a previous normal and complete outpatient colonoscop Worse than Ontario average, no substantial change4.7% 4.6% 4.3% 2.6% 5.1% None 
Breast Screening (Mammogram) Retention  2011 2012 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario screen-eligible women, 50–72 years old, who had a subsequent OBSP screening mammogram within 30 months of a previous program mammogram Worse than Ontario average, worse than previous82.6% 82.2% 82.6% 77.5% 88.0% None 
Cervical Screening (Pap test) Retention  2010 2011 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario screen-eligible women, 21–66 years old, who had a subsequent Pap test within 42 months of a normal Pap test result Better than Ontario average, worse than previous83.6% 75.0% 71.5% 65.8% 75.0% None 
Breast Cancer Screening: Follow-Up of Abnormal Results  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Ontario screen-eligible women with an abnormal OBSP screening mammogram result, 50-74 years old, who did not need a tissue biopsy and were diagnosed within 5 weeks of the abnormal screen date Better than Ontario average, better than previous93.5% 95.4% 92.8% 81.7% 96.4% ≥90% 
Percentage of Ontario screen-eligible women with an abnormal OBSP screening mammogram result, 50–74 years old, who needed a tissue biopsy and were diagnosed within 7 weeks of the abnormal screen date Better than Ontario average, better than previous75.7% 80.3% 77.1% 49.1% 84.5% ≥90% 
Cervical Cancer Screening: Follow-Up of Abnormal Results  2013 2014 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, 21–69 years old, who underwent colposcopy or definitive treatment within 6 months of the high-grade abnormal screen date Same as Ontario average, no substantial change83.9% 87.1% 84.0% 67.9% 90.3% None 
Colorectal Cancer Screening: Follow-Up of Abnormal Results  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of screen-eligible Ontarians with an abnormal fecal occult blood test result (FOBT), 50–74 years old, who underwent colonoscopy within 6 months of the abnormal screen date Worse than Ontario average, worse than previous75.7% 72.3% 77.1% 68.9% 82.4% None 
Percentage of screen-eligible Ontarians with an abnormal fecal occult blood test (FOBT) result, 50–74 years old, who underwent colonoscopy within 8 weeks of the abnormal screen date Better than Ontario average, worse than previous53.7% 48.4% 45.5% 36.4% 52.0% None 
 
DIAGNOSIS At a Glance Comparison Data Most Recent Data     
Wait time for Lung Diagnostic Assessment Programs  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients diagnosed within target (28 days), referral to diagnosis Worse than Ontario average, no substantial change36.9% 35.4% 57.2% 33.6% 79.6% 65% 
PET/CT Utilization  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of NSCLC patients diagnosed 2013–2014 who had a PET/CT scan prior to surgical resection Worse than Ontario average, no substantial change82.0% 81.6% 90.9% 72.7% 100.0% 90% 
Quality and Efficiency of Staging Tests in Breast Cancer Patients  2013 2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of stage I breast cancer patients receiving at least one imaging test for staging Worse than Ontario average, better than previous70.9% 65.9% 58.1% 46.8% 75.6% None 
Turnaround Times for Pathology   2015 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 94.9% 81.7% 62.6% 96.5% 85% 
 
TREATMENT At a Glance Comparison Data Most Recent Data     
Access to Radiation Treatment   FY2013/2014 FY2014/2015 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 change37.3% 38.3% 38.4% 34.1% 43.5% 48% 
Wait Times from Diagnosis to Radiation Therapy - Oropharynx   2013-2014 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 diagnosed 2013-2014 NA NA NA 49 38.5 62 None 
Wait Times from Diagnosis to Radiation Therapy- Cervical   2013-2014 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Median wait times (in days) from diagnosis to start of treatment for patients with cervical cancer NA NA NA 60 33 92 None 
Wait Times from Diagnosis to Chemotherapy- Lymphoma   2010-2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Median wait times (in days) from diagnosis to chemotherapy for lymphoma cancer patients diagnosed 2010-2013 Worse than Ontario average, no previous dataNA 33 32 26 37 None 
   2010-2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of lymphoma cancer patients who received chemotherapy within 30 days of diagnosis, for patients diagnosed 2010-2013 Same as Ontario average, no previous dataNA 45.4% 47.6% 36.5% 61.0% None 
Wait Times for Specialist Consult for Cancer Surgery  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of cancer surgery patients whose surgical consult occurs within their respective Wait 1 priority access target Better than Ontario average, better than previous85.5% 88.3% 83.9% 77.8% 90.0% 90% 
Wait Times for Cancer Surgery- Consult to Procedure  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of cancer patients whose surgical procedure occurs within their respective Wait 2 access target Better than Ontario average, no substantial change95.2% 96.0% 88.2% 79.2% 96.0% 90% 
Treating Colon Cancer According to Guidelines   2010-2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients ages 65 and older with stage III colon cancer who received guideline-recommended chemotherapy following surgery Same as Ontario average, no previous dataNA 62.9% 56.6% 47.7% 65.7% None 
Percentage of stage III colon cancer patients who received adjuvant chemotherapy within 60 days of surgery Same as Ontario average, no previous dataNA 69.6% 66.0% 37.6% 86.0% None 
Treating Rectal Cancer According to Guidelines   FY 2011/2012-FY2014/2015 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 (neoadjuvant chemo/radiation treatment) Better than Ontario average, no previous dataNA 95.6% 90.6% 78.6% 96.7% None 
Percentage of patients with rectal cancer who received an MRI or TRUS in the 6 months prior to rectal cancer surgery (surgery and or adjuvant chemo/radiation treatment) Same as Ontario average, no previous dataNA 56.7% 63.3% 50.5% 82.8% None 
Treating NSC Lung Cancer According to Guidelines   2010-2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of resected Stage II or IIIA NSCLC patients treated with guideline-recommended adjuvant chemotherapy following surgery Same as Ontario average, no previous dataNA 61.3% 54.9% 43.6% 75.0% None 
   2010-2013 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of Stage IIIA or IIIB inoperable NSCLC patients treated according to guideline-recommended combined chemotherapy and radiation Same as Ontario average, no previous dataNA 53.0% 47.6% 31.0% 62.3% None 
Percentage of Stage IIIA or IIIB inoperable NSCLC patients treated with no treatment Same as Ontario average, no previous dataNA 13.7% 14.9% 9.6% 22.0% None 
Team-Oriented Care for the Patient: Multidisciplinary Cancer Conferences  FY 2014/2015 FY 2015/2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Multidisciplinary cancer conference (MCC) standards concordance measure, by Regional Cancer Program  Worse than Ontario average, worse than previous74.3% 67.6% 76.9% 63.3% 94.3% 80% 
Peer Review Quality Assurance for Radiation Therapy  2014 2015 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, no substantial change98.3% 97.7% 73.2% 56.5% 99.8% 75% 
Unplanned Hospital Visits During Chemotherapy   2010-2013 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 40.6% 44.2% 30.9% 67.2% None 
Percentage of colon cancer patients receiving New Drug Funding Program (NDFP) drugs who visited the hospital during treatment Better than Ontario average, no previous dataNA 36.8% 47.8% 36.7% 70.0% 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 51.4% 61.3% 51.4% 72.9% None 
Unplanned Hospital Visits After Surgery   FY2013/2014-FY2014/2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
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 21.9% 25.4% 18.2% 38.9% Nome 
Percentage of patients who had colon surgery and an unplanned emergency department (ED) visit or who were readmitted within 30 days after surgery Better than Ontario average, no previous dataNA 18.1% 21.0% 17.1% 34.2% None 
. Percentage of patients who had rectal surgery and an unplanned emergency department (ED) visit or who were readmitted within 30 days after surgery Better than Ontario average, no previous dataNA 21.3% 27.9% 20.6% 52.7% None 
Unplanned Hospital Visits during Radiation Therapy   FY2012/2013-FY2014/2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of oropharynx cancer patients who visited the emergency department (ED) during a course of radiation treatment visited the emergency department during a course of radiation treatment NA NA NA 28.8% 20.6% 53.3% None 
Percentage of patients with cervical cancer who visited the emergency department (ED) during a course of radiation treatment NA NA NA 19.0% 14.6% 28.2% None 
Radiation Equipment Utilization  2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Adjusted treated cases (for complexity) per linear accelerator Better than Ontario average, better than previous395.0 424.9 350.6 250.4 424.9 None 
Unadjusted treated cases per linear accelerator Better than Ontario average, better than previous386.0 402.7 354.5 301.3 483.8 None 
Person Centred Care  FY2014/2015 FY2015/2016 Ontario Average Min Value in Ontario Max Value in Ontario Target  
[Composite indicator]: Average cancer patient questionnaire responses for a select population of patients concerning needs related to communication, self-management and support for shared decision-making Same as Ontario average, worse than previous72.8% 68.8% 67.5% 58.8% 78.3% None 
Symptom Assessment and Management  2014 2015 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, no substantial change83.6% 73.6% 59.6% 37.6% 81.4% 70% 
Patient Experience- Symptom Management   2014 2015 Ontario Average Min Value in Ontario Max Value in Ontario  
[Theme: communication] Percentage of patients who report that their healthcare team always talked to them about symptoms of concern on their ESAS Worse than Ontario average, worse than previous68.0% 54.0% 65.0% 52% 87% None 
[Theme: response to symptoms] Percentage of patients who report that their healthcare team always treats and manages their physical symptoms Better than Ontario average, no substantial change86.0% 87.0% 83.0% 72.0% 95.0% None 
[Theme: response to symptoms] Percentage of patients who report that their healthcare team always responds to their worries, concerns or feelings of sadness Better than Ontario average, worse than previous85.0% 82.0% 77.0% 67% 89.0% None 
[Theme: shared decision-making] Percentage of patients who report that their healthcare team always includes them in decisions about how to treat and manage their symptoms Better than Ontario average, worse than previous93.0% 91.0% 85.0% 76.0% 94.0% None 
 
RECOVERY At a Glance Comparison Data Most Recent Data     
Survivorship   2010 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of patients with mammogram tests in the first follow-up year (13-24 months from diagnosis) for breast cancer patients diagnosed in 2010 by RCC Same as Ontario average, no previous dataNA 78.6% 78.2% 72.0% 81.5% None 
   2012 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 2012 within 18 months after initial surgery, by RCC Same as Ontario average, no previous dataNA 77.3% 79.0% 70.2% 86.3% None 
   2010 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of survivor patients seen at a regional cancer centre with at least 1 screening of ESAS in the first follow-up year after 12 months of being diagnosed with breast cancer in 2010 Better than Ontario average, no previous dataNA 98.2% 66.6% 7.6% 94.4% None 
Percentage of survivor patients seen at an regional cancer centre with at least 1 screening of ESAS in the first third follow-up year after 12 months of being diagnosed with colorectal cancer in 2010 Better than Ontario average, no previous dataNA 100.0% 74.4% 37.6% 100.0% None 
 
END-OF-LIFE CARE At a Glance Comparison Data Most Recent Data     
End-of-Life Care  2011 2012 Ontario Average Min Value in Ontario Max Value in Ontario Target  
Percentage of cancer patients who visited the ED in the last 2 weeks of life Worse than Ontario average, no substantial change43.3% 43.2% 39.9% 34.1% 46.0% 36%