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Wait Times for Cancer Surgery

Key findings

Measure:  Percentage of cancer surgery patients who had surgical consultation within the priority access target for their wait, from the date the referral is received to surgical consultation (Wait 1)

 

Desired Direction:

 

An image of an arrow pointing upwards. This indicates that desired direction for this action is upwards.

 

As of this Report:

 

An image of an arrow pointing straight in a green box. This indicates that there has been no increase or decrease in performance over the previous periods identified and this action is exceeding or meeting target.

In 2017, 86% of all cancer surgery patients received their consult within the recommended wait time. During the same period, 87% received their surgery within the recommended wait time, despite high demand. These rates represents stable access to surgical oncology consultations and relatively stable access to surgical treatment procedures, moving towards Cancer Care Ontario’s goal of 90%.

What is cancer surgery?

  • Cancer surgery is commonly used to treat many types of cancer.
  • Wait times for cancer surgery are captured by measuring Wait 1 and Wait 2.
  • Wait 1 is the time that the patient waits for a first consultation with a surgeon. It is measured from the time the referral is received to the date of the first consultation with a surgeon.
  • Following consultation with the patient, the surgeon assigns each case a priority level. The appropriate priority level depends on many factors, including the type of cancer, the complexity of the particular case and the progression of the disease.
  • Wait 2 is the time period from decision-to-treat to the surgical procedure date.

 

Table 1. Adult: Wait 1 Priority Assessment Tool

Priority

Definition

Time period

Priority 1

High suspicion of cancer or a biopsy that is positive for cancer where patient has severe life- or limb-threatening symptoms and signs, and where imminent morbidity or mortality without immediate intervention is high

 

Within 24 hours

Priority 2

High suspicion of cancer or a biopsy that is positive for cancer where patient has high likelihood of having a highly aggressive malignancy

Within 10 days

Priority 3

All patients with high suspicion of cancer that does not meet the criteria of Priorities 2 or 4

Within 21 days

Priority 4

All patients with an intermediate level of suspicion of cancer or patients with a biopsy that is positive for cancer, but with a high likelihood of an indolent (slow-growing) malignancy

Within 35 days

Table 2. Adult: Wait 2 Priority Assessment Tool

Priority

Definition

Time period

Priority 1

Patients require immediate emergency surgery

Within 24 hours

Priority 2

Patients are diagnosed with highly aggressive malignancies

Within 14 days

Priority 3

Patients have known or suspected invasive cancer that does not meet the criteria of Priorities 2 or 4

Within 28 days

Priority 4

Patients diagnosed with indolent (slow-growing) malignancies

Within 84 days

Figure 1. Percentage of patients whose cancer surgery consultation occurred within their respective Wait 1 priority access target, 2016 to 2017

More information regarding the methodology is available.

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2016 to March 2016 are based on the WTIS data cut of August 9, 2016
  2. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  3. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  4. Please refer to technical documentation for exclusion criteria

Figure 2. Percentage of patients whose cancer surgery consult occurred within their respective Wait 1 priority access target, by priority level, 2016 to 2017

More information regarding the methodology is available.

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2016 to March 2016 are based on the WTIS data cut of August 9, 2016
  2. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  3. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  4. Please refer to technical documentation for exclusion criteria

Figure 3. Percentage of cancer surgery patients whose surgical consult occurred within their respective Wait 1 priority access target, by Local Health Integration Network (LHIN), 2016 to 2017

More information regarding the methodology is available.

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2016 to March 2016 are based on the WTIS data cut of August 9, 2016
  2. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  3. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  4. Please refer to technical documentation for exclusion criteria

Figure 4. Percentage of patients whose surgical oncology consultation occurred within their Wait 1 priority access target, by disease site, Ontario, 2016 to 2017

More information regarding the methodology is available.

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2016 to March 2016 are based on the WTIS data cut of August 9, 2016
  2. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  3. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  4. Please refer to technical documentation for exclusion criteria

Figure 5. Percentage of patients whose cancer surgery was completed within their respective Wait 2 priority access target, 2014 to 2017

More information regarding the methodology is available.

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2014 to March 2014 are based on the WTIS data cut of August 11, 2014
  2. April 2014 to March 2015 are based on the WTIS data cut of August 11, 2015
  3. April 2015 to March 2016 are based on the WTIS data cut of August 9, 2016
  4. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  5. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  6. Please refer to technical documentation for exclusion criteria

Figure 6. Percentage of patients whose cancer surgery occurred within their respective Wait 2 priority access target, by priority level, Ontario, 2009 to 2017

More information regarding the methodology is available.

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2014 to March 2014 are based on the WTIS data cut of August 11, 2014
  2. April 2014 to March 2015 are based on the WTIS data cut of August 11, 2015
  3. April 2015 to March 2016 are based on the WTIS data cut of August 9, 2016
  4. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  5. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  6. Please refer to technical documentation for exclusion criteria

Figure 7. Percentage of cancer patients whose surgical procedure occurred within their respective Wait 2 access target, by Local Health Integration Network (LHIN), 2009 to 2017

More information regarding the methodology is available.

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2014 to March 2014 are based on the WTIS data cut of August 11, 2014
  2. April 2014 to March 2015 are based on the WTIS data cut of August 11, 2015
  3. April 2015 to March 2016 are based on the WTIS data cut of August 9, 2016
  4. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  5. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  6. Please refer to technical documentation for exclusion criteria

Figure 8. Percentage of patients whose surgical procedure occurred within their respective Wait 2 priority access target, by disease site, 2009 to 2017

More information regarding the methodology is available.

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2014 to March 2014 are based on the WTIS data cut of August 11, 2014
  2. April 2014 to March 2015 are based on the WTIS data cut of August 11, 2015
  3. April 2015 to March 2016 are based on the WTIS data cut of August 9, 2016
  4. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  5. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  6. Please refer to technical documentation for exclusion criteria

Data Table 1. Percentage of patients whose cancer surgery consultation occurred within their respective Wait 1 priority access target, 2016 to 2017

LHIN Jan. 16 Feb. 16 Mar. 16 Apr. 16 May 16 Jun. 16 Jul. 16 Aug. 16 Sep. 16 Oct. 16 Nov. 16 Dec. 16 Jan. 17 Feb. 17 Mar. 17 Apr. 17 May 17 Jun. 17 Jul. 17 Aug. 17 Sep. 17 Oct. 17 Nov. 17 Dec. 17
Ontario 85.1 84.1 85.8 84.9 87.0 86.7 87.6 85.0 84.8 85.2 86.1 87.1 85.5 83.4 87.0 86.6 87.5 87.4 86.5 84.9 85.6 86.7 87.2 86.9
Erie St. Clair 88.5 91.7 95.2 93.9 92.2 88.6 89.5 86.7 87.0 77.8 85.7 77.8 84.7 86.9 80.0 85.5 89.6 90.5 90.9 86.9 81.0 87.9 85.7 84.0
South West 80.6 75.2 77.7 76.8 77.4 79.4 81.2 75.8 75.4 79.3 80.6 82.4 80.8 80.0 80.8 79.1 83.2 82.5 81.6 75.7 78.7 82.0 82.6 82.3
Waterloo Wellington 90.0 84.5 89.3 86.1 86.0 91.1 90.0 80.2 91.1 89.1 90.1 85.9 88.6 91.5 90.2 92.1 92.3 94.3 94.6 86.1 87.0 89.8 90.4 90.7
Hmltn-Ngr-Hldmnd-Brnt 81.6 84.3 82.7 78.7 83.8 82.8 80.6 84.0 81.9 80.4 79.9 86.5 84.3 79.8 86.6 80.0 81.5 85.0 81.2 82.2 80.8 84.1 84.4 83.6
Central West 85.7 89.9 89.3 92.5 91.7 91.8 93.0 93.8 90.6 85.7 91.5 91.3 95.1 89.6 85.7 92.7 90.8 89.8 91.3 84.8 90.9 86.3 88.2 88.2
Mississauga Halton 79.6 88.9 87.7 80.9 91.3 90.8 92.9 87.2 87.7 93.1 89.4 92.9 92.6 83.9 86.7 91.7 93.2 96.6 92.7 87.2 89.9 95.5 90.3 88.8
Toronto Central 88.8 85.8 86.7 87.1 88.1 86.6 89.5 84.2 88.7 87.4 88.8 86.7 84.6 85.7 86.6 88.3 87.7 86.1 88.5 88.2 88.7 87.7 87.4 85.6
Central 91.6 89.0 93.7 91.5 91.9 91.1 94.0 92.1 94.1 94.6 94.8 95.9 90.0 92.2 96.4 96.4 97.8 96.2 96.2 95.8 97.6 97.5 95.2 93.1
Central East 91.8 92.1 92.5 93.8 91.1 91.9 94.7 93.4 89.9 93.6 91.1 88.2 92.3 89.6 89.3 90.8 94.2 88.6 87.5 86.6 85.6 87.2 85.7 89.9
South East 76.5 80.0 82.2 85.9 87.0 85.6 95.4 83.1 78.6 78.9 87.5 87.3 87.5 86.2 87.2 91.6 92.6 90.0 83.1 91.1 85.4 84.0 91.0 87.5
Champlain 83.6 82.0 84.2 87.8 92.5 88.3 85.8 88.0 80.4 84.9 85.6 88.6 84.1 82.0 90.0 88.2 85.0 86.1 82.4 82.8 85.6 84.3 88.6 88.3
North Simcoe Muskoka 78.1 84.6 66.0 77.6 77.1 79.3 79.1 73.4 82.1 82.6 77.8 75.7 71.2 71.9 83.8 80.9 67.5 68.6 68.7 67.6 66.7 66.7 77.8 83.3
North East 78.1 76.3 84.4 81.1 77.5 81.8 83.8 86.3 74.6 71.0 70.6 80.9 79.8 63.0 80.0 77.0 84.3 77.9 87.0 85.0 80.7 81.7 83.6 86.5
North West 75.0 54.2 90.3 66.7 85.7 88.9 58.3 65.4 71.4 85.7 95.2 80.0 81.0 78.3 78.8 59.1 74.1 77.3 88.9 75.0 70.0 71.4 72.7 90.0
Average, minimum, maximum Jan. 16 Feb. 16 Mar. 16 Apr. 16 May 16 Jun. 16 Jul. 16 Aug. 16 Sep. 16 Oct. 16 Nov. 16 Dec. 16 Jan. 17 Feb. 17 Mar. 17 Apr. 17 May 17 Jun. 17 Jul. 17 Aug. 17 Sep. 17 Oct. 17 Nov. 17 Dec. 17
Ontario 85.1 84.1 85.8 84.9 87.0 86.7 87.6 85.0 84.8 85.2 86.1 87.1 85.5 83.4 87.0 86.6 87.5 87.4 86.5 84.9 85.6 86.7 87.2 86.9
Minimum 75.0 54.2 66.0 66.7 77.1 79.3 58.3 65.4 71.4 70.6 70.7 75.7 71.2 63.0 78.8 59.1 67.5 68.6 68.7 67.6 66.7 66.7 72.7 82.3
Maximum 91.8 92.1 95.2 93.9 92.5 91.9 95.1 93.6 94.1 94.6 95.2 95.9 95.1 92.2 96.4 96.4 97.8 96.6 96.2 95.8 97.6 97.5 95.2 93.1

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2016 to March 2016 are based on the WTIS data cut of August 9, 2016
  2. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  3. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  4. Please refer to technical documentation for exclusion criteria

Data Table 2. Percentage of patients whose cancer surgery consult occurred within their respective Wait 1 priority access target, by priority level, 2016 to 2017

Priority Percentage of cancer surgery patients whose surgical consult occurs within priority access target for Wait 1 in 2016 Volume of completed cases within Wait 1 target in 2016 Volume of completed cases with Wait 1 in 2016 Percentage of cancer surgery patients whose surgical consult occurs within priority access target for Wait 1 in 2017 Volume of completed cases within Wait 1 target in 2017 Volume of completed cases with Wait 1 in 2017
Priority 2 to 4 combined 85.8 25,463 29,681 86.3 26,026 30,156
Priority 2 (10 days) 84.6 2,288 2,706 85.1 1,810 2,126
Priority 3 (21 days) 87.2 15,532 17,818 87.9 15,614 17,769
Priority 4 (35 days) 83.5 7,643 9,157 83.8 8,602 10,261

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2016 to March 2016 are based on the WTIS data cut of August 9, 2016
  2. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  3. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  4. Please refer to technical documentation for exclusion criteria

Data Table 3. Percentage of cancer surgery patients whose surgical consult occurred within their respective Wait 1 priority access target, by Local Health Integration Network (LHIN), 2016 to 2017

LHIN Percentage of cancer surgery patients whose surgical consult occurs within priority access target for Wait 1 in 2016 Volume of completed cases within Wait 1 target in 2016 Volume of completed cases with Wait 1 in 2016 Percentage of cancer surgery patients whose surgical consult occurs within priority access target for Wait 1 in 2017 Volume of completed cases within Wait 1 target in 2017 Volume of completed cases with Wait 1 in 2017
Ontario 85.8 25,463 29,681 86.3 26,026 30,156
Erie St. Clair 87.9 691 786 86.2 643 746
South West 78.4 2,390 3,047 80.8 2,605 3,226
Waterloo Wellington 87.9 1,067 1,214 90.7 1,097 1,209
Hmltn-Ngr-Hldmnd-Brnt 82.2 2,960 3,602 82.9 2,900 3,500
Central West 90.5 718 793 89.5 681 761
Mississauga Halton 89.0 1,329 1,493 91.0 1,713 1,883
Toronto Central 87.4 5,853 6,699 87.1 5,819 6,684
Central 92.9 2,742 2,952 95.4 2,827 2,962
Central East 91.9 1,719 1,870 89.0 1,555 1,747
South East 84.0 870 1,036 88.2 918 1,041
Champlain 86.0 3,167 3,684 85.7 3,232 3,771
North Simcoe Muskoka 78.0 653 837 72.8 656 901
North East 78.5 1,085 1,382 80.7 1,178 1,460
North West 76.6 219 286 76.2 202 265

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2016 to March 2016 are based on the WTIS data cut of August 9, 2016
  2. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  3. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  4. Please refer to technical documentation for exclusion criteria

Data Table 4. Percentage of patients whose surgical oncology consultation occurred within their Wait 1 priority access target, by disease site, Ontario, 2016 to 2017

Disease site Percentage of cancer surgery patients whose surgical consult occurs within priority access target for Wait 1 in 2016 Volume of completed cases within Wait 1 target in 2016 Volume of completed cases with Wait 1 in 2016 Percentage of cancer surgery patients whose surgical consult occurs within priority access target for Wait 1 in 2017 Volume of completed cases within Wait 1 target in 2017 Volume of completed cases with Wait 1 in 2017
Bone joint and muscle 78.1 629 805 81.1 602 742
Breast 92.6 8,308 8,970 92.8 8,272 8,917
Endocrine 77.5 1,049 1,353 76.5 1,001 1,308
Gastrointestinal 85.2 3,651 4,284 88.3 3,546 4,018
Genitourinary 81.6 3,281 4,023 81.3 3,434 4,224
Gynecological 80.1 2,365 2,951 82.6 2,594 3,139
Head and neck (excluding thyroid) 82.6 1,390 1,682 84.1 1,507 1,792
Liver and pancreatic 87.1 974 1,118 88.9 1,110 1,249
Lung 90.4 2,040 2,256 90.3 2,214 2,452
Neurosurgery 89.0 599 673 88.4 558 631
Ophthalmic 61.8 134 217 69.3 142 205
Prostate 77.3 1,043 1,349 70.7 1,046 1,479

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2016 to March 2016 are based on the WTIS data cut of August 9, 2016
  2. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  3. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  4. Please refer to technical documentation for exclusion criteria

Data Table 5. Percentage of patients whose cancer surgery was completed within their respective Wait 2 priority access target, 2014 to 2017

LHIN Jan. 14 Feb. 14 Mar. 14 Apr. 14 May 14 Jun. 14 Jul. 14 Aug. 14 Sep. 14 Oct. 14 Nov. 14 Dec. 14 Jan. 15 Feb. 15 Mar. 15 Apr. 15 May 15 Jun. 15 Jul. 15 Aug. 15 Sep. 15 Oct. 15 Nov. 15 Dec. 15 Jan. 16 Feb. 16 Mar. 16 Apr. 16 May 16 Jun. 16 Jul. 16 Aug. 16 Sep. 16 Oct. 16 Nov. 16 Dec. 16 Jan. 17 Feb. 17 Mar. 17 Apr. 17 May 17 Jun. 17 Jul. 17 Aug. 17 Sep. 17 Oct. 17 Nov. 17 Dec. 17
Ontario 81.4 85.8 86.5 87.6 87.2 88.4 87.4 83.2 86.4 88.0 87.5 90.2 83.8 88.0 88.3 88.1 89.4 89.7 89.2 84.7 87.5 89.4 89.6 90.7 84.4 87.9 87.7 87.0 88.9 89.2 86.7 84.2 84.5 87.8 88.4 89.7 84.1 88.5 87.9 88.3 89.2 89.3 87.8 84.3 85.7 87.6 86.8 88.4
Erie St. Clair 83.8 84.4 83.2 86.1 87.4 86.7 77.8 81.1 84.1 88.0 88.0 87.7 80.4 92.2 87.8 92.0 84.2 93.3 92.3 83.8 84.0 88.6 95.4 89.2 86.6 87.3 84.9 90.0 89.1 90.4 85.3 76.8 81.0 92.1 83.2 87.5 78.6 93.9 89.5 87.5 97.1 89.3 92.8 89.1 95.9 92.5 86.8 88.8
South West 80.6 81.9 79.8 78.4 80.6 75.6 84.4 79.7 79.0 83.2 86.1 88.5 79.6 80.9 83.7 84.0 88.0 89.2 85.8 82.2 85.6 88.3 82.6 83.7 78.0 81.5 83.4 83.1 85.9 87.3 84.4 84.0 80.0 83.2 87.0 88.4 81.0 91.9 86.8 83.1 87.3 90.6 88.2 85.4 81.6 88.2 85.6 85.6
Waterloo Wellington 90.5 92.4 94.7 90.5 92.6 97.0 88.1 93.8 94.7 94.7 93.7 96.2 91.2 92.0 96.5 92.9 97.0 91.3 91.8 89.2 91.1 89.1 92.1 89.1 94.2 92.6 88.3 93.5 90.7 90.2 94.9 83.5 85.4 84.8 89.7 97.0 91.7 89.0 94.2 92.9 92.8 95.2 93.0 90.6 90.3 92.3 97.4 89.9
Hmltn-Ngr-Hldmnd-Brnt 71.8 73.4 77.9 81.5 80.3 83.7 81.5 73.4 79.8 78.9 73.9 80.4 67.4 76.0 74.4 79.2 79.9 81.4 83.5 75.2 80.9 82.5 84.1 85.6 78.3 83.7 83.4 77.7 84.2 82.7 79.9 74.6 74.4 75.2 79.6 80.6 78.1 82.6 81.0 83.1 85.1 82.8 83.0 74.7 76.3 78.6 76.0 76.8
Central West 86.8 88.9 91.2 83.2 87.9 87.3 90.8 82.9 82.8 86.4 84.6 86.6 76.3 91.5 86.6 86.0 90.5 87.0 86.7 80.7 91.6 92.2 93.4 92.7 88.1 86.8 87.6 89.3 89.6 90.7 85.7 77.2 81.3 89.5 86.5 83.5 81.1 90.6 79.5 88.8 90.9 89.8 88.7 79.3 84.6 87.1 82.6 85.5
Mississauga Halton 75.8 92.2 88.1 86.7 89.2 93.3 92.0 87.1 90.8 94.3 94.2 94.5 84.9 89.7 81.5 85.6 90.7 86.6 94.1 82.7 85.7 80.8 85.7 89.5 80.0 89.7 87.7 84.0 87.7 89.1 83.2 82.0 78.7 86.5 84.9 91.7 78.4 81.5 87.6 86.5 84.9 85.0 85.5 78.6 70.1 75.2 75.6 71.1
Toronto Central 80.1 85.2 84.8 87.9 85.5 87.5 85.8 80.2 83.6 85.9 86.3 86.3 81.4 86.0 89.2 86.1 89.6 89.9 88.1 86.8 90.0 88.9 88.7 91.5 81.7 87.3 86.7 88.7 86.3 89.7 83.9 83.6 85.1 89.9 88.3 87.1 81.9 87.6 87.5 87.7 87.2 87.4 83.9 84.2 84.7 86.6 87.9 89.0
Central 92.8 94.3 94.9 94.4 96.0 96.8 94.4 95.2 94.6 96.7 96.7 96.4 94.9 99.1 98.0 97.0 95.0 97.7 96.6 91.0 93.4 97.4 97.3 94.3 93.7 96.3 95.2 95.7 94.4 93.5 95.8 94.7 95.2 97.1 94.3 95.1 92.1 96.2 97.2 96.8 94.8 96.9 97.9 95.7 97.0 97.6 97.2 99.7
Central East 81.9 85.8 85.3 86.7 84.8 87.2 89.8 79.0 90.8 86.0 90.1 94.3 92.7 90.3 93.1 92.9 94.2 93.7 89.4 87.2 87.2 91.7 93.5 93.9 86.9 89.0 88.1 90.0 93.7 91.3 90.7 90.9 89.0 90.3 91.5 94.3 88.8 86.4 85.2 90.8 93.1 92.4 93.1 85.6 88.9 93.6 90.2 92.0
South East 85.1 82.6 88.5 92.8 85.3 89.1 94.4 85.6 82.7 83.6 90.6 91.6 90.9 88.2 86.9 86.1 82.9 90.2 85.8 82.6 80.7 82.5 82.6 82.4 80.9 82.6 81.9 77.3 86.8 85.6 82.8 82.0 80.3 83.5 82.8 83.2 80.6 85.7 85.8 81.7 84.8 82.5 77.7 82.5 87.4 86.0 82.4 86.2
Champlain 83.7 92.5 92.5 94.4 94.6 94.6 90.1 87.1 90.0 95.4 91.5 94.5 89.9 95.4 91.0 92.7 93.0 90.8 93.2 82.9 89.0 94.9 92.3 95.2 92.8 91.2 94.1 89.4 91.9 89.6 92.7 88.1 89.6 91.0 92.6 93.0 89.3 90.8 92.2 91.5 92.5 93.3 92.3 89.7 91.6 89.6 90.9 93.1
North Simcoe Muskoka 70.4 79.5 85.1 83.5 86.0 90.2 90.9 82.8 91.2 87.7 94.3 94.7 75.5 74.0 87.6 79.8 77.8 77.9 77.8 86.9 88.0 87.9 86.6 94.2 72.2 81.9 80.8 87.4 84.6 92.9 83.3 79.6 85.0 95.4 93.7 91.7 82.9 83.3 79.2 79.6 77.8 76.4 78.2 69.3 80.2 85.9 88.8 93.2
North East 80.5 85.8 90.5 90.9 90.2 91.1 81.2 90.8 84.8 91.2 82.9 90.8 86.6 93.7 94.5 91.9 95.5 93.5 93.0 94.2 90.1 92.7 94.6 96.9 85.0 91.2 94.1 90.5 95.1 95.6 95.8 95.0 91.7 93.3 95.8 97.7 92.4 94.7 95.2 95.8 96.6 97.5 93.3 91.3 92.7 92.8 90.6 98.8
North West 83.3 94.0 85.2 82.7 84.2 85.5 89.1 87.0 87.5 80.7 82.0 98.0 82.4 90.7 91.4 81.7 78.0 85.5 93.3 83.7 80.3 92.9 85.7 90.9 77.1 85.0 76.1 69.2 85.7 71.1 56.4 65.2 76.1 71.7 93.2 85.0 81.0 89.7 81.8 83.3 91.4 70.3 67.7 58.3 68.2 72.4 53.1 66.7
Average, minimum, maximum Jan. 14 Feb. 14 Mar. 14 Apr. 14 May 14 Jun. 14 Jul. 14 Aug. 14 Sep. 14 Oct. 14 Nov. 14 Dec. 14 Jan. 15 Feb. 15 Mar. 15 Apr. 15 May 15 Jun. 15 Jul. 15 Aug. 15 Sep. 15 Oct. 15 Nov. 15 Dec. 15 Jan. 16 Feb. 16 Mar. 16 Apr. 16 May 16 Jun. 16 Jul. 16 Aug. 16 Sep. 16 Oct. 16 Nov. 16 Dec. 16 Jan. 17 Feb. 17 Mar. 17 Apr. 17 May 17 Jun. 17 Jul. 17 Aug. 17 Sep. 17 Oct. 17 Nov. 17 Dec. 17
Ontario 81.4 85.8 86.5 87.6 87.2 88.4 87.4 83.2 86.4 88.0 87.5 90.2 83.8 88.0 88.3 88.1 89.4 89.7 89.2 84.7 87.5 89.4 89.6 90.7 84.4 87.9 87.7 87.0 88.9 89.2 86.7 84.2 84.5 87.8 88.4 89.7 84.1 88.5 87.9 88.3 89.2 89.3 87.8 84.3 85.7 87.6 86.8 88.4
Minimum 70.4 73.4 77.9 78.4 80.3 75.6 77.8 73.4 79.0 78.9 73.9 80.4 67.4 74.0 74.4 79.2 77.8 77.9 77.8 75.2 80.3 80.8 82.6 82.4 72.2 81.5 76.1 69.2 84.2 71.1 56.4 65.2 74.4 71.7 79.6 80.6 78.1 81.5 79.2 79.6 77.8 70.3 67.7 58.3 68.2 72.4 53.1 66.7
Maximum 92.8 94.3 94.9 94.4 96.0 97.0 94.4 95.2 94.7 96.7 96.7 98.0 94.9 99.1 98.0 97.0 97.0 97.7 96.6 94.2 93.4 97.4 97.3 96.9 94.2 96.3 95.2 95.7 95.1 95.6 95.8 95.0 95.2 97.1 95.8 97.7 92.4 96.2 97.2 96.8 97.1 97.5 97.9 95.7 97.0 97.6 97.4 99.7

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2014 to March 2014 are based on the WTIS data cut of August 11, 2014
  2. April 2014 to March 2015 are based on the WTIS data cut of August 11, 2015
  3. April 2015 to March 2016 are based on the WTIS data cut of August 9, 2016
  4. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  5. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  6. Please refer to technical documentation for exclusion criteria

Data Table 6. Percentage of patients whose cancer surgery occurred within their respective Wait 2 priority access target, by priority level, Ontario, 2009 to 2017

Priority Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2009 Volume of completed cases within Wait 2 target in 2009 Volume of completed cases with Wait 2 in 2009 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2010 Volume of completed cases within Wait 2 target in 2010 Volume of completed cases with Wait 2 in 2010 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2011 Volume of completed cases within Wait 2 target in 2011 Volume of completed cases with Wait 2 in 2011 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2012 Volume of completed cases within Wait 2 target in 2012 Volume of completed cases with Wait 2 in 2012 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2013 Volume of completed cases within Wait 2 target in 2013 Volume of completed cases with Wait 2 in 2013 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2014 Volume of completed cases within Wait 2 target in 2014 Volume of completed cases with Wait 2 in 2014 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2015 Volume of completed cases within Wait 2 target in 2015 Volume of completed cases with Wait 2 in 2015 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2016 Volume of completed cases within Wait 2 target in 2016 Volume of completed cases with Wait 2 in 2016 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2017 Volume of completed cases within Wait 2 target in 2017 Volume of completed cases with Wait 2 in 2017
Priority 2 to 4 combined 72.9 32,850 45,064 74.9 34,491 46,058 78.1 37,166 47,578 81.4 38,753 47,634 84.5 40,663 48,110 86.7 42,787 49,380 88.2 43,430 49,246 87.2 42,923 49,216 87.3 42,232 48,355
Priority 2 (14 days) 55.9 2,934 5,246 61.2 2,471 4,035 65.4 2,229 3,410 71.4 2,199 3,080 73.6 2,158 2,931 76.4 2,318 3,035 82.0 2,304 2,811 77.5 1,995 2,576 75.1 1,698 2,262
Priority 3 (28 days) 68.9 19,422 28,178 69.9 20,305 29,041 73.3 21,412 29,209 76.2 21,509 28,234 79.2 21,698 27,415 82.7 23,363 28,267 84.3 23,850 28,306 84.6 24,633 29,134 84.5 23,822 28,207
Priority 4 (84 days) 90.2 10,494 11,640 90.2 11,715 12,982 90.4 13,525 14,959 92.2 15,045 16,320 94.6 16,807 17,764 94.6 17,106 18,078 95.3 17,276 18,129 93.1 16,295 17,506 93.4 16,712 17,886

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2014 to March 2014 are based on the WTIS data cut of August 11, 2014
  2. April 2014 to March 2015 are based on the WTIS data cut of August 11, 2015
  3. April 2015 to March 2016 are based on the WTIS data cut of August 9, 2016
  4. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  5. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  6. Please refer to technical documentation for exclusion criteria

Data Table 7. Percentage of cancer patients whose surgical procedure occurred within their respective Wait 2 access target, by Local Health Integration Network (LHIN), 2009 to 2017

LHIN Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2009 Volume of completed cases within Wait 2 target in 2009 Volume of completed cases with Wait 2 in 2009 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2010 Volume of completed cases within Wait 2 target in 2010 Volume of completed cases with Wait 2 in 2010 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2011 Volume of completed cases within Wait 2 target in 2011 Volume of completed cases with Wait 2 in 2011 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2012 Volume of completed cases within Wait 2 target in 2012 Volume of completed cases with Wait 2 in 2012 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2013 Volume of completed cases within Wait 2 target in 2013 Volume of completed cases with Wait 2 in 2013 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2014 Volume of completed cases within Wait 2 target in 2014 Volume of completed cases with Wait 2 in 2014 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2015 Volume of completed cases within Wait 2 target in 2015 Volume of completed cases with Wait 2 in 2015 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2016 Volume of completed cases within Wait 2 target in 2016 Volume of completed cases with Wait 2 in 2016 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2017 Volume of completed cases within Wait 2 target in 2017 Volume of completed cases with Wait 2 in 2017
Ontario 72.9 32,850 45,064 74.9 34,491 46,058 78.1 37,166 47,578 81.4 38,753 47,634 84.5 40,663 48,110 86.7 42,787 49,380 88.2 43,430 49,246 87.2 42,923 49,216 87.3 42,232 48,355
Erie St. Clair 77.1 1,323 1,715 77.5 1,306 1,685 85.0 1,448 1,703 84.7 1,381 1,631 86.0 1,275 1,482 85.1 1,329 1,562 88.4 1,389 1,571 86.2 1,321 1,533 90.0 1,181 1,312
South West 56.7 2,504 4,418 61.4 2,746 4,476 67.9 3,242 4,776 77.8 3,451 4,435 80.5 3,490 4,335 81.5 3,483 4,272 84.6 3,871 4,577 83.8 3,939 4,700 86.2 3,955 4,588
Waterloo Wellington 86.7 1,727 1,993 88.0 1,746 1,985 90.2 1,932 2,141 90.1 1,701 1,889 92.7 1,712 1,847 93.2 1,806 1,937 92.0 1,700 1,847 90.3 1,669 1,848 92.6 1,842 1,989
Hmltn-Ngr-Hldmnd-Brnt 72.2 4,221 5,848 70.1 4,192 5,981 70.1 3,888 5,548 76.5 4,414 5,773 80.5 4,580 5,689 78.1 4,616 5,910 79.2 4,783 6,037 79.5 4,739 5,962 79.9 4,617 5,782
Central West 76.9 1,298 1,688 78.9 1,350 1,712 82.8 1,355 1,637 81.6 1,378 1,688 88.6 1,547 1,747 86.7 1,344 1,551 87.8 1,185 1,349 86.3 1,322 1,532 85.6 1,258 1,470
Mississauga Halton 73.7 1,698 2,305 79.3 2,001 2,524 80.0 2,208 2,761 87.6 2,537 2,896 84.2 2,366 2,810 89.8 2,609 2,907 86.4 2,349 2,718 85.5 2,329 2,725 80.4 2,324 2,891
Toronto Central 70.9 7,020 9,904 71.1 7,077 9,957 77.3 8,270 10,697 78.4 8,576 10,935 84.0 9,152 10,902 85.0 9,188 10,809 88.0 9,344 10,622 86.5 9,064 10,474 86.3 8,960 10,384
Central 92.7 4,101 4,425 90.8 4,056 4,468 93.4 4,116 4,409 95.8 4,232 4,419 94.7 4,266 4,504 95.2 4,266 4,479 96.0 4,201 4,375 95.0 4,035 4,246 96.6 4,004 4,147
Central East 73.9 2,450 3,315 75.2 2,863 3,805 81.8 3,190 3,899 88.2 3,442 3,902 88.3 4,017 4,548 87.0 4,496 5,169 91.8 4,772 5,201 90.5 4,471 4,940 90.0 3,958 4,396
South East 74.8 1,146 1,532 76.3 1,072 1,405 75.0 1,101 1,469 67.0 1,050 1,567 80.3 1,216 1,514 87.5 1,370 1,566 85.1 1,217 1,430 82.6 1,455 1,762 83.6 1,619 1,936
Champlain 66.4 3,160 4,759 78.7 3,825 4,863 78.5 3,986 5,079 80.7 4,172 5,167 85.4 4,388 5,139 91.8 5,012 5,460 91.6 5,236 5,714 91.3 5,103 5,589 91.4 4,994 5,465
North Simcoe Muskoka 76.4 611 800 73.1 647 885 78.8 723 917 81.8 686 839 74.9 742 991 86.3 809 938 82.7 920 1,113 86.2 1,001 1,161 81.3 1,068 1,314
North East 62.2 1,061 1,706 63.2 1,023 1,618 61.2 1,098 1,794 63.9 1,204 1,884 69.5 1,385 1,992 87.4 1,914 2,190 93.0 1,956 2,103 93.4 2,101 2,250 94.3 2,153 2,283
North West 80.8 530 656 84.6 587 694 81.4 609 748 86.9 529 609 86.4 527 610 86.5 545 630 86.1 507 589 75.7 374 494 75.1 299 398

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2014 to March 2014 are based on the WTIS data cut of August 11, 2014
  2. April 2014 to March 2015 are based on the WTIS data cut of August 11, 2015
  3. April 2015 to March 2016 are based on the WTIS data cut of August 9, 2016
  4. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  5. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  6. Please refer to technical documentation for exclusion criteria

Data Table 8. Percentage of patients whose surgical procedure occurred within their respective Wait 2 priority access target, by disease site, 2009 to 2017

Disease site Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2009 Volume of completed cases within Wait 2 target in 2009 Volume of completed cases with Wait 2 in 2009 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2010 Volume of completed cases within Wait 2 target in 2010 Volume of completed cases with Wait 2 in 2010 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2011 Volume of completed cases within Wait 2 target in 2011 Volume of completed cases with Wait 2 in 2011 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2012 Volume of completed cases within Wait 2 target in 2012 Volume of completed cases with Wait 2 in 2012 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2013 Volume of completed cases within Wait 2 target in 2013 Volume of completed cases with Wait 2 in 2013 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2014 Volume of completed cases within Wait 2 target in 2014 Volume of completed cases with Wait 2 in 2014 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2015 Volume of completed cases within Wait 2 target in 2015 Volume of completed cases with Wait 2 in 2015 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2016 Volume of completed cases within Wait 2 target in 2016 Volume of completed cases with Wait 2 in 2016 Percentage of cancer surgery patients whose surgery occurs within priority access target for Wait 2 in 2017 Volume of completed cases within Wait 2 target in 2017 Volume of completed cases with Wait 2 in 2017
Bone joint and muscle 90.5 779 861 86.8 717 826 86.2 788 914 87.1 828 951 88.1 817 927 92.4 935 1,012 94.0 973 1,035 93.3 1,021 1,094 90.5 910 1,006
Breast 82.6 8,834 10,701 83.5 9,529 11,408 84.8 10,024 11,826 86.0 9,869 11,478 87.5 10,190 11,643 88.7 10,739 12,102 88.7 10,383 11,708 90.8 10,746 11,838 91.8 10,967 11,941
Endocrine 66.7 1,856 2,783 68.4 1,771 2,588 71.1 1,795 2,526 76.6 1,691 2,208 80.3 1,720 2,142 84.7 1,897 2,241 88.5 1,881 2,125 79.8 1,524 1,909 84.4 1,526 1,808
Gastrointestinal 75.0 4,911 6,550 77.5 4,894 6,316 79.9 5,228 6,540 82.0 5,294 6,460 84.3 5,270 6,251 86.5 5,344 6,180 88.2 5,505 6,244 86.6 5,190 5,992 87.3 4,886 5,600
Genitourinary 74.2 6,739 9,077 75.3 7,583 10,074 78.2 7,958 10,182 82.2 8,819 10,724 86.9 10,222 11,758 89.0 11,036 12,401 90.5 10,923 12,066 89.2 11,050 12,384 87.8 10,429 11,874
Gynecological 59.9 2,505 4,180 55.8 2,183 3,916 63.0 2,476 3,931 68.6 2,804 4,090 73.7 2,897 3,929 75.4 3,022 4,007 79.9 3,377 4,226 79.1 3,340 4,223 75.2 3,209 4,268
Head and neck (excluding thyroid) 64.0 1,653 2,584 68.0 1,667 2,453 75.9 1,896 2,499 79.8 1,878 2,355 81.2 1,924 2,369 82.0 1,926 2,348 85.0 2,124 2,500 82.8 2,083 2,515 86.1 2,147 2,493
Liver and pancreatic 59.4 606 1,021 66.4 732 1,102 74.3 937 1,261 75.5 1,002 1,328 82.3 1,215 1,476 84.3 1,237 1,468 86.5 1,282 1,482 85.2 1,285 1,508 85.3 1,320 1,547
Lung 72.2 1,906 2,641 75.9 2,009 2,647 80.1 2,189 2,734 86.3 2,703 3,132 84.9 2,602 3,066 90.9 2,751 3,026 91.0 3,019 3,317 86.9 2,743 3,155 87.7 2,966 3,382
Neurosurgery 85.0 705 829 87.0 856 984 91.2 1,066 1,169 88.6 1,146 1,293 90.7 1,142 1,259 90.8 1,140 1,256 93.3 1,220 1,307 93.1 1,187 1,275 94.9 1,218 1,284
Ophthalmic 75.5 157 208 70.6 144 204 77.3 208 269 78.3 170 217 75.7 140 185 47.4 91 192 50.0 146 292 86.3 232 269 92.1 244 265
Prostate 60.6 2,199 3,629 68.0 2,406 3,540 69.8 2,601 3,727 75.0 2,549 3,398 81.3 2,524 3,105 83.2 2,489 2,993 88.2 2,597 2,944 82.6 2,522 3,054 83.5 2,410 2,887

Report date: February 5, 2018

Data source: Wait Time Information System

Prepared by: ATC Informatics, Analytics & Informatics, Cancer Care Ontario

Note:

  1. January 2014 to March 2014 are based on the WTIS data cut of August 11, 2014
  2. April 2014 to March 2015 are based on the WTIS data cut of August 11, 2015
  3. April 2015 to March 2016 are based on the WTIS data cut of August 9, 2016
  4. April 2016 to March 2017 are based on the WTIS data cut of August 9, 2017
  5. April 2017 to December 2017 are based on the WTIS data cut of January 9, 2018
  6. Please refer to technical documentation for exclusion criteria

What do the results show?

Overall access to surgical consultations remained stable (Figure 1 and 2).

  • Wait 1 data demonstrate stable access to surgical oncology consultations, with consistently greater than 83% of patients seen within their respective Wait 1 priority access targets. Nonetheless, the rate remains below Cancer Care Ontario’s goal of 90%.
  • In 2017, 86% of Priority 2 patients were seen by a specialist within the Wait 1 priority access target. This is an improvement from 79% in 2015 (data not shown).

Variation exists for patients waiting for a specialist consult (Wait 1), depending both on their location and the type of disease (Figures 3 and 4).

  • Regional variation exists for patients who require specialist consultation, depending on where in the province they see their specialist. For example, while the overall percentage of patients who were treated within their priority access target for 2017 is 86%, the lowest performing Local Health Integration Network (LHIN) was North Simcoe Muskoka (73%) and the top performing LHIN was Central (95%).
  • The highest percentages of patients by disease type being consulted within the Wait 1 priority access target are breast and lung cancer patients (at 93% and 90%, respectively).
  • The lowest percentage of patients consulted within the target is ophthalmic cancer patients (69%).

For patients waiting to receive cancer surgery (Wait 2), improvement is needed to reach access targets for Priority 2 (within 14 days) and Priority 3 (within 28 days) (Figures 5 and 6).

Measure:  Percentage of cancer patients surgically treated within the priority access target for their wait, from decision-to-treat to surgical procedure date (Wait 2)

 

Desired Direction:

 

An image of an arrow pointing upwards. This indicates that desired direction for this action is upwards.

 

As of this Report:

 

An image of an arrow pointing straight in a green box. This indicates that there has been no increase or decrease in performance over the previous periods identified and this action is exceeding or meeting target.

  • Over the past 8 years, the percentage of patients who had surgery within the Priority 2 access target (within 14 days) increased, up from 56% in 2009 to 75% in 2017.
  • The percentage of patients who had surgery within the Priority 3 access target (within 28 days) also increased over the same period, up from 69% in 2009 to 84% in 2017.
  • This is encouraging progress, because Priorities 2 and 3 represent more urgent cancer cases. Further focus and improvement is required, however, if provincial benchmarks of 90% are to be met.
  • Ontario continues to excel at meeting Priority 4 targets, with 93% of cases completed within the 84-day access target.  
  • Seasonal variations are observed in surgery wait times, with fewer patients meeting targets around holiday periods.

Variation also exists for patients waiting for oncology surgery (Wait 2), both by disease type and hospital location (Figure 7 and 8).

  • Regional variation exists for patients requiring access to cancer surgery, depending on where in the province they are treated.
  • For example, the overall percentage completed within target for Ontario in 2017 was 87%. The lowest performing LHIN was North West (75%), and the top performing LHIN was Central (97%).
  • The Wait 2 data show steady improvement since January 2010 with the best performing LHINs exceeding Cancer Care Ontario’s goal of 90% each month.
  • The highest percentages of patients receiving surgery within the target are neurosurgery cancer patients (95%) and ophthalmic patients (92%).
  • The lowest percentages of patients receiving surgery within the target are gynecologic cancer surgery patients (75%) and prostate cancer surgery patients (83%).

Timely access to cancer surgery improves outcomes and lessens patient anxiety.

  • Surgery often is the first point of entry into the cancer treatment system for patients, so wait time for surgery has the potential to affect the entire patient journey.
  • This report focuses solely on elective cancer surgery for curative cases and does not include emergency, diagnostic, reconstructive or palliative procedures.
  • About 80% of cancer patients will have surgery at some point during their cancer treatment [1].
  • Some cancers are more aggressive and should be treated quickly, while others do not need immediate treatment.
  • While some waiting for appropriate treatment planning is reasonable (even necessary), treatment should be provided within the recommended time frame to ensure the best clinical outcomes.
  • Research has shown that shortening the wait time can minimize unnecessary patient stress and anxiety [2].

Wait times are a gauge of the cancer system’s performance.

  • Wait times are a way to gauge how well the cancer system is working, and they provide valuable insight into how to plan services and distribute existing resources.
  • Other jurisdictions with similar health systems that measure and publicly report on surgery wait times include New Zealand, Australia and Sweden, although their measures differ from Ontario’s [3–5].

Find out more

For more information on cancer surgery wait times, please visit Health Quality Ontario’s website.

For up-to-date information on wait times at each of the Regional Cancer Centres (and for specific types of surgery and wait times for other procedures), please see the Ministry of Health and Long-Term Care’s Ontario Wait Times website.

Notes

  1. Simunovic M, Gagliardi A, McCready D, Coates A, Levine M, DePetrillo D. A snapshot of waiting times for cancer surgery provided by surgeons affiliated with regional cancer centres in Ontario. CMAJ. 2001;165:421–425.
  2. Eskander A, Devins G, Freeman J, Wei A, Rotstein L, Chauhan N, et al. Waiting for thyroid surgery: a study of psychological morbidity and determinants of health associated with long wait times for thyroid surgery. Laryngoscope. 2013;123(2):541–547.
  3. National Cancer Programme: Work Plan, 2012/2013 [Internet]. Wellington: New Zealand Ministry of Health: 2013 Jan 24 [updated 2015 Aug 21; cited 2016 Mar 8]. Available from: here.
  4. MyHospitals [Internet]. Sydney: National Health Performance Authority; c2018 [cited 2016 Mar 8]. Available from:here.
  5. Swedish Association of Local Authorities and Regions; Swedish National Board of Health and Welfare. Quality and efficiency in Swedish cancer care [Internet]. Stockholm: Swedish National Board of Health and Welfare; 2012 [cited 2016 Mar 8]. Available from: here.