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North East LHIN
Quick Statistics: 2008
Total Population
North East: 556,367
Ontario: 13,035,870
Percentage of population over 50
North East: 38.8%
Ontario: 31.9%
Projected new cancer cases
North East: 3,300
Ontario: 64,447
Projected # of deaths from cancer
North East: 1,376
Ontario: 26,581
Source: iPort, Cancer Care Ontario
Report Date: April 7, 2009


MEASUREMENT Comparison Data Most Recent Data
Reporting of Cancer Stage at Diagnosis 2007-2008 2008-2009
(Apr-June)		 Ontario Min Max Target
Percentage of regional cancer centre cases with valid stage (fiscal year) 99.3% 98.4% 91.2% 51.5% 99.9% 90%

PREVENTION Comparison Data Most Recent Data
Modifiable Risk Factors 2005 2007 Ontario Min Max Target
Obesity: Percentage of adults (aged 18+) self-reporting obesity 19.9% 23.2% 16.8% 10.4% 23.2%  
Smoking: Percentage of adults (aged 20+) who are current smokers 28.8% 29.2% 22.6% 17.4% 29.2%  
Vegetable and fruit intake: Percentage of adults (aged 18+) eating vegetables and fruit 5 or more times daily 41.1% 41.9% 42.0% 33.2% 47.2%  
Physical activity: Percentage of adults (18+) who are active or moderately active 53.6% 49.8% 47.5% 38.0% 55.5%  
Alcohol: Percentage of adults (aged 19+) not following the Centre for Addiction and Mental Health (CAMH) low-risk drinking guidelines 22.7% 25.0% 20.3% 10.2% 29.1%  

ACCESS Comparison Data Most Recent Data
Colorectal Cancer Screening (FOBT) Participation 2004-2005 2006-2007 Ontario Min Max Target
Biennial fecal occult blood test (FOBT) participation (men and women age 50-74) 14.8% 21.2% 24.2% 18.1% 29.2% 40%
Cervical Cancer Screening (Pap Test) Participation 2002-2004 2005-2007 Ontario Min Max Target
Percentage of women (age 20-69) who had a Pap test within a three year time interval 68.8% 70.4% 72.0% 67.9% 77.0% 85%
Breast Cancer Screening (Mammography) Participation 2005-2006 2007-2008 Ontario Min Max Target
Participation in OBSP and non-OBSP screening 66.8% 68.5% 65.9% 59.8% 69.5% 70%
Cancer screening completeness 2002-2004 2005-2007 Ontario Min Max Target
Percentage of women (age 20-74) who are up-to-date for cancer screening 52.3% 55.3% 55.8% 53.2% 60.4%  
Percentage of women (age 50-69) who are up-to-date for cancer screening 10.0% 17.4% 20.8% 15.5% 26.3%  
Wait Times for Radiation Treatment 2007 (Apr-Dec) 2008 (Apr-Dec) Ontario Min Max Target
Percentage of patients seen within target (14 days), referral to consult 63.3% 62.0% 63.0% 31.7% 85.3% 70%
Percentage of patients treated with radiation within targets, ready to treat to start of treatment 54.3% 68.3% 64.5% 42.1% 77.5% 70%
Wait Times for Cancer Surgery 2007 (Oct-Dec) 2008 (Oct-Dec) Ontario Min Max Target
Cancer surgery 90th percentile waits* (days), decision-to-treat to operation 50 46 57 42 90 84


2008 Ontario Min Max Target
Percentage of cases completed within priority access target 2, decision-to-treat to operation n/a 47.6% 52.9% 39.9% 84.4%  
Wait Times for Systemic Treatment (Chemotherapy)   2008 2008 Min Max Target
90th percentile waits (in days), referral to start of systemic treatment 65 68 72 55 117 28


2008 (Apr - Dec) Ontario Min Max Target
Percentage of patients seen within target (14 days), referral to consult n/a 26.0% 47.6% 24.5% 69.0% 60%
Wait Times for Colonoscopy after a Positive Fecal Occult Blood Test (FOBT)   2008 (Apr-Dec) Ontario Min Max Target
Median wait times (weeks) for colonoscopy after positive FOBT n/a 7.6 7.1 4.4 12  
90th percentile wait times (weeks) for colonoscopy after positive FOBT n/a 27.0 23.3 12.8 35.9  
Radiation Treatment Utilization 2005-2006 2007-2008 Ontario Min Max Recommended Rate
Percentage of cancer cases treated with radiation at any time during the course of illness 36.4% 37.0% 34.5% 32.1% 40.6% 48%
Symptom Assessment 2007 (July-Dec) 2008 (July-Dec) Ontario Min Max Target
Percentage of lung cancer patients who were screened at least once per month for symptom severity 27.0% 46.7% 43.6% 0.0% 94.9% 90%


2008 (Apr-Dec) Ontario Min Max Target
Percentage of cancer patients, excluding lung cancer patients, who were screened at least once per month for symptom severity n/a 0.2% 12.3% 0.1% 83.3% 10%
End-of-Life Care 2004 2005 Ontario Min Max Target
Percentage of cancer patients who died in acute care hospital 64.1% 66.3% 51.4% 35.1% 66.3%  
Percentage of cancer patients in Ontario who visited the emergency department in the last 2 weeks of life 44.6% 48.1% 40.2% 33.0% 48.1%  


2000-2005 Ontario Min Max Target
Median length of stay (days) in acute care for last 6 months of life, for patients who died of cancer in Ontario n/a 14 14.0 12.0 16.0  

EVIDENCE Comparison Data Most Recent Data
Treating Colon Cancer According to Guidelines 2005-2007 2006-2008 Ontario Min Max Target
Post-operative treatment for Stage III colon cancer patients referred to cancer centres: Percentage treated with guideline-recommended chemotherapy versus other treatment (LHIN of patient residence) 55.7% 49.9% 50.9% 28.4% 69.0%  
Treating Lung Cancer According to Guidelines 2005-2007 2006-2008 Ontario Min Max Target
Percentage of Stage II or IIIA resected non-small cell lung cancer patients treated with guideline-recommended adjuvant chemotherapy following surgery versus other treatment (LHIN of patient residence) 48.3% 48.8% 51.8% 32.1% 65.7%  
Treating Lung Cancer According to Guidelines: Percentage of unresected Stage IIIA or IIIB non-small cell lung cancer patients treated with guideline-recommended chemo-radiation versus other treatments (LHIN of patient residence) 34.2% 47.0% 44.1% 20.3% 59.2%  
Use of Best Practice Drug Ordering Technology 2006 2007 Ontario Min Max Target
Percentage of systemic treatment visits supported by Computerized Physician Order Entry (OPIS) 75.5% 73.2% 63.5% 15.7% 96.2% 90%
Thoracic Cancer Surgery Standards 2006-2007 2007-2008 Ontario Min Max Target
Lung surgeries completed at a designated centre 0.0% 80.7% 77.8% 0.0% 100.0%  
Esophageal surgeries completed at a designated centre 0.0% 70.6% 82.5% 0.0% 100.0%  
Cancer Patient Participation in Clinical Trials 2007 2008 Ontario Min Max Target
Percentage of cancer patients treated at cancer centres recruited to treatment-based clinical trials 2.8% 2.7% 9.6% 2.7% 24.1%  
Intensity Modulated Radiation Therapy 2008 (Apr-June) 2008 (July-Sept) Ontario Min Max Target
Percentage of all radical courses of radiation therapy that are IMRT (excluding breast) 18.0% 19.0% 19.6% 0.0% 23.0%  
Chemotherapy in the Last Two Weeks of Life   2007 Ontario Min Max Target
Percentage of patients receiving chemotherapy in the last 2 weeks of life (all cancers, standardized rate) n/a 6.9% 6.1% 2.4% 9.3%  

OUTCOMES Comparison Data Most Recent Data
Patient Experience with Outpatient Cancer Care 2007 2008 Ontario Min Max Target
Average cancer patient satisfaction scores for emotional support 52.8% 50.9% 51.6% 41.8% 55.2%  
Cancer Survival 1991-1995 2001-2005 Ontario Min Max Target
Colorectal cancer - age-standardized 5-year relative survival 54.1% 64.5% 62.3% 57.8% 66.1%  
Female breast cancer - age-standardized 5-year relative survival 76.2% 85.9% 86.9% 83.1% 90.5%  
Lung cancer - age-standardized 5-year relative survival 14.5% 16.4% 16.3% 13.0% 19.1%  
Prostate cancer - age-standardized 5-year relative survival 77.9% 93.7% 96.7% 88.1% 98.8%  
Last modified: Fri, Jul 31, 2009