Supplementary data: Manitoba

This page provides data visualizations related to the priorities for Canada’s cancer system, as well as accessible descriptions.

Download data tables for all indicators.

Priority 1 Action 1: Help people to stop smoking or not start in the first place and live healthier lives

Topic: Keeping people smoke-free
Title of image: Percentage of individuals (aged ≥ 12) classified as daily or occasional smokers in 2020
Caveats/limitations:

  • This indicator was reported using the Canadian Community Health Survey (CCHS).
  • Individuals who did not respond to the required CCHS questions regarding smoking status were not included in the analysis.
  • Overall smoking percentages are reported using 2020 data.

15% for Manitoba, and 12.9% for Canada
Data source: Canadian Community Health Survey

Topic: Keeping people smoke-free
Title of image: Percentage of individuals (aged ≥ 18) classified as daily or occasional smokers in 2019, by household income quintile and sex

Quintile 1 (Lower quintile): females: 16.4%; males: 33.7%. Quintile 2: females: 12.3%; males: 20.6%. Quintile 3: females: 11.3%; males: 11.3%. Quintile 4: females: 7.0%; males: 18.4%. Quintile 5 (Upper quintile): females: 14.9%; males: 14.5%
Title of table: Percentage of individuals (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex

Sex Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5
Female 16.4% 12.3% 11.3% 7% 14.9%
Male 33.7% 20.6% 11.3% 18.4% 14.5%

Data source: Canadian Community Health Survey

Topic: Keeping people smoke-free
Title of image: Percentage of individuals (aged ≥ 18) classified as daily or occasional smokers in 2019, by education
Secondary school graduation rates: females 15.1%, males 26.7%. Post-secondary education rates: females 8.8%, males 12%

Sex Less than secondary school graduation  Secondary school graduation, no post-secondary education Post secondary certificate/diploma or university degree
Female 24.2% 15.1% 8.8%
Male 29.4% 26.7% 12.6%

Data source: Canadian Community Health Survey


Topic: Maintaining healthy body weight
Title of image: Percentage of individuals (aged ≥ 18) classified as overweight or obese in 2019
Caveats/limitations:

  • This indicator was reported using the Canadian Community Health Survey (CCHS). Overall obesity and overweight percentages are reported using 2019 data. Percentages by income quintile and/or sex are reported using 2017-2018 data.
  • Individuals who did not respond to the required CCHS questions to derive the BMI classifications were not included in the analysis.

67.6% for Manitoba, 65.9% for Canada
Data source: Canadian Community Health Survey

Topic: Maintaining healthy body weight
Title of image: Percentage of individuals (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex
Lowest quintile is 60.8% for females and 61.7% for males. The upper quintile is 60.9% for females and 78.1% for males.
Title of table: Percentage of individuals (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex

Sex Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5
Female 60.8% 63.6% 60.8% 64.5% 60.9%
Male 61.7% 71.6% 71.7% 81% 78.1%

Data source: Provincial cancer agencies and programs

Topic: Maintaining healthy body weight
Title of image: Percentage of individuals (aged ≥ 18) classified as overweight or obese in 2017-2018, by sex
72.9% for males, and 62.2% for females
Data source: Canadian Community Health Survey

Priority 1 Action 2: Adopt proven practices known to reduce the risk of cancer

Topic: Increasing HPV vaccination
Title of image: Percentage of individuals who completed the full HPV vaccination (at least 2 doses) by age 17 through Manitoba’s school-based vaccination program
Caveats/limitations: HPV vaccination rates for male Grade 6 students were not available.
63.7% for females
Data source: Provincial cancer agencies and programs


Topic: Increasing genetic testing
Title of image: Percentage of breast/ovarian and colon cancer patients who received genetic testing in 2019
Hereditary cancer screen for breast/ovarian cancer is 4.3% and for colon cancer is 1.1%. Tumour tissue screen for Lynch Syndrome screening is 53.6%.
Data source: Provincial cancer agencies and programs

Topic: Increasing genetic testing
Title of image: Percentage of breast/ovarian cancer patients who received hereditary cancer screening in 2019, by age group
Age 20-40: 22.2%, Age 41-60: 5.2%, Age 61-70: 2.2%, Age 71+ 3.0%
Data source: Provincial cancer agencies and programs

Topic: Increasing genetic testing
Title of image: Percentage of colorectal cancer patients who received tumour tissue screening for Lynch Syndrome in 2019, by age group and sex
Age under 70: 81.6%, Age 70+ 25.9%, Males: 57.1%, Females: 49.5%
Data source: Provincial cancer agencies and programs

Priority 2 Action 1: Prioritize rapid access to appropriate diagnosis for those suspected of having cancer

Topic: Diagnosing cancer earlier
Title of image: Proportion of stage at diagnosis in 2019
Caveats/limitations:

  • Duplicate/multiple instances of the same patient have been removed if they occur within the same cancer site.
  • If the same patient has more than one cancer across the four sites (lung, melanoma, bladder or colorectal), they were not removed.

Lung: 47% in Stage 4, Colorectal: 26% in Stage 2, Bladder: 60% in Stage 0, Melanoma: 43% are unknown or occult
Title of table: Proportion of stage at diagnosis in 2019

Site Stage 0-1 Stage 1> Stage 2 Stage  3 Stage 4 Unknown/Occult
Lung 21% Not applicable 6% 19% 47% 7%
Colorectal 15% Not applicable 26% 25% 22% 11%
Bladder 60% 19% 8% 4% 5% 4%
Melanoma 43% 41% 6% 6% 1% 3%

Data source: Provincial cancer agencies and programs

Topic: Diagnosing cancer earlier
Title of image: Proportion of stage 4 diagnosis in 2019
Lung: 47.0%, Colorectal: 22.1%, Bladder: 4.7%, Melanoma: 1.2%
Data source: Provincial cancer agencies and programs

Topic: Diagnosing cancer earlier
Title of image: Proportion of stage 4 diagnosis in 2019, by sex
For males, Lung 50.1%, Colorectal 24%, Bladder 3.3%, Melanoma 1.8%. Females, Lung 44%, Colorectal 19.9%, Bladder 9.3%, Melanoma 4.7%
Title of table: Proportion of stage 4 diagnosis in 2019, by sex

Sex Lung Colorectal Bladder Melanoma
Male 50.1% 24% 3.3% 1.8%
Female 44% 19.9% 9.3% 4.7%*

*Stage III-IV combined for melanoma for females only due to small cells.
Data source: Provincial cancer agencies and programs

Priority 2 Action 2: Strengthen existing screening efforts and implement lung cancer screening programs across the country

Topic: Increasing participation in colorectal cancer screening
Title of image: Percentage of individuals who completed a) fecal test in the last two years (2018-2019); or b) colonoscopy/flexible sigmoidoscopy within the last five years (2015-2019)
Overall age 50-74: 50.2%, Age 50-54: 45.4%, Age 55-59: 44.5%, Age 60-64: 50.6%, Age 65-69: 56.0%, Age 70-74: 59.6%

Title of table: Percentage of individuals who completed a) fecal test in the last two years (2018-2019); or b) colonoscopy/flexible sigmoidoscopy within the last five years (2015-2019)

Overall (age 50-74) Age 50-54 Age 55-59 Age 60-64 Age 65-69 Age 70-74
50.2% 45.4% 44.5% 50.6% 56% 59.6%

Data source: Provincial cancer agencies and programs

Topic: Increasing participation in colorectal cancer screening
Title of image: Percentage of individuals who completed a) fecal test in the last two years (2018-2019); or b) colonoscopy/flexible sigmoidoscopy within the last five years (2015-2019), by sex and Regional Health Authority
By sex: Male 47.7%, Female 52.7%. By Regional Health Authority, Winnipeg 50.4%, Southern 48.6%, Interlake Eastern 52.0%, Prairie Mountain 51.5%, Northern 36.6%
Title of table: Percentage of individuals who completed a) fecal test in the last two years (2018-2019); or b) colonoscopy/flexible sigmoidoscopy within the last five years (2015-2019), by sex and Regional Health Authority

Male Female RHA Winnipeg RHA Southern RHA Interlake-Eastern RHA Prairie Mountain RHA Northern
47.7% 52.7% 50.4% 48.6% 52% 51.5% 36.6%

Data source: Provincial cancer agencies and programs

Priority 3 Action 1: Set best practices and standards for care delivery and promote their adoption

Topic: Implementing multidisciplinary care
Title of image: Percentage of patients with GI cancer who were referred/discussed by a multidiscplinary prior to treatment in 2019
Data source: Provincial cancer agencies and programs
Overall: 58%

Topic: Implementing multidisciplinary care
Title of image: Percentage of patients with Gl cancer who were referred/discussed by a multidisciplinary care team prior to treatment in 2019, by sex, Regional Health Authority, and age
Caveats/limitations: Reporting breakdown by sex may be inadvertently misleading. Which pediatric or GI cancer cases are to be discussed by multidisciplinary teams (MDTs) is likely informed by the patient’s cancer diagnosis, not their sex. For sex, the higher percentage of pediatric cancer females vs males discussed by MDTs may indicate a sex-mediated pattern for a given type of cancer.
By sex: Males 55.5%, Females: 62.8%. By Regional Health Authority: Interlake-Eastern 45.5%, Northern 41.7%, Southern Health 57.1%, Prairie Mountain 81.3%, Winnipeg 52.0%. By age group: 20-49, 53.8%, 50-59, 68.8%, 60-69, 50.7%, 70-79, 58.2%, 80+ 62.5%
Title of table: Percentage of patients with Gl cancer who were referred/discussed by a multidisciplinary care team prior to treatment in 2019, by sex, Regional Health Authority (RHA), and age

Male Female RHA Interlake-Eastern RHA Northern RHA Southern Health RHA Prairie Mountain RHA Winnipeg Age 20-49 Age 50-59 Age 60-69 Age 70-79 Age 80+
55.5% 62.8% 45.5% 41.7% 57.1% 81.3% 52% 53.8% 68.8% 50.7% 58.2% 62.5%

Data source: Provincial cancer agencies and programs

Topic: Implementing multidisciplinary care
Title of image: Percentage of pediatric patients with cancer who were referred/discussed by a multidisciplinary care team prior to treatment in 2019
Data source: Provincial cancer agencies and programs
Overall: 87%

Topic: Implementing multidisciplinary care
Title of image: Percentage of pediatric patients with cancer who were referred/discussed by a multidisciplinary care team prior to treatment in 2019, by sex and age group
Caveats/limitations: Reporting breakdown by sex may be inadvertently misleading. Which pediatric or GI cancer cases are to be discussed by multidisciplinary teams (MDTs) is likely informed by the patient’s cancer diagnosis, not their sex. For sex, the higher percentage of pediatric cancer females vs males discussed by MDTs may indicate a sex-mediated pattern for a given type of cancer.
By sex: male 78.3%, Female 94.1%. By age group, 0-3 81.8%. Age 4-6, 88.9%, Age 7-12, 80.0%, Age 13-16, 90.0%
Title of table: Percentage of pediatric patients with cancer who were referred/discussed by a multidisciplinary care team prior to treatment in 2019, by sex and age group

Male Female Age 0-3 Age 4-6 Age 7-12 Age 13-16
78.3% 94.1% 81.8% 88.9% 80% 90%

Data source: Provincial cancer agencies and programs

Priority 3 Action 2: Eliminate low-benefit practices and adopt high-value practices

Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of women aged 18-20 or >69 that received a Pap test between 2014-2016
Age 18-20 or over 69: 10.5%
Data source: Provincial cancer agencies and programs

Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of women aged 21-69 who had two or more screening Pap tests completed within 36 months of the index Pap test (by interval; these individuals have completed specified tests despite having a normal screening result for the index Pap test)
Age 21-69: 8.8%
Data source: Provincial cancer agencies and programs

Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of women aged 40-49 or >74 who received a BreastCheck mammogram between 2017-2018

Age 40-49 or over 74: 1.2%
Data source: Provincial cancer agencies and programs

Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of women aged 40-49 or >74 who received a BreastCheck mammogram between 2017-2018, by Regional Health Authority

By Regional Health Authority: Winnipeg 0.9%, Southern: 1.2%, Interlake-Eastern: 1.7%, Prairie Mountain 2.2%, Northern: 0.7%
Data source: Provincial cancer agencies and programs

Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of women aged 50-72 who completed two or more screening mammograms within 24 months of the index mammogram date (by interval; individuals have completed specified tests despite having a normal screening result for the index mammogram)
Data source: Provincial cancer agencies and programs
Overall: 0.07%

Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of women aged 50-72 who completed two or more screening mammograms within 24 months of the index mammogram date, by Regional Health Authority (by interval; individuals have completed specified tests despite having a normal screening result for the index mammogram)
Text description: Winnipeg 0.06%, and non-Winnipeg 0.08%
Winnipeg 0.06%, and non-Winnipeg 0.08%
Data source: Provincial cancer agencies and programs

Priority 4 Action 1: Provide better services and care adapted to the specific needs of underserved groups

Topic: Increasing support to help patients navigate the system
Title of image: Percentage of rural/remote patients with cancer who accessed CCMB’s Navigation Services in 2019
Overall: 24.3%
Data source: Provincial cancer agencies and programs

Topic: Increasing support to help patients navigate the system
Title of image: Percentage of rural/remote patients with cancer who accessed CCMB’s Navigation Services in 2019, by sex, Regional Health Authority, and age
Caveats/limitations: Stratifying by Regional Health Authority (RHA) is problematic, given that Manitoba physicians, especially those working at Community Cancer Program (CCP) sites may regularly work at more than one location/RHA.
By sex: Male 23.4%, Female 25.4%. By Regional Health Authority: Northern, 34.0%, Interlake-Eastern, 17.7%, Southern, 28.9%, Prairie Mountain, 26.3%. By age group: Under 30, 32.5%, Age 31-40, 26.5%, Age 41-50, 23.3%, Age 51-60, 28.9%, Age 61-70, 24.4%, Age 71-80, 25.3%, Age 81-90, 19.8%, Age 91-100, 6.4%
Title of table: Percentage of rural/remote patients with cancer who accessed CCMB’s Navigation Services in 2019, by sex, Regional Health Authority, and age

Male Female RHA Northern RHA Interlake Eastern RHA Southern RHA Prairie Mountain Age <30 Age 31-40 Age 41-50 Age 51-60 Age 61-70 Age 71-80 Age 81-90 Age 91-100
23.4% 25.4% 34% 17.7% 28.9% 26.3% 32.5% 26.5% 23.3% 28.9% 24.4% 25.3% 19.8% 6.4%

Data source: Provincial cancer agencies and programs

Priority 4 Action 2: Ensure rural and remote communities have the resources required to better serve their people


Topic: Increasing access to virtual care
Title of image: Virtual appointments for rural/remote patients, at the patient and appointment level
Caveats and limitations: Winnipeg was not included as it is not rural.
28.4% at patient level, and 15.8% at appointment level
Data source: Provincial cancer agencies and programs

Topic: Increasing access to virtual care
Title of image: Percentage of newly diagnosed rural/remote cancer patients who attended at least one virtual appointment in 2019, by regional health authority (RHA) and age group
Caveats and limitations: Winnipeg was not included as it is not rural.

Title of table: Percentage of newly diagnosed rural/remote cancer patients who attended at least one virtual appointment in 2019, by regional health authority (RHA) and age group

Overall RHA Interlake-Eastern RHA Unassigned RHA Southern RHA Northern RHA Prairie Mountain Age <20 Age 21- 30 Age 31-40 Age 41-50 Age 51-60 Age 61-70 Age 71-80 Age 81+
28.4% 17% 18.7% 20.4% 45.2% 46.8% 3.8% 19.4% 21.6% 20.2% 25.1% 28.3% 32.8% 41.5%

Data source: Provincial cancer agencies and programs

Topic: Increasing access to supportive psychosocial care services
Title of image: Percentage of rural/remote cancer patients who accessed psychosocial services in the same fiscal year they were diagnosed, by sex, age group, and regional health authority (RHA)
Caveats/limitations: Winnipeg was not included as it is not rural.
Overall 5.2%
Title of table: Percentage of rural/remote cancer patients who accessed psychosocial services in the same fiscal year they were diagnosed, by sex, age group, and regional health authority (RHA)

Overall Male Female Age <30 Age 31-40 Age 41-50 Age 51-60 Age 61-70 Age 71-80 Age >81-90 RHA Interlake-Eastern RHA Prairie Mountain RHA Northern RHA Southern
5.2% 3.6% 6.9% 10.9% 8.6% 12.8% 6.1% 5.8% 2.8% 1.8% 2.0% 4.4% 5.0% 8.9%

Data source: Provincial cancer agencies and programs

Priority 5 Action 1: Integrate the full spectrum of information and support services to ensure people are fully supported throughout the cancer experience

Topic: Improving access to shared medical records
Title of image: Percent of family/general practitioners making use of ARIA (CCMB’s electronic medical record) in 2019
Overall 39.2%
Data source: Provincial cancer agencies and programs

Priority 5 Action 2: Address the limited and unequal access to palliative and end-of-life care across Canada

Topic: Improving access to quality end-of-life care
Title of image: Cumulative length of stay for cancer patients (overall) who were in or admitted to an acute care hospital 30 days prior to death across MB for fiscal years 2015, 2017, and 2019
Median in 2019 is 18 days
Title of table: Cumulative length of stay for cancer patients (overall) who were in or admitted to an acute care hospital 30 days prior to death across MB for fiscal years 2015, 2017, and 2019

Year 25th percentile Median 75th percentile 90th percentile
2019 8 18 35 58
2017 7 18 34 58
2015 7 18 36 60

Data source: Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD)

Topic: Improving access to quality end-of-life care
Title of image: Cumulative length of stay for cancer patients (rural/remote) who were in or admitted to an acute care hospital 30 days prior to death across MB for fiscal years 2015, 2017, and 2019
Median in 2019 is 18 days
Title of table: Cumulative length of stay for cancer patients (rural/remote) who were in or admitted to an acute care hospital 30 days prior to death across MB for fiscal years 2015, 2017, and 2019

Year 25th percentile Median 75th percentile 90th percentile
2019 8 18 37 65
2017 7 17 33.5 60
2015 8 19 38 66

Data source: Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD)

Topic: Improving access to quality end-of-life care
Title of image: Cumulative length of stay for cancer patients (urban) who were in or admitted to an acute care hospital 30 days prior to death across MB for fiscal years 2015, 2017, and 2019
Median in 2019 is 18 days
Title of table: Cumulative length of stay for cancer patients (urban) who were in or admitted to an acute care hospital 30 days prior to death across MB for fiscal years 2015, 2017, and 2019

Year 25th percentile Median 75th percentile 90th percentile
2019 8 18 35 55
2017 7 18 34 56
2015 7 18 36 58

Data source: Canadian Institute for Health Information (CIHI), Discharge Abstract Database (DAD)

Priority 5 Action 3: Support children, adolescents and young adults at key transition points in their unique cancer journeys

Topic: Improving care for adolescents and young adults with cancer
Title of image: Percentage of AYA with cancer who had a specialized care plan pathway
Overall: 57.7% Age group: 15-29 is 54.5%, 30-39 - 60%, Female 46.2%, Male 69.2%, Location Remote/Rural 57.1%, Urban: 57.9%
Title of table: Percentage of AYA with cancer who had a specialized care plan pathway

Overall Age 15-29 Age 30-39 Female Male Remote/Rural Urban
57.7% 54.5% 60.0% 46.2% 69.2% 57.1% 57.9%

Data source: Young Adult Cancer Canada (YACC) Survey 2021


Topic: Improving transitions for adolescents and young adults with cancer
Title of image: Percentage of AYA with cancer who had a positive experience of transition in care along their cancer journey
Overall 30.8%
Title of table: Percentage of AYA with cancer who had a positive experience of transition in care along their cancer journey

Overall Age 15-29 Age 30-39 Female Male Urban
30.8% 36.4% 26.7% 23.1% 38.5% 42.1%

Data source: Young Adult Cancer Canada (YACC) Survey 2021