Supplementary data: Newfoundland and Labrador

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 in NL (aged ≥ 12) classified as daily or occasional smokers in 2020
Caveats/limitations:

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

19% for Newfoundland and Labrador, and 12.9% for Canada
Data source: Canadian Community Health Survey


Topic: Keeping people smoke-free
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as daily or occasional smokers in 2019, by household income quintile and sex
Lower quintile: females: 31.8%; males: 38.6%, Quintile 2: females: 23.4%; males: 19.2%, Quintile 3: females: 11.4%; males: 24.1%, Quintile 4: females: 16.7%; males: 25.2%, Upper quintile: females: 5.5%; males: 16.0%
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as daily or occasional smokers in 2019, by household income quintile and sex

Sex Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5
Female 31.8% 23.4% 11.4% 16.7% 5.5%
Male 38.6% 19.2% 24.1% 25.2% 16.0%

Data source: Canadian Community Health Survey


Topic: Keeping people smoke-free
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as daily or occasional smokers in 2019, by highest level of education
Less than secondary school: females: 20.1%; males: 30.8%, Secondary school, no post-secondary education: females: 25.7%; males: 24.9%, diploma or university degree: females: 14.5%; males: 21.2%
Title of graph: Percentage of individuals in NL (aged ≥ 18) classified as daily or occasional smokers in 2019, by highest level of education

Sex Less than secondary school graduation  Secondary school graduation, no post-secondary education Post secondary certificate/diploma or university degree
Female 20.1% 25.7% 14.5%
Male 30.8% 24.9% 21.2%

Data source: Canadian Community Health Survey


Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in NL (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.

77.6% for Newfoundland and Labrador, and 65.9% for CanadaData source: Canadian Community Health Survey


Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex
Lower quintile: females: 78.6%; males: 68.3%, Quintile 2: females: 72.4%; males: 78.0%, Quintile 3: females: 73.5%; males: 82.7%, Quintile 4: females: 76.8%; males: 83.2%, Upper quintile: females: 72.5%; males: 86.0%

Title of graph: Percentage of individuals in NL (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 78.6% 72.4% 73.5% 76.8% 72.5%
Male 68.3% 78.0% 82.7% 83.2% 86.0%

Data source: Canadian Community Health Survey


Topic: Maintaining healthy body weight
Title of image: Percentage of individuals in NL (aged ≥ 18) classified as overweight or obese in 2017-2018, by sex
80.5% for males, and 74.7% 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 Grade 6 students in NL who received a final dose of HPV vaccination in the 2018-2019 school year
Overall for year 2018 to 2019: 91.6%



Topic: Increasing genetic testing
Title of image: Percentage of patients in NL under 40 years of age diagnosed with colorectal cancer in 2017-2019 who received genetic testing within one year of diagnosis
Caveats/limitations: 2017-2019 years were aggregated as number of colon cases per year were too small to report.
Overall: 58.3%
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 4 diagnosis in NL in 2019
28.6% for lung; 19.3% for colorectal; 4.7% for bladder; 12.8% for melanoma (Stage 3 to 4 combined)
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 in NL who had a successful FIT result in 2 years (2018-2019) or a colonoscopy in 5 years (2015-2019)
Overall (Age 50 to 74): 48.8%, Age 50 to 54: 39.1%, Age 55 to 59: 41.1%, Age 60 to 64: 54.7%, Age 65 to 69: 54.4%, Age 70 to 74: 59.5%
Title of graph: Percentage of individuals in NL who had a successful FIT result in 2 years (2018-2019) or a colonoscopy in 5 years (2015-2019)

Overall (age 50-74) Age 50-54 Age 55-59 Age 60-64 Age 65-69 Age 70-74
48.8% 39.1% 41.1% 54.7% 54.4% 59.5%

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 in NL diagnosed with stages 1 to 3 rectal cancer in 2019 calendar that were discussed at least one time at a Gastrointestinal (GI) tumour board committee
Caveats/limitations:

  • A patient may have been discussed multiple times at a tumour board over the specified time period. This indicator does not capture the frequency of discussions but rather whether a patient was discussed at least one time.
  • For the gastrointestinal tumour board, there is not currently a benchmark for this indicator or criteria for those cases that must be discussed. In general, cases where there are ambiguities about staging, difference of opinion regarding management or uncertainties about the best line of management are brought forth by the attending or triaging physician voluntarily.

Overall: 50.0%
Data source: Provincial cancer agencies and programs


Topic: Implementing multidisciplinary care
Title of image: Number of pediatric patients in NL discussed at tumour board committee in 2019 and pediatric patients diagnosed in the same year
Discussed at pediatric tumour board committee: 12 pediatric cancer cases. Diagnosed with cancer: 14 pediatric cancer cases
Data source: Provincial cancer agencies and programs


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

Topic: Optimizing care at end of life
Title of image: Percentage of patients diagnosed with invasive cancer and died in 2018 who received chemotherapy in the last two weeks of life
Caveats/limitations: There is currently no way to determine the cause of death, and there was therefore no way to exclude deaths unrelated to cancer from the denominator.
Overall: 4.1%
Data source: Provincial cancer agencies and programs


Topic: Optimizing care at end of life
Title of image: Percentage of patients diagnosed with invasive cancer and died in 2018 who received chemotherapy in the last two weeks of life 
Any therapy: Male, 4.5%, Female 3.8%. New therapy: Male, 0.5%, Female, 0.5%.
Data source: Provincial cancer agencies and programs



Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of people with a cervix who had a Pap smear in 2019, by age group
Age 21 and less: 0.9%, Age 21 to 24: 6.6%, Age 25 to 69: 88.7%, Age 69 and over: 3.8%
Data source: Provincial cancer agencies and programs


Priority 3 Action 3: Design and implement new models of care

Topic: Expanding models of care
Title of image: Percentage of new patients with cancer in 2020 who were current smokers and received a referral to the smoking cessation program
Caveats/limitations: The Smoking Cessation Program runs one morning per week and provides patients with a combination of behavioural therapy and prescription and non-prescription medications. In the past, this was an in-person program, which was only offered in the province’s cancer clinics. Since the COVID-19 pandemic, the program has become telephone-based only and has seen an increase in compliance.
Overall: 37.8%, Male: 37%, Female: 38.6%.
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: Percentage of patients with cancer from rural/remote communities using virtual health appointment in FY 2020
Patient level: 67.95, Appointment level: 37%.
Data source: Provincial cancer agencies and programs


Topic: Increasing access to virtual care
Title of image: Percentage of patients with cancer from rural/remote communities using virtual health appointment in FY 2020
Patient level highest percentage in Labrador Grenfell at 82.8%. Full table to follow.
Title of table: Percentage of patients with cancer from rural/remote communities using virtual health appointment in FY 2020

Category RHA Eastern RHA Central RHA Western RHA Labrador Grenfell
Patient level 50.6% 73% 78.5% 82.8%
Appointment level 31.1% 36.4% 46.3% 56.3%

Data source: Provincial cancer agencies and programs


Priority 4 Action 3: Ensure care can be delivered between provinces, territories and federal jurisdictions when needed

Topic: Improving access to timely care for people who need to travel between jurisdictions
Title of image: Average wait time (in days) for patients with cancer who required Allogeneic Stem Cell Transplant (ASCT) treatment outside of their home jurisdiction in 2019
Caveats/limitations:

  • All patients from NL must leave the province for Allogeneic Stem Cell Transplantation.
  • Chemotherapy is required to prepare for allogeneic stem cell transplantation. As such, patients must spend about one week receiving chemotherapy before transplantation, making the minimum possible wait time the time for chemotherapy + travel.

Median is 166.5 days, and Mean is 176.8 days
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: Percentage of family physicians in NL who have logged into HEALTHeNL viewer at least 50 times in 2019 (among family physicians that have access to HEALTHeNL)
Caveats/limitations: Information on patients with cancer is available but it cannot be separated from other patients without cancer at this time. This is a proxy indicator and does not measure access to electronic cancer care information directly. Rather, it measures access to general EMRs, where cancer information is a subset.
Overall: 84.9%
Data source: Provincial cancer agencies and programs


Topic: Improving access to shared medical records
Title of image: Percentage of family physicians in NL who have logged into HEALTHeNL viewer at least 50 times in 2019 (among family physicians that have access to HEALTHeNL), by regional health authority
Eastern: 86.0%, Central: 86.8%, Western: 88.7%, Labrador Grenfell: 83.6%
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 NL for fiscal years 2015, 2017, and 2019
Median in 2019 is 11 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 NL for fiscal years 2015, 2017, and 2019

Year 25th percentile Median 75th percentile 90th percentile
2019 5 11 23 38
2017 6 13 26 43
2015 6 14 28 43

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 NL for fiscal years 2015, 2017, and 2019
Median in 2019 is 15 days. Full table to follow.
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 NL for fiscal years 2015, 2017, and 2019

Year 25th percentile Median 75th percentile 90th percentile
2019 6 15 25 45
2017 8 16 28 47
2015 5.5 14 30.5 50

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 NL for fiscal years 2015, 2017, and 2019
Median in 2019 is 12 days. Full table to follow
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 NL for fiscal years 2015, 2017, and 2019

Year 25th percentile Median 75th percentile 90th percentile
2019 5 12 23 40
2017 6 14 26 40
2015 5 14 32 48

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