Supplementary data: Ontario

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) in ON classified as daily or occasional smokers in 2019
Text description: 13.7% for Ontario, and 14.7% for Canada
Caveats/limitations:

  • This indicator was reported using the Canadian Community Health Survey (CCHS) and is based on self-reported data. Overall smoking percentages are reported using 2019 data.
  • Individuals who did not respond to the required CCHS questions regarding smoking status were not included in the analysis.

Data source: Canadian Community Health Survey
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Topic: Keeping people smoke-free
Title of image: Percentage of individuals in ON (aged ≥ 18) classified as daily or occasional smokers in 2019, by household income quintile and sex
Text description:

  • Quintile 1 (Lower quintile): females: 15.3%; males: 24.4%
  • Quintile 2: females: 12.7%; males: 18.7%
  • Quintile 3: females: 10.5%; males: 17.5%
  • Quintile 4: females: 9.9%; males: 19.6%
  • Quintile 5 (Upper quintile): females: 7.2%; males: 12.3%

Data source: Canadian Community Health Survey
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Topic: Keeping people smoke-free
Title of image: Percentage of individuals in ON (aged ≥ 18) classified as daily or occasional smokers in 2019, by highest level of education and sex
Text description:

  • Less than secondary school graduation: females: 18.4%; males: 32.0%
  • Secondary school graduation, no post-secondary education: females: 15.1%; males: 21.9%
  • Post-secondary certificate/diploma or university degree: females: 8.9%; males: 14.8%

Data source: Canadian Community Health Survey
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Topic: Reducing obesity
Title of image: Percentage of individuals in ON (aged ≥ 18) classified as overweight or obese in 2019
Text description: 65.8% for Ontario, and 65.9% for Canada
Caveats/limitations:

  • This indicator was reported using the Canadian Community Health Survey (CCHS) and is based on self-reported data. 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.

Data source: Canadian Community Health Survey
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Topic: Reducing obesity
Title of image: Percentage of individuals in ON (aged ≥ 18) classified as overweight or obese in 2017-2018, by sex
Text description: 60.6% for males, and 71.1% for females
Data source: Canadian Community Health Survey
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Topic: Reducing obesity
Title of image: Percentage of individuals in ON (aged ≥ 18) classified as overweight or obese in 2017-2018, by income quintile and sex
Text description:

  • Quintile 1 (Lower quintile): females: 67.7%; males: 64.9%
  • Quintile 2: females: 62.7%; males: 72.6%
  • Quintile 3: females: 62.4%; males: 68.3%
  • Quintile 4: females: 61.9%; males: 72.8%
  • Quintile 5 (Upper quintile): females: 53.2%; males: 75.7%

Data source: Canadian Community Health Survey
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Priority 1 Action 2: Adopt proven practices known to reduce the risk of cancer

Topic: Increasing HPV vaccination
Title of image: Percentage of Grade 7 students in ON who received final dose of HPV vaccination in the 2017-2018 school year, by sex
Text description: 62.4% for females; 57.5% for males
Data source: Provincial cancer agencies and programs
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Topic: Increasing genetic testing
Title of image: Number of individuals aged 30 to 69 years in ON diagnosed with breast cancer, per 1,000 individuals who underwent genetic testing in 2018 prior to cancer diagnosis, by age group
Text description:

  • All ages (Age 30 to 69): 16.7%
  • Age 30 to 39: 16.1%
  • Age 40 to 49: 21.0%
  • Age 50 to 59: 16.4%
  • Age 60 to 69: 13.6%

Caveats/limitations: This indicator only included genetic testing through the High Risk OBSP; genetic testing performed outside the program was not included.
Data source: Provincial cancer agencies and programs
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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 2018 in ON for lung cancer
Text description:

  • Stage 1: 26.5%
  • Stage 2: 7.9%
  • Stage 3:18.8%
  • Stage 4: 45.0%
  • Unknown: 1.7%

Caveats/limitations: “Unknown stage” means that an attempt was made to stage the case, but the patient record was missing the necessary information. This could be because of limited stage work-up in the clinical setting.
Data source: Provincial cancer agencies and programs
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Topic: Diagnosing cancer earlier
Title of image: Proportion of stage at diagnosis in 2018 in ON for colorectal cancer
Text description:

  • Stage 1: 18.3%
  • Stage 2: 24.6%
  • Stage 3:27.1%
  • Stage 4: 20.2%
  • Unknown: 9.7%

Data source: Provincial cancer agencies and programs
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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 ON who had at least one of the following: 1) FOBT/FIT test (in the last 2 years), 2) flexible sigmoidoscopy (in the last 10 years), or 3) colonoscopy (in the last 10 years), as of December 31, 2019
Text description:

  • Overall (Age 50 to 74): 63.1%
  • Age 50 to 54: 51.0%
  • Age 55 to 59: 62.1%
  • Age 60 to 64: 66.3%
  • Age 65 to 69: 70.1%
  • Age 70 to 74: 71.4%

Data source: Provincial cancer agencies and programs
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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 GI Multidisciplinary Cancer Conferences (MCCs) that were standards concordant in 2019-2020
Text description: Ontario: 91.4%
Data source: Provincial cancer agencies and programs
ON P3A1 Mcc rect


Topic: Implementing multidisciplinary care
Title of image: Estimated percentage of pediatric patients with cancer (all cancers combined) who were discussed by a multidisciplinary care team within 1 month of treatment initiation in the past year (2020-2021)
Text description: Ontario: 80.0%
Caveats/limitations: These data are based on the estimated percentages of children with cancer discussed in multidisciplinary tumour boards, based on semi-structured interviews, conducted by POGO, with Tumour Board Leads at the pediatric cancer programs in Ontario.
Data source: Provincial cancer agencies and programs
ON P3A1 Ped bar graph


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 individuals aged 40-49 who were screened with mammography, by year
Note:  The percentage of individuals ages 40-49 screened with mammography has been declining from 2016-2019.
Text description:

  • 2016: 13.3%
  • 2017: 12.8%
  • 2018: 12.5%
  • 2019: 12.4%

Data source: Provincial cancer agencies and programs
ON P3A2 Mammo


Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of Ontario Breast Screening Program (OBSP) participants aged 50-72, with a biennial screening recall recommendation in 2018 who had a subsequent OBSP screening mammogram within 18 months of the previous mammogram
Text description:

  • Overall (Age 50 to 72): 5.7%
  • Age 50 to 59: 5.9%
  • Age 60 to 69: 5.5.%
  • Age 70 to 72: 5.4%

Caveats/limitations: Since March 2020, some Ontario Breast Screening Program sites were at reduced capacity.
Data source: Provincial cancer agencies and programs


Topic: Optimizing screening and appropriate follow-up
Title of image: Percentage of people with a cervix aged 18-24 who received a Pap test in 2019
Text description:

  • Overall (age 18 to 24): 13.8%
  • Age 18 to 20.5: 3.2%

Caveats/limitations: The Ontario Cervical Screening Program does not recommend screening before age 21. Starting in June 2020, the program is encouraging healthcare providers to delay the initiation of cervical screening until age 25 for immune competent people. This is based on moderate quality evidence suggesting that people under age 25 do not benefit from cervical screening. The program will formally change the age of initiation for cervical screening from 21 to 25 for most people with the implementation of human papillomavirus testing in the program. Click here for more information.
Data source: Provincial cancer agencies and programs
ON P3A2 Pap Bar graph


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

Topic: Increasing access to supportive care services
Title of image: Percentage of patients with cancer in rural/remote areas who received palliative care or psychosocial oncology services in 2019
Note: Palliative care and psychosocial service utilization in rural/remote areas was comparable to that of urban areas.
Text description:

  • Palliative: 24.7%
  • Psychosocial: 11.4%

Data source: Provincial cancer agencies and programs
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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 clinicians with access to clinical viewer with treatment data consolidated (including cancer) in 2020
Text description: Ontario: 51.4%
Caveats/limitations: Data included patients with cancer but was not exclusively for this patient population. Data current as of September 20, 2020
Data source: Provincial cancer agencies and programs
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