Diagnosis

Legend

Using the most recent data year, the circles represent how the LHIN is performing compared to the Ontario average. The colours represent how well the indicator is performing against the comparison data shown.

Good

Fair

No change

	Performance is worse compared to the previously reported data.
	There is no substantial change compared to the previously reported data.
	Performance is better compared to the previously reported data.
	Not previously reported.

Calculating At a Glance

In determining whether an indicator was the same or different from the Ontario Average or whether an indicator was the same or different from the Comparison Data, we took the following approach:

Values were considered essentially "the same" if:

There was no statistically significant difference between them; OR
Where there was no significance information calculated, then if there were overlapping confidence intervals; OR
Where there were no confidence intervals calculated, then if the percent values were less than or equal to 2 percentage points of each other. For absolute values, we calculated the percentage difference between the values. Less than or equal to a 2% change or difference was considered the same.

DIAGNOSIS	At a Glance	Prior Data	Most Recent Data
Colonoscopy Follow up and Wait Times after Positive Fecal Occult Blood Test (FOBT)			2009	Ontario Average
Percentage of males 50-74 years old who had follow-up colonoscopy within six months of a positive FOBT			65.0%	65.4%
Percentage of females 50-74 years old who had follow-up colonoscopy within six months of a positive FOBT			64.4%	64.8%
		Jan-Dec 2009	Jan - Dec 2010	Ontario Average
Percentage of colonoscopies among men and women 50-74 years old within 8 weeks of a positive FOBT		75.2%	75.4%	68.7%
Abnormal Breast Cancer Screen (OBSP) to Resolution			2009	Ontario Average
Percentage of females 50-69 years old whose abnormal OBSP breast screen was resolved without need for a tissue biopsy within a 5 week target			73.0%	84.4%
Percentage of females 50-69 years old whose abnormal OBSP breast screen was resolved with need of a tissue biopsy within a 7 week target			50.2%	61.8%
Lymph Node Sampling in CRC Surgery			2010	Ontario Average
Percentage of synoptic colon and rectum cancer resection reports with 12 or more nodes examined			84.6%	86.5%
Margin Status in Prostate Surgery			2010	Ontario Average
Percentage of synoptic prostate cancer resection reports with positive pt2 (stage 2) margin			20.8%	20.5%
Reporting of Cancer Stage at Diagnosis			2009	Ontario Average
Population-based distribution of cancer stage, colorectal cancer, stage I	N/A		24.4%	23.0%
Population-based distribution of cancer stage, colorectal cancer, stage II	N/A		28.4%	28.0%
Population-based distribution of cancer stage, colorectal cancer, stage III	N/A		30.8%	30.0%
Population-based distribution of cancer stage, colorectal cancer, stage IV	N/A		16.5%	20.0%
Population-based distribution of cancer stage, colorectal cancer, stage I and II combined			52.7%	50.3%
Synoptic Reporting Rate			2010	Ontario Average
Percentage of pathology reports received in synoptic format			97.2%	94.3%
Percentage of discrete synoptic reports complete			91.3%	95.5%

Source: Cancer System Quality Index, 2011