The United States led the medal table both in number of gold medals won (103), and in overall medals (265). Behind the United States, Canada was second on the medal table by golds (78), and second by overall medals (219) – their best result ever, while Brazil was third by golds (42), and third by overall medals (141). For first time since 1971, Cuba finished outside top-2, leading to a 4th place.
High jumper Levern Spencer won St. Lucia's first Pan American gold medal.[2]
The ranking in this table is based on information provided by the Pan American Sports Organization (PASO) and is consistent with PASO convention in its published medal tables. By default, the table is ordered by the number of gold medals the athletes from a nation have won (in this context, a "nation" is an entity represented by a National Olympic Committee). The number of silver medals is taken into consideration next and then the number of bronze medals. If nations are still tied, equal ranking is given and they are listed alphabetically by IOC country code.[3]
Two gold medals, one to the United States and one to Colombia, were awarded for a first-place tie in the men's pommel horse. Two gold medals were also awarded for a first-place tie in the men's coxless pair, one to Chile and one to Argentina. No silver medal was awarded for both events. Two bronze medals were awarded for a third-place tie at the men's K2 200m, one to Brazil and one to Canada.