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Interpretation of Rate/Trend Comparison by Cancer Data

Death Rate/Trend Comparison by Cancer, 2019-2023

Michigan Counties versus United States

Bladder

All Races, Both Sexes

Sorted by priority index

Explanation of Column Headers

State/County - The site and sex combination for this comparison.

Priority Index 1 - The priority index is based upon the direction of the trend and the rate comparison. An index of 1 is the highest priority - that trend is rising and the rate is already higher. An index of 9 is the lowest priority - the trend is falling and the rate is already lower.

Recent Trends - This is an interpretation of the AAPC:

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program


Other Notes


Line by Line Interpretation of the Report


United States


Michigan


Muskegon County


Calhoun County


Genesee County


Ingham County


Jackson County


Kent County


Allegan County


Bay County


Berrien County


Branch County


Clinton County


Eaton County


Ionia County


Lapeer County


Lenawee County


Livingston County


Macomb County


Midland County


Monroe County


Montcalm County


Oakland County


Ottawa County


Saginaw County


Shiawassee County


St. Clair County


Washtenaw County


Cass County


Kalamazoo County


Wayne County


Alpena County Barry County Cheboygan County Clare County Delta County Emmet County Grand Traverse County Hillsdale County Houghton County Menominee County Newaygo County Oceana County St. Joseph County Tuscola County Van Buren County Alcona County Alger County Antrim County Arenac County Baraga County Benzie County Charlevoix County Chippewa County Crawford County Dickinson County Gladwin County Gogebic County Gratiot County Huron County Iosco County Iron County Isabella County Kalkaska County Keweenaw County Lake County Leelanau County Luce County Mackinac County Manistee County Marquette County Mason County Mecosta County Missaukee County Montmorency County Ogemaw County Ontonagon County Osceola County Oscoda County Otsego County Presque Isle County Roscommon County Sanilac County Schoolcraft County Wexford County

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 8:25 am.

Trend2
     Rising     when 95% confidence interval of average annual percent change is above 0.
     Stable     when 95% confidence interval of average annual percent change includes 0.
     Falling     when 95% confidence interval of average annual percent change is below 0.
Rate Comparison
     Above     when 95% confident the rate is above and Rate Ratio3 > 1.10
     Similar     when unable to conclude above or below with confidence.
     Below     when 95% confident the rate is below and Rate Ratio3 < 0.90

* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with mortality data.
Note: When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate. Suppression is used to avoid misinterpretation when rates are unstable.

State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).

Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Alcona County, Alger County, Antrim County, Arenac County, Baraga County, Benzie County, Charlevoix County, Chippewa County, Crawford County, Dickinson County, Gladwin County, Gogebic County, Gratiot County, Huron County, Iosco County, Iron County, Isabella County, Kalkaska County, Keweenaw County, Lake County, Leelanau County, Luce County, Mackinac County, Manistee County, Marquette County, Mason County, Mecosta County, Missaukee County, Montmorency County, Ogemaw County, Ontonagon County, Osceola County, Oscoda County, Otsego County, Presque Isle County, Roscommon County, Sanilac County, Schoolcraft County, Wexford County

Trend for the following could not be reliably determined due to small number of deaths per year:
Alpena County, Barry County, Cheboygan County, Clare County, Delta County, Emmet County, Grand Traverse County, Hillsdale County, Houghton County, Menominee County, Newaygo County, Oceana County, St. Joseph County, Tuscola County, Van Buren County

Interpret Rankings provides insight into interpreting cancer statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.

Data for United States do not include Puerto Rico.