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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Michigan Counties versus United States

Liver & Bile Duct

All Races, Both Sexes

Sorted by name
Counties
sort alphabetically by name ascending 		Priority Index1
1=highest
9=lowest
sort by priority index descending 		Recent Trend2
 County Death
Rate
Compared
to
US Rate
 Average Annual Count
sort by count descending 		Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
sort by rate descending 		Rate
Ratio3
County
to
US
sort by rate descending 		Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
sort by trend descending
United States - falling falling trend - 27,509 6.6 (6.6, 6.7) - -0.6 (-1.2, 0.0)
Michigan - rising rising trend - 820 6.0 (5.9, 6.2) - 1.7 (1.5, 2.0)
Wexford County
**
 		** similar 4 7.8 (4.5, 12.8) 1.2
**
Wayne County 6 stable stable trend similar 158 7.1 (6.6, 7.7) 1.1 -1.8 (-4.1, 0.5)
Washtenaw County 7 stable stable trend lower 20 4.8 (3.9, 5.9) 0.7 1.3 (-0.4, 3.1)
Van Buren County 2 rising rising trend similar 6 6.2 (4.2, 9.0) 0.9 2.7 (0.6, 4.8)
Tuscola County
**
 		** similar 5 5.7 (3.6, 8.7) 0.9
**
St. Joseph County
**
 		** similar 6 7.0 (4.6, 10.3) 1.1
**
St. Clair County 7 stable stable trend lower 11 4.8 (3.6, 6.3) 0.7 0.8 (-0.5, 2.2)
Shiawassee County
**
 		** similar 5 5.1 (3.3, 7.7) 0.8
**
Schoolcraft County
**
 		**
*
3 or fewer
*
*
**
Sanilac County
**
 		**
*
3 or fewer
*
*
**
Saginaw County 2 rising rising trend similar 21 7.6 (6.2, 9.3) 1.2 2.4 (1.0, 3.7)
Roscommon County
**
 		** similar 5 9.2 (5.1, 16.1) 1.4
**
Presque Isle County
**
 		**
*
3 or fewer
*
*
**
Ottawa County 7 stable stable trend lower 17 5.0 (4.0, 6.2) 0.8 0.7 (-0.3, 1.8)
Otsego County
**
 		** similar 3 8.3 (4.8, 14.0) 1.3
**
Oscoda County
**
 		**
*
3 or fewer
*
*
**
Osceola County
**
 		**
*
3 or fewer
*
*
**
Ontonagon County
**
 		**
*
3 or fewer
*
*
**
Ogemaw County
**
 		**
*
3 or fewer
*
*
**
Oceana County
**
 		**
*
3 or fewer
*
*
**
Oakland County 3 rising rising trend lower 80 4.7 (4.3, 5.2) 0.7 0.9 (0.3, 1.5)
Newaygo County
**
 		** similar 5 7.8 (4.9, 11.8) 1.2
**
Muskegon County 2 rising rising trend similar 16 6.9 (5.5, 8.7) 1.0 2.6 (0.8, 4.4)
Montmorency County
**
 		**
*
3 or fewer
*
*
**
Montcalm County
**
 		** similar 6 6.8 (4.5, 9.9) 1.0
**
Monroe County
**
 		** similar 15 7.0 (5.5, 8.9) 1.1
**
Missaukee County
**
 		**
*
3 or fewer
*
*
**
Midland County
**
 		** similar 6 5.7 (3.8, 8.1) 0.9
**
Menominee County
**
 		**
*
3 or fewer
*
*
**
Mecosta County
**
 		** similar 3 5.9 (3.4, 9.9) 0.9
**
Mason County
**
 		** similar 5 8.2 (5.2, 13.0) 1.2
**
Marquette County
**
 		** similar 4 5.0 (3.0, 7.9) 0.8
**
Manistee County
**
 		**
*
3 or fewer
*
*
**
Macomb County 2 rising rising trend similar 77 6.4 (5.7, 7.1) 1.0 1.4 (0.9, 2.0)
Mackinac County
**
 		**
*
3 or fewer
*
*
**
Luce County
**
 		**
*
3 or fewer
*
*
**
Livingston County 6 stable stable trend similar 15 5.7 (4.5, 7.3) 0.9 1.3 (-0.2, 2.9)
Lenawee County
**
 		** similar 9 6.2 (4.5, 8.4) 0.9
**
Leelanau County
**
 		**
*
3 or fewer
*
*
**
Lapeer County
**
 		** similar 10 7.8 (5.7, 10.5) 1.2
**
Lake County
**
 		**
*
3 or fewer
*
*
**
Keweenaw County
**
 		**
*
3 or fewer
*
*
**
Kent County 2 rising rising trend similar 52 7.2 (6.3, 8.1) 1.1 2.7 (1.9, 3.5)
Kalkaska County
**
 		**
*
3 or fewer
*
*
**
Kalamazoo County 3 rising rising trend lower 14 4.5 (3.5, 5.7) 0.7 2.4 (0.7, 4.2)
Jackson County 2 rising rising trend similar 15 6.7 (5.2, 8.5) 1.0 2.6 (1.5, 3.7)
Isabella County
**
 		** similar 4 5.3 (3.1, 8.4) 0.8
**
Iron County
**
 		**
*
3 or fewer
*
*
**
Iosco County
**
 		** similar 4 9.2 (5.1, 15.7) 1.4
**
Ionia County
**
 		** similar 5 6.7 (4.3, 9.9) 1.0
**
Ingham County 3 rising rising trend lower 18 5.4 (4.3, 6.7) 0.8 1.6 (0.2, 3.1)
Huron County
**
 		** similar 4 6.1 (3.7, 10.2) 0.9
**
Houghton County
**
 		** similar 3 6.4 (3.7, 10.7) 1.0
**
Hillsdale County
**
 		** similar 4 5.3 (3.1, 8.6) 0.8
**
Gratiot County
**
 		**
*
3 or fewer
*
*
**
Grand Traverse County
**
 		** lower 6 4.0 (2.7, 5.9) 0.6
**
Gogebic County
**
 		**
*
3 or fewer
*
*
**
Gladwin County
**
 		**
*
3 or fewer
*
*
**
Genesee County 3 rising rising trend lower 31 5.4 (4.6, 6.4) 0.8 2.1 (0.8, 3.3)
Emmet County
**
 		**
*
3 or fewer
*
*
**
Eaton County 2 rising rising trend similar 9 5.9 (4.3, 7.9) 0.9 2.4 (0.7, 4.1)
Dickinson County
**
 		**
*
3 or fewer
*
*
**
Delta County
**
 		** similar 4 5.6 (3.2, 9.5) 0.8
**
Crawford County
**
 		**
*
3 or fewer
*
*
**
Clinton County
**
 		** similar 5 5.0 (3.2, 7.5) 0.8
**
Clare County
**
 		** higher 7 13.2 (9.0, 19.1) 2.0
**
Chippewa County
**
 		** similar 4 6.7 (3.9, 10.9) 1.0
**
Cheboygan County
**
 		**
*
3 or fewer
*
*
**
Charlevoix County
**
 		**
*
3 or fewer
*
*
**
Cass County
**
 		** similar 5 5.9 (3.9, 8.9) 0.9
**
Calhoun County
**
 		** similar 12 6.4 (4.9, 8.3) 1.0
**
Branch County
**
 		** similar 4 6.6 (4.1, 10.4) 1.0
**
Berrien County 2 rising rising trend similar 13 5.8 (4.4, 7.4) 0.9 2.3 (0.6, 4.0)
Benzie County
**
 		**
*
3 or fewer
*
*
**
Bay County 6 stable stable trend similar 9 6.0 (4.3, 8.3) 0.9 1.5 (0.0, 3.0)
Barry County
**
 		** similar 6 7.1 (4.7, 10.4) 1.1
**
Baraga County
**
 		**
*
3 or fewer
*
*
**
Arenac County
**
 		**
*
3 or fewer
*
*
**
Antrim County
**
 		**
*
3 or fewer
*
*
**
Alpena County
**
 		** similar 4 8.2 (4.9, 13.5) 1.2
**
Allegan County 6 stable stable trend similar 8 5.2 (3.7, 7.2) 0.8 0.9 (-0.7, 2.6)
Alger County
**
 		**
*
3 or fewer
*
*
**
Alcona County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 06/01/2024 2:56 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 Version 4.8.0.0. 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 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, Cheboygan County, Crawford County, Dickinson County, Emmet County, Gladwin County, Gogebic County, Gratiot County, Iron County, Kalkaska County, Keweenaw County, Lake County, Leelanau County, Luce County, Mackinac County, Manistee County, Menominee County, Missaukee County, Montmorency County, Oceana County, Ogemaw County, Ontonagon County, Osceola County, Oscoda County, Presque Isle County, Sanilac County, Schoolcraft County

Trend for the following could not be reliably determined due to small number of deaths per year:
Alpena County, Barry County, Branch County, Calhoun County, Cass County, Chippewa County, Clare County, Clinton County, Delta County, Grand Traverse County, Hillsdale County, Houghton County, Huron County, Ionia County, Iosco County, Isabella County, Lapeer County, Lenawee County, Marquette County, Mason County, Mecosta County, Midland County, Monroe County, Montcalm County, Newaygo County, Otsego County, Roscommon County, Shiawassee County, St. Joseph County, Tuscola County, Wexford 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 does not include Puerto Rico.

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