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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Michigan Counties versus United States

Liver & Bile Duct

All Races, Both Sexes

Sorted by priority index

Counties
sort alphabetically by name ascending 		Priority Index1
1=highest
9=lowest
sort by priority index ascending 		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 - 28,750 6.6 (6.6, 6.7) - -0.3 (-0.5, -0.1)
Michigan - stable - 835 6.0 (5.8, 6.2) - -3.4 (-7.3, 0.8)
Ionia County 8 falling similar 4 5.1 (3.0, 8.1) 0.8 -4.1 (-20.8, -0.2)
Clinton County 7 stable lower 5 4.3 (2.7, 6.6) 0.7 -1.8 (-4.5, 1.2)
St. Clair County 7 stable lower 12 4.8 (3.6, 6.3) 0.7 1.6 (-0.4, 4.3)
Washtenaw County 7 stable lower 19 4.4 (3.5, 5.4) 0.7 -0.3 (-2.0, 1.7)
Bay County 6 stable similar 11 7.4 (5.5, 9.8) 1.1 2.0 (-0.2, 4.5)
Calhoun County 6 stable similar 11 6.0 (4.4, 7.9) 0.9 -0.1 (-2.7, 2.7)
Genesee County 6 stable similar 36 6.2 (5.4, 7.3) 0.9 1.4 (-0.3, 3.5)
Ingham County 6 stable similar 18 5.5 (4.4, 6.8) 0.8 0.4 (-2.1, 3.2)
Kent County 6 stable similar 54 7.3 (6.4, 8.2) 1.1 -8.4 (-16.7, 2.6)
Lapeer County 6 stable similar 8 6.1 (4.3, 8.5) 0.9 0.6 (-2.4, 4.3)
Livingston County 6 stable similar 16 5.8 (4.5, 7.3) 0.9 0.7 (-1.1, 2.9)
Muskegon County 6 stable similar 15 6.7 (5.3, 8.5) 1.0 1.6 (-0.8, 4.5)
Saginaw County 6 stable similar 20 6.8 (5.5, 8.4) 1.0 1.5 (-0.7, 4.2)
Shiawassee County 6 stable similar 5 5.7 (3.6, 8.5) 0.9 0.8 (-3.0, 5.0)
Van Buren County 6 stable similar 6 5.5 (3.7, 8.0) 0.8 1.7 (-1.3, 5.4)
Wayne County 6 stable similar 162 7.2 (6.7, 7.8) 1.1 0.5 (-0.1, 1.3)
Oakland County 3 rising lower 86 4.9 (4.4, 5.4) 0.7 0.8 (0.0, 1.8)
Ottawa County 3 rising lower 21 5.5 (4.5, 6.7) 0.8 1.8 (0.2, 3.8)
Allegan County 2 rising similar 10 6.2 (4.5, 8.3) 0.9 4.2 (2.0, 7.6)
Berrien County 2 rising similar 13 5.3 (4.1, 6.9) 0.8 2.3 (0.0, 5.1)
Eaton County 2 rising similar 12 7.2 (5.5, 9.5) 1.1 3.3 (0.7, 6.8)
Jackson County 2 rising similar 16 7.2 (5.7, 9.1) 1.1 2.1 (0.3, 4.2)
Kalamazoo County 2 rising similar 19 5.9 (4.7, 7.2) 0.9 2.4 (0.7, 4.7)
Macomb County 2 rising similar 75 6.1 (5.5, 6.8) 0.9 1.0 (0.1, 1.9)
Tuscola County 2 rising similar 7 7.7 (5.2, 11.2) 1.2 2.5 (0.0, 5.7)
Alpena County
**
 		** similar 4 7.5 (4.4, 12.4) 1.1
**
Barry County
**
 		** similar 5 6.4 (4.0, 9.8) 1.0
**
Branch County
**
 		** similar 4 6.0 (3.5, 9.7) 0.9
**
Cass County
**
 		** similar 7 8.4 (5.7, 12.2) 1.3
**
Chippewa County
**
 		** similar 4 7.4 (4.5, 11.8) 1.1
**
Clare County
**
 		** similar 5 9.7 (6.0, 15.2) 1.5
**
Gladwin County
**
 		** similar 3 6.2 (3.6, 10.9) 0.9
**
Grand Traverse County
**
 		** lower 6 4.2 (2.8, 6.1) 0.6
**
Gratiot County
**
 		** similar 4 8.0 (4.9, 12.5) 1.2
**
Hillsdale County
**
 		** similar 3 4.7 (2.6, 7.9) 0.7
**
Huron County
**
 		** similar 3 5.1 (2.9, 9.0) 0.8
**
Iosco County
**
 		** similar 4 9.1 (5.1, 15.6) 1.4
**
Isabella County
**
 		** similar 4 6.2 (3.6, 9.8) 0.9
**
Lenawee County
**
 		** similar 9 6.3 (4.5, 8.5) 0.9
**
Marquette County
**
 		** similar 6 5.5 (3.6, 8.2) 0.8
**
Mason County
**
 		** similar 4 6.5 (3.8, 11.0) 1.0
**
Mecosta County
**
 		** similar 5 9.0 (5.7, 13.7) 1.4
**
Midland County
**
 		** lower 5 3.9 (2.5, 5.9) 0.6
**
Monroe County
**
 		** similar 14 6.0 (4.6, 7.7) 0.9
**
Montcalm County
**
 		** similar 6 5.9 (4.0, 8.6) 0.9
**
Newaygo County
**
 		** similar 3 4.5 (2.5, 7.7) 0.7
**
Roscommon County
**
 		** similar 4 6.4 (3.9, 11.6) 1.0
**
St. Joseph County
**
 		** similar 4 5.0 (3.0, 7.9) 0.7
**
Alcona County
**
 		**
*
3 or fewer
*
*
**
Alger County
**
 		**
*
3 or fewer
*
*
**
Antrim County
**
 		**
*
3 or fewer
*
*
**
Arenac County
**
 		**
*
3 or fewer
*
*
**
Baraga County
**
 		**
*
3 or fewer
*
*
**
Benzie County
**
 		**
*
3 or fewer
*
*
**
Charlevoix County
**
 		**
*
3 or fewer
*
*
**
Cheboygan County
**
 		**
*
3 or fewer
*
*
**
Crawford County
**
 		**
*
3 or fewer
*
*
**
Delta County
**
 		**
*
3 or fewer
*
*
**
Dickinson County
**
 		**
*
3 or fewer
*
*
**
Emmet County
**
 		**
*
3 or fewer
*
*
**
Gogebic County
**
 		**
*
3 or fewer
*
*
**
Houghton County
**
 		**
*
3 or fewer
*
*
**
Iron County
**
 		**
*
3 or fewer
*
*
**
Kalkaska County
**
 		**
*
3 or fewer
*
*
**
Keweenaw County
**
 		**
*
3 or fewer
*
*
**
Lake County
**
 		**
*
3 or fewer
*
*
**
Leelanau County
**
 		**
*
3 or fewer
*
*
**
Luce County
**
 		**
*
3 or fewer
*
*
**
Mackinac County
**
 		**
*
3 or fewer
*
*
**
Manistee County
**
 		**
*
3 or fewer
*
*
**
Menominee County
**
 		**
*
3 or fewer
*
*
**
Missaukee County
**
 		**
*
3 or fewer
*
*
**
Montmorency County
**
 		**
*
3 or fewer
*
*
**
Oceana County
**
 		**
*
3 or fewer
*
*
**
Ogemaw County
**
 		**
*
3 or fewer
*
*
**
Ontonagon County
**
 		**
*
3 or fewer
*
*
**
Osceola County
**
 		**
*
3 or fewer
*
*
**
Oscoda County
**
 		**
*
3 or fewer
*
*
**
Otsego County
**
 		**
*
3 or fewer
*
*
**
Presque Isle County
**
 		**
*
3 or fewer
*
*
**
Sanilac County
**
 		**
*
3 or fewer
*
*
**
Schoolcraft County
**
 		**
*
3 or fewer
*
*
**
Wexford County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 6:24 pm.

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, Cheboygan County, Crawford County, Delta County, Dickinson County, Emmet County, Gogebic County, Houghton 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, Otsego County, Presque Isle 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, Branch County, Cass County, Chippewa County, Clare County, Gladwin County, Grand Traverse County, Gratiot County, Hillsdale County, Huron County, Iosco County, Isabella County, Lenawee County, Marquette County, Mason County, Mecosta County, Midland County, Monroe County, Montcalm County, Newaygo County, Roscommon County, St. Joseph 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.

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