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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

Bladder

All Races, Both Sexes

Sorted by name
Counties
sort alphabetically by name descending 		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 - 16,684 4.2 (4.1, 4.2) - -2.5 (-3.2, -1.7)
Michigan - falling falling trend - 591 4.5 (4.4, 4.7) - -0.2 (-0.4, 0.0)
Alcona County
**
 		**
*
3 or fewer
*
*
**
Alger County
**
 		**
*
3 or fewer
*
*
**
Allegan County 6 stable stable trend similar 7 5.2 (3.6, 7.4) 1.3 0.0 (-1.7, 1.8)
Alpena County
**
 		**
*
3 or fewer
*
*
**
Antrim County
**
 		**
*
3 or fewer
*
*
**
Arenac County
**
 		**
*
3 or fewer
*
*
**
Baraga County
**
 		**
*
3 or fewer
*
*
**
Barry County
**
 		**
*
3 or fewer
*
*
**
Bay County 8 falling falling trend similar 7 4.6 (3.2, 6.5) 1.1 -1.3 (-2.4, -0.2)
Benzie County
**
 		**
*
3 or fewer
*
*
**
Berrien County 4 stable stable trend higher 14 5.9 (4.6, 7.6) 1.4 0.9 (-0.4, 2.4)
Branch County
**
 		**
*
3 or fewer
*
*
**
Calhoun County 6 stable stable trend similar 10 5.6 (4.2, 7.4) 1.3 0.0 (-1.6, 1.6)
Cass County
**
 		** similar 3 4.8 (2.7, 7.9) 1.1
**
Charlevoix County
**
 		**
*
3 or fewer
*
*
**
Cheboygan County
**
 		** similar 3 7.0 (4.1, 12.1) 1.7
**
Chippewa County
**
 		**
*
3 or fewer
*
*
**
Clare County
**
 		**
*
3 or fewer
*
*
**
Clinton County
**
 		**
*
3 or fewer
*
*
**
Crawford County
**
 		**
*
3 or fewer
*
*
**
Delta County
**
 		** similar 3 5.4 (3.1, 9.2) 1.3
**
Dickinson County
**
 		**
*
3 or fewer
*
*
**
Eaton County
**
 		** similar 7 5.0 (3.5, 7.0) 1.2
**
Emmet County
**
 		**
*
3 or fewer
*
*
**
Genesee County 4 stable stable trend higher 29 5.3 (4.4, 6.3) 1.3 0.5 (-0.3, 1.3)
Gladwin County
**
 		**
*
3 or fewer
*
*
**
Gogebic County
**
 		**
*
3 or fewer
*
*
**
Grand Traverse County
**
 		** similar 7 4.8 (3.3, 6.9) 1.2
**
Gratiot County
**
 		** similar 3 5.4 (3.1, 9.1) 1.3
**
Hillsdale County
**
 		**
*
3 or fewer
*
*
**
Houghton County
**
 		**
*
3 or fewer
*
*
**
Huron County
**
 		**
*
3 or fewer
*
*
**
Ingham County 6 stable stable trend similar 15 5.1 (4.0, 6.4) 1.2 0.0 (-0.9, 1.0)
Ionia County 6 stable stable trend similar 3 4.7 (2.7, 7.7) 1.1 -1.7 (-3.8, 0.5)
Iosco County
**
 		**
*
3 or fewer
*
*
**
Iron County
**
 		**
*
3 or fewer
*
*
**
Isabella County
**
 		**
*
3 or fewer
*
*
**
Jackson County 4 stable stable trend higher 12 5.7 (4.3, 7.4) 1.4 -0.1 (-1.3, 1.0)
Kalamazoo County 6 stable stable trend similar 13 4.1 (3.2, 5.3) 1.0 -0.6 (-1.9, 0.8)
Kalkaska County
**
 		**
*
3 or fewer
*
*
**
Kent County 6 stable stable trend similar 30 4.3 (3.7, 5.1) 1.0 -0.5 (-1.4, 0.3)
Keweenaw County
**
 		**
*
3 or fewer
*
*
**
Lake County
**
 		**
*
3 or fewer
*
*
**
Lapeer County
**
 		** similar 6 5.0 (3.3, 7.4) 1.2
**
Leelanau County
**
 		**
*
3 or fewer
*
*
**
Lenawee County 6 stable stable trend similar 7 5.3 (3.7, 7.4) 1.3 -0.6 (-2.7, 1.6)
Livingston County 6 stable stable trend similar 11 4.7 (3.5, 6.1) 1.1 -0.5 (-2.0, 1.1)
Luce County
**
 		**
*
3 or fewer
*
*
**
Mackinac County
**
 		**
*
3 or fewer
*
*
**
Macomb County 4 stable stable trend higher 58 4.9 (4.4, 5.6) 1.2 -0.3 (-1.0, 0.3)
Manistee County
**
 		**
*
3 or fewer
*
*
**
Marquette County
**
 		** similar 3 3.4 (2.0, 5.6) 0.8
**
Mason County
**
 		**
*
3 or fewer
*
*
**
Mecosta County
**
 		**
*
3 or fewer
*
*
**
Menominee County
**
 		**
*
3 or fewer
*
*
**
Midland County 6 stable stable trend similar 5 4.6 (3.0, 6.8) 1.1 0.2 (-1.3, 1.8)
Missaukee County
**
 		**
*
3 or fewer
*
*
**
Monroe County 6 stable stable trend similar 10 5.1 (3.8, 6.8) 1.2 -1.1 (-2.4, 0.2)
Montcalm County
**
 		** similar 5 5.9 (3.7, 8.9) 1.4
**
Montmorency County
**
 		**
*
3 or fewer
*
*
**
Muskegon County 6 stable stable trend similar 12 5.3 (4.0, 6.9) 1.3 1.0 (-0.1, 2.2)
Newaygo County
**
 		**
*
3 or fewer
*
*
**
Oakland County 6 stable stable trend similar 63 3.9 (3.5, 4.4) 0.9 -0.5 (-1.1, 0.1)
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
*
*
**
Ottawa County 6 stable stable trend similar 14 4.3 (3.4, 5.5) 1.0 0.7 (-0.6, 1.9)
Presque Isle County
**
 		**
*
3 or fewer
*
*
**
Roscommon County
**
 		**
*
3 or fewer
*
*
**
Saginaw County 7 stable stable trend lower 9 3.2 (2.3, 4.4) 0.8 -0.7 (-1.9, 0.5)
Sanilac County
**
 		**
*
3 or fewer
*
*
**
Schoolcraft County
**
 		**
*
3 or fewer
*
*
**
Shiawassee County
**
 		** similar 4 4.5 (2.8, 7.0) 1.1
**
St. Clair County 6 stable stable trend similar 11 4.6 (3.4, 6.1) 1.1 -1.1 (-2.3, 0.1)
St. Joseph County
**
 		** similar 4 4.4 (2.6, 7.0) 1.0
**
Tuscola County
**
 		** similar 4 5.2 (3.2, 8.2) 1.2
**
Van Buren County
**
 		** similar 5 5.8 (3.8, 8.6) 1.4
**
Washtenaw County 9 falling falling trend lower 11 3.0 (2.3, 3.9) 0.7 -1.7 (-2.9, -0.4)
Wayne County 8 falling falling trend similar 94 4.4 (4.0, 4.9) 1.1 -2.8 (-4.7, -0.8)
Wexford County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/15/2024 11:17 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 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, Alpena County, Antrim County, Arenac County, Baraga County, Barry County, Benzie County, Branch County, Charlevoix County, Chippewa County, Clare County, Clinton County, Crawford County, Dickinson County, Emmet County, Gladwin County, Gogebic County, Hillsdale County, Houghton County, Huron County, Iosco County, Iron County, Isabella County, Kalkaska County, Keweenaw County, Lake County, Leelanau County, Luce County, Mackinac County, Manistee County, Mason County, Mecosta County, Menominee County, Missaukee County, Montmorency County, Newaygo County, Oceana 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:
Cass County, Cheboygan County, Delta County, Eaton County, Grand Traverse County, Gratiot County, Lapeer County, Marquette County, Montcalm County, Shiawassee 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 does not include Puerto Rico.

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