Activity ReportMichigan Cancer Surveillance ProgramOctober 14, 2005Michigan Tumor Registrars Association
Topics to be coveredReview of Ongoing StudiesStatus of Cost of Care ProjectTrends in Prostate CancerCancer Survival Data for Michigan
Studies Completed or Ongoing2004-2005KidneyLungHepatoblastomaChildhood LeukemiaRadiological TechniciansAdventist StudyHISBlack Women's Health StudyHypoplastic Breast Racial Disparities and Prostate CancerFamily HistoryMelanomaArsenicSurvivors IICost of Care
Survivors Study II American Cancer SocietyFrank Baker, PhD and Kevin Stein, PhDOngoing in 14 StatesIdentify and Recruit Eligible PatientsStudy of Cancer Survivors2, 5 and 10 year survivorsBreast, Prostate, Colorectal, Bladder, Melanoma, Uterine CancersQuestionnaireQuality of LifePsychosocial Functioning
Arsenic Exposure and Bladder Cancer in MichiganJerome Nriagu, Ph.D., Dept of Environmental Health Sciences, School of Public Health UM NCIInvestigation of Naturally Occurring Arsenic in Drinking WaterCase Control Study of Bladder Cancer in 11 County AreaBladder Cancer Survivor2000-200321 80 Years of Age5 years in Region
Clinical and Cost Database Establishing a Statewide Database for Breast, Cervical, Colorectal, Lung, and Prostate Cancers
Goal:
By 2005, develop the linked economic and clinical database infrastructure necessary to support data-driven decisions for control of breast, cervical, colorectal, lung, and prostate cancers within the state of Michigan.
Problem/NeedWe dont understand relative costs and health outcomes for cancer prevention, early detection, and treatment
There is no single, centralized, statewide database that contains economic and clinical data for breast, cervical, colorectal, prostate, and lung cancer
Problem/NeedThese data would facilitate:
informed decision-making by policy-makers, providers, health care systems re: clinical and cost implications of decisions
efficient distribution of limited cancer control resources
2 Steps:Determine feasibility, usefulness, and affordability of a centralized database
Establish/maintain centralized cancer database
1. Determine Feasibility, Usefulness, Affordability
Objective #1: Implement and evaluate a pilot demonstration to determine the feasibility, costs, and benefits of merging cancer-related cost and clinical elements from multiple databases.
1.Determine Feasibility, Usefulness, Affordability Objective #2: Implement and evaluate an expanded pilot demonstration to match statewide claims data (both cancer and non-cancer care) from all Blue Cross plans and the Michigan Medicaid Program to clinical data from the Michigan Cancer Registry.
1. Determine Feasibility, Usefulness, AffordabilityObjective #3:Implement and evaluate a statewide field test that adds claims data from Medicare, other managed care plans, self-insured plans, and other major health care payers in Michigan to the statewide cancer database demonstration process.
2. Establish/Maintain a Centralized Cancer DatabaseObjective #1: If determined to be feasible, useful, and affordable, implement a standing, comprehensive, statewide economic and clinical database for breast, cervical, colorectal, lung, and prostate cancers in Michigan.
Cost of Cancer Care Database Progress Report to the MCC Board of DirectorsSeptember, 14, 2005
Acknowledgements to Co-presentersHuda Fadel, Ph.D., BCBSMSue Haviland, DCH, Comp. CancerCharles Given, Ph.D., MSUCathy Bradley, Ph.D.,VCU
ObjectivesIs database of value to analysis of :Cancer Control IssuesHealth Plan AdministrationCancer Case ManagementIs developing/maintaining a statewide database:FeasibleAffordableSufficient QualityDoes database augment registry treatment data ?Improve Hospital Data?Augment Outpatient Information?
AccomplishmentsCancer Registry Link to Medicaid 96-97Used for a series of analysesCancer Registry Link to BCBSM 96-98Demonstrated technical feasibilityRegistry to Medicare/Medicaid 96-2000Nearly FinalizedWorking on Registry to BCBSM 1998-2002Due this FallAgreements Link to Medicaid EncounterPending BCBSM Finalization
CollaboratorsCancer Control Section DCHMichigan Cancer Surveillance Program DCHCathy Bradley, Bill Given MSUBlue Cross/Blue Shield MI Huda FadelMedicaid DCH Michigan Association of Health Plans
CDC National Program of Cancer RegistriesNCI Health Services and Economics Branch
DirectionsAll Sites vs. Selected SitesMultiple Confidentiality LevelsPatient, Provider, PlanCancer Free Controls
Current TasksFinalize Linked File of Dually Eligible Medicare/Medicaid Study FilesDevelop and Evaluate Quality of BCBSM/Registry FileInitiate Work on Registry/Managed Care Medicaid Patients
Linking Cancer Registry Data to Claims Data from BCBSM - Project History20012002200320042005Request T. Simmer, MDAddress privacy & contractingWork beginsPrelim resultsHIPAAPolicies & procedures for research; trainingContract w/ MDCHIRBsignWork begins again!
Blue Cross Blue Shield of MichiganNon-profit health insurance company 54% commercial market share within Michigan. The next largest competitor has a 6% share Health Care Enrollment by Product
BCBSM - Insurance Products
Traditional fee-for-service
PPO
POS
HMO
(
(
Less management
More management
Fee-for-service
Capitation
Large networks
Limited networks
BCBSM Membership SummaryTop 10 customersGeneral MotorsFord Motor CompanyMichigan Public School RetireesMESSAState of MichiganDaimlerChryslerDetroit Regional ChamberFederal Employee Program (FEP)Small Business Association of Michigan
Membership by Age
Pilot Project OverviewMI Cancer Surveillance Registry BCBSM Claims & Admin FilesMI Mortality FileDemographicsOutcomesClinical InformationTreatment InformationEconomics
Pilot Link to BCBSM ProcessMembership file to DCH 1998-2002Link to RegistryIdentify CasesDevelop Study CohortSelect matched cancer freecontrolsReturn Study Cohort to BCBSM Pull ClaimsDCH Receives Claims Data Develop Linked De-Identified Study FilesForward Study File to BCBSM for Analysis
Key Steps Pilot ProposalContract with BCBSM/DCHDCH IRB ApprovalDCH Designated as IRB for BCBSMPartial CDC Funding for BCBSM
StatusAll Agreements in PlacePreliminary Link to BCBSMData Set DefinedBCBSM Developed Membership FileDCH Developing Linkage StrategyDeveloping Approach to Quality Analysis
Preliminary Link Enrollment File for 1998-19994.8 Million ParticipantsLinked to RegistryProbabilistic MatchIdentified 32,000 CasesAbove expectation
Medicaid/MedicareEligibility DataMedicaid eligibility for coverage can change on a monthly basisMedicaid eligibility can include:total coverage of medical costssecondary coverage after other insurance,Medicare co-payments and premiums Medicare eligibility can include:Part A (inpatient) and/or Part B (outpatient)Indications of supplemental insuranceProvider informationEligibility data must be linked to claims data to determine if beneficiaries were covered at time of diagnosis
Comparisons of Cancer Incidence 1996-2000Establishing Cancer Incidence is essential to achieving other policy and research goalsAnnual Incidence describes changes in detection and how these rates differ for dually eligible and Medicare only and by race and gender.
ratios
SEPARATELY BY SEXBOTH SEXES
Incidence Rates
1996199719981999200019961997199819992000
Breast CancerBREAST
Dual380389334365340Dual380389334365340
Mcare446467476472441Mcare446467476472441
Difference-67-79-142-107-101Difference-67-79-142-107-101
Ratio0.850.830.700.770.77Ratio0.850.830.700.770.77
ProstatePROSTATE
Dual765708749830682Dual765708749830682
Mcare944996101911051053Mcare944996101911051053
Difference-179-288-270-275-371Difference-179-288-270-275-371
Ratio0.810.710.740.750.65Ratio0.810.710.740.750.65
ColorectalCOLO-RECTAL
MaleDual339330348326318Dual306289276291282
Mcare316311310293269Mcare281280285269246
Difference2319383349Difference259-92136
Ratio1.071.061.121.111.18Ratio1.091.030.971.081.15
FemaleDual282261226266257LUNG
Mcare256259268253230Dual492541464529429
Difference262-421327Mcare326320326314295
Ratio1.101.010.841.051.12Difference166221138216134
Ratio1.511.691.421.691.46
Lung
MaleDual719792671771635OTHER
Mcare464448440425391Dual866911778839780
Difference255344232346244Mcare822823813814777
Ratio1.551.771.531.821.62Difference4488-35252
Ratio1.051.110.961.031.00
FemaleDual333365318360285
Mcare229230246236227ALL
Difference1041357312457Dual22022262202322151972
Ratio1.451.591.301.521.25Mcare20802108212421302011
Difference122154-10185-39
OtherRatio1.061.070.951.040.98
MaleDual10261084853906909
Mcare972952959954909
Difference53133-106-48-1
Ratio1.061.140.890.951.00
FemaleDual754790726792690
Mcare716733711717685
Difference375715765
Ratio1.051.081.021.111.01
All sites
MaleDual28482914262128332544
Mcare26962706272827772623
Difference152208-10657-79
Ratio1.061.080.961.020.97
FemaleDual17491805160417831572
Mcare16481689170116771583
Difference101116-96105-11
Ratio1.061.070.941.060.99
summ
Summary from individual spread sheets BY SEX
Incidence rates by sex and year per 100,000
Breast Cancer19961997199819992000
FemaleDual380389334365340
Mcare446467476472441
Prostate
MaleDual765708749830682
Mcare944996101911051053
Colorectal
maleDual339330348326318
Mcare316311310293269
FemaleDual282261226266257
Mcare256259268253230
Lung
maleDual719792671771635
Mcare464448440425391
FemaleDual333365318360285
Mcare229230246236227
Other
maleDual10261084853906909
Mcare972952959954909
FemaleDual754790726792690
Mcare716733711717685
All sites
maleDual28482914262128332544
Mcare26962706272827772623
FemaleDual17491805160417831572
Mcare16481689170116771583
summ
00
00
00
00
00
Dual
Mcare
Breast Cancer incidence rate
breast by age
00
00
00
00
00
Dual
Mcare
Prostate Cancer incidence rate
breast
00
00
00
00
00
Dual
Mcare
Female colorectal Cancer incidence
prostate by age
00
00
00
00
00
Dual
Mcare
Male colorectal Cancer incidence
prostate
00
00
00
00
00
Dual
Mcare
Male lung Cancer incidence
colo-r by age
00
00
00
00
00
Dual
Mcare
Female lung Cancer incidence
colo-r
00
00
00
00
00
Dual
Mcare
Female all sites Cancer incidence
lung by age
00
00
00
00
00
Dual
Mcare
Male all sites Cancer incidence
lung
384.70407948451.375215284
392.4827558833484.9688167334
358.812724529479.9460513142
341.0426617738455.3077225345
296.9300997505413.1872163412
Female Dual
Female Mcare only
Age
Incidence
Medicare Only and Dually Eligible Breast Cancer Incidence Ratios by Age Groups
other by age
BREAST
# of cancersPopulationannual incidenceStandardized against nat pop 2000Incidence Rate, age adjusted
Females00Females0
19961997199819992000199619971998199920001996199719981999200019961997199819992000FEMALES19961997199819992000
DualDualDualDual0
65-69776654656565-6917,14616,66516,71217,14917,27665-6944939632337937638565-692,305,232,0722,032,943,7621,658,639,7921,945,634,7021,931,331,877Dually Eligible380389334365340
70-74608554746570-7416,83617,06117,10217,44417,67070-7435649831642436839270-741,765,691,0192,468,407,2741,564,405,1342,101,783,6851,822,548,868Medicare only446467476472441
75-79645953595675-7915,49715,64915,97816,90517,31975-7941337733234932335975-791,805,296,8191,648,092,9321,450,005,7641,525,643,6731,413,453,386All Mich436456459458427
80-84554361494680-8414,84114,56414,72615,05115,35580-8437129541432630034180-841,152,724,547918,361,7821,288,460,3421,012,643,877931,824,292
85+698178797785+26,33926,15525,54525,76425,58085+26231030530730129785+789,204,757932,975,374919,874,504923,748,374906,838,753
FEMALESBreast
Total325334300326309Total90,65990,09490,06392,31393,200Total358371333353332349Total7,818,149,2148,000,781,1256,881,385,5367,509,454,3117,005,997,176
Mcare onlyMcare onlyMcare onlyMcare only
65-6975580080778062065-69175,269171,347165,438161,279159,88065-6943146748848438845165-692,211,202,8742,396,625,7942,503,946,3012,482,581,5761,990,601,364
70-7477978979177773470-74161,861160,419160,665158,637156,30270-7448149249249047048570-742,384,501,5732,436,820,6892,439,257,1122,426,715,7302,326,665,229
75-7960467267067261775-79131,429134,197135,626135,942136,78475-7946050149449445148075-792,008,917,0792,188,984,7792,159,474,7252,160,886,1901,971,814,883
80-8438840341042348780-8488,79091,32593,33294,34295,37680-8443744143944851145580-841,359,232,3011,372,591,7441,366,404,5561,394,637,3941,588,239,064
85+27027931830930885+66,40068,80172,27574,30777,39485+40740644041639841385+1,224,998,5391,221,657,1431,325,497,4781,252,762,1911,198,900,964
Total2,7962,9432,9962,9612,766Total623,749626,089627,336624,507625,736Total448470478474442462Total9,188,852,3669,616,680,1499,794,580,1719,717,583,0809,076,221,503
All MichAll MichAll MichAll Mich
65-6983286686184568565-69192,415188,012182,150178,428177,15665-6943246147347438765-692,219,581,7662,364,389,7612,426,390,6472,430,974,7551,984,821,488
70-7483987484585179970-74178,697177,480177,767176,081173,97270-7447049247548345970-742,326,200,1212,439,857,0802,355,092,3432,394,525,3492,275,463,104
75-7966873172373167375-79146,926149,846151,604152,847154,10375-7945548847747843775-791,987,440,2602,132,497,3422,084,701,6642,090,627,8611,909,062,939
80-8444344647147253380-84103,631105,889108,058109,393110,73180-8442742143643148180-841,329,658,3171,310,116,8391,355,782,4221,342,080,2431,497,214,430
85+33936039638838585+92,73994,95697,820100,071102,97485+36637940538837485+1,101,227,8231,142,141,6661,219,571,9121,168,055,2131,126,349,142
Total3,1213,2773,2963,2873,075Total714,408716,183717,399716,820718,936Total437458459459428Total8,964,108,2879,389,002,6889,441,538,9889,426,263,4208,792,911,102
Population
00000
00
0
08,4338,2178,2228,4558,773
06,9867,0757,2937,8158,078
05,3055,5465,7616,2166,464
04,2584,2194,1554,3644,574
05,5015,3985,2575,4165,337
030,48330,45530,68832,26633,226
0
0154,845150,892145,569143,013142,277
0131,027131,424132,369131,679131,033
092,41095,25497,07098,768100,505
053,44054,93956,30357,73159,125
029,80431,25133,03534,29736,251
0461,526463,760464,346465,488469,191
0
0163,278159,109153,791151,468151,050
0138,013138,499139,662139,494139,111
097,715100,800102,831104,984106,969
057,69859,15860,45862,09563,699
035,30536,64938,29239,71341,588
0492,009494,215495,034497,754502,417
other by age
379.8513551986446.4481207238
388.7246802149467.2344934069
334.3379040259475.8779155786
364.8531537322472.1369471785
340.3922653614440.9758555188
Dually Eligible
Medicare only
other
733.4264436317913.2227175338
778.6026264671123.6815721886
784.19218136671112.1524933786
716.0788641795982.0658274917
647.1330285198941.9313260776
Dual
Mcare only
Age
Incidence
Medicare Only and Dually Eligible Prostate Cancer Incidence Ratios by Age Groups
all by age
Prostate
# of cancersPopulationannual incidenceStandardized against nat pop 2000Incidence Rate, age adjusted
0Males0Males0Males0
19961997199819992000199619971998199920001996199719981999200019961997199819992000Males19961997199819992000
DualDualDualDual0
65-69676857694765-698,4338,2178,2228,4558,77365-6979482869381653673365-693,496,077,9563,641,531,1673,050,603,6733,591,070,1122,357,426,354Dually Eligible765708749830682
70-74504556677470-746,9867,0757,2937,8158,07870-7471663676885791677970-742,793,381,0482,482,417,5272,996,888,4143,346,066,5903,575,334,093Medicare only9449961,0191,1051,053
75-79433943594675-795,3055,5465,7616,2166,46475-7981170374694971278475-792,467,702,3192,140,890,4442,272,376,4622,889,686,3582,166,537,376All Mich9319791,0031,0871,028
80-84372236322780-844,2584,2194,1554,3644,57480-8486952186673359071680-841,594,438,445956,808,1061,589,802,4551,345,479,0101,083,126,782
85+304338352885+5,5015,3985,2575,4165,33785+54579772364652564785+669,149,973977,415,969886,930,264792,927,068643,731,385
Total227217230262222Total30,48330,45530,68832,26633,226Total745713749812668737Total11,020,749,74010,199,063,21210,796,601,26811,965,229,1389,826,155,989Prostate
Mcare onlyMcare onlyMcare onlyMcare only
65-691,2791,3881,3291,4301,29165-69154,845150,892145,569143,013142,27765-698269209131,00090791365-693,634,643,0294,047,731,1304,017,394,5684,399,962,0033,992,821,989
70-741,3391,4191,4831,6111,53770-74131,027131,424132,369131,679131,03370-741,0221,0801,1201,2231,1731,12470-743,988,490,2874,214,018,8464,372,638,9834,774,938,4734,578,064,872
75-799451,0151,0781,1921,16175-7992,41095,25497,07098,768100,50575-791,0231,0661,1111,2071,1551,11275-793,113,311,2433,244,087,2193,380,986,4723,674,258,4163,516,853,307
80-8449250656059162180-8453,44054,93956,30357,73159,12580-849219219951,0241,05098280-841,689,313,8551,689,979,5811,825,022,3261,878,408,7011,927,223,741
85+28529429333534485+29,80431,25133,03534,29736,25185+95694188797794994285+1,173,313,7501,154,322,7801,088,271,2701,198,484,7951,164,346,672
Total4,3404,6224,7435,1594,954Total461,526463,760464,346465,488469,191Total9409971,0211,1081,0561,025Total13,599,072,16414,350,139,55614,684,313,61815,926,052,38815,179,310,582
All MichAll MichAll MichAll Mich
65-691,3461,4561,3861,4991,33865-69163,278159,109153,791151,468151,05065-6982491590199088665-693,627,486,4054,026,753,4033,965,707,8324,354,809,3583,897,838,038
70-741,3891,4641,5391,6781,61170-74138,013138,499139,662139,494139,11170-741,0061,0571,1021,2031,15870-743,927,995,7454,125,562,7614,300,798,7634,694,887,4764,519,837,563
75-799881,0541,1211,2511,20775-7997,715100,800102,831104,984106,96975-791,0111,0461,0901,1921,12875-793,078,260,7873,183,389,5083,318,877,7473,627,804,6713,435,255,440
80-8452952859662364880-8457,69859,15860,45862,09563,69980-849178939861,0031,01780-841,682,312,2341,637,691,6331,808,856,7471,840,954,7161,866,612,123
85+31533733137037285+35,30536,64938,29239,71341,58885+89292086493289485+1,094,758,1651,128,266,3271,060,629,7351,143,175,4341,097,535,962
Total4,5674,8394,9735,4215,176Total492,009494,215495,034497,754502,417Total9289791,0051,0891,030Total13,410,813,33614,101,663,63114,454,870,82315,661,631,65514,817,079,126
all by age
764.8186361574943.7492067673
707.7951863578995.8718256664
749.26316738451019.0628568118
830.36367275811105.237116686
681.91614902561053.4146850838
Dually Eligible
Medicare only
ALL
260.799982301214.0378475971181.1985464393149.1452538102
363.721052478283.5832573181282.2694453704194.9844551584
361.6299881276318.8930912777278.7844928636267.3699425364
375.7100004877389.8134880651314.8794181887338.0004982136
349.9770036733475.3416466322262.0012264497416.938416551
Male Dual
Male Mcare only
Female Dual
Female Mcare only
Age
Incidence
Medicare Only and Dually Eligible Colo-Rectal Cancer Incidence Ratios by Age Groups
all chart
COLO-RECTAL
# of cancersPopulationannual incidenceStandardized against nat pop 2000Incidence Rate, age adjusted
FemalesFemalesFemalesFemales
19961997199819992000199619971998199920001996199719981999200019961997199819992000FEMALES19961997199819992000
DualDualDualDual
65-69333125392665-6917,14616,66516,71217,14917,27665-6919218615022715018165-69987,956,602954,867,525767,888,7921,167,380,821772,532,751Female Dually Eligible282261226266257
70-74545137515070-7416,83617,06117,10217,44417,67070-7432129921629228328270-741,589,121,9171,481,044,3641,071,907,2211,448,526,5941,401,960,668Female Medicare only256259268253230
75-79524343454375-7915,49715,64915,97816,90517,31975-7933627526926624827975-791,466,803,6651,201,152,4761,176,419,7711,163,626,5311,085,330,279Female Mich253253259251231
80-84464443465680-8414,84114,56414,72615,05115,35580-8431030229230636531580-84964,096,894939,719,033908,258,930950,645,2731,134,394,790MALES
85+706961637685+26,33926,15525,54525,76425,58085+26626423924529726285+800,642,507794,756,800719,389,035736,660,095895,061,626Male Dually Eligible339330348326318
Male Medicare only316311310293269
Total255238209244251Total90,65990,09490,06392,31393,200Total281264232264269262Total5,808,621,5865,371,540,1984,643,863,7505,466,839,3145,289,280,114Male Mich315310311294272
COLO-RECTAL
Mcare onlyMcare onlyMcare onlyMcare only
65-6924524225926822765-69175,269171,347165,438161,279159,88065-6914014115716614214965-69717,542,654724,979,303803,620,932852,989,567728,816,951
70-7432031731830030170-74161,861160,419160,665158,637156,30270-7419819819818919319570-74979,512,841979,052,165980,636,867936,955,880954,122,934
75-7934036239338931875-79131,429134,197135,626135,942136,78475-7925927029028623226775-791,130,847,3621,179,185,2531,266,676,9651,250,870,1311,016,267,638
80-8430831035831227680-8488,79091,32593,33294,34295,37680-8434733938433128933880-841,078,978,2181,055,839,8031,193,104,4661,028,668,716900,110,845
85+30131630427929185+66,40068,80172,27574,30777,39485+45345942137537641785+1,365,646,5201,383,669,0221,267,142,2431,131,134,7931,132,727,859
Total1,5141,5471,6321,5481,413Total623,749626,089627,336624,507625,736Total243247260248226245Total5,272,527,5965,322,725,5465,511,181,4725,200,619,0884,732,046,228
All MichAll MichAll MichAll Mich
65-6927827328430725365-69192,415188,012182,150178,428177,15665-6914414515617214365-69741,639,100745,356,126800,342,559883,206,213733,080,053
70-7437436835535135170-74178,697177,480177,767176,081173,97270-7420920720019920270-741,036,947,3721,027,308,244989,417,493987,636,190999,608,948Both Sexes19961997199819992000
75-7939240543643436175-79146,926149,846151,604152,847154,10375-7926727028828423475-791,166,282,3081,181,479,3751,257,164,4891,241,220,9191,024,029,303Dually Eligible306289276291282
80-8435435440135833280-84103,631105,889108,058109,393110,73180-8434233437132730080-841,062,526,0591,039,868,5231,154,286,0961,017,933,743932,598,857Mcare Only281280285269246
85+37138536534236785+92,73994,95697,820100,071102,97485+40040537334235685+1,205,178,5321,221,457,0591,124,100,3731,029,574,4401,073,688,662All Michigan279277280268248
Total1,7691,7851,8411,7921,664Total714,408716,183717,399716,820718,936Total248249257250231Total5,212,573,3715,215,469,3275,325,311,0115,159,571,5054,763,005,823
COLO-RECTAL
# of cancersPopulationannual incidenceStandardized against nat pop 2000
19961997199819992000199619971998199920001996199719981999200019961997199819992000
MALESMALES0MALES0MALES0
DualDualDualDual
65-69251522242465-698,4338,2178,2228,4558,77365-6929618326828427426165-691,304,506,700803,278,9341,177,425,9791,249,067,8651,203,792,181
70-74252730282570-746,9867,0757,2937,8158,07870-7435838241135830936470-741,396,690,5241,489,450,5161,605,475,9361,398,356,1871,207,883,139
75-79212420221875-795,3055,5465,7616,2166,46475-7939643334735427836275-791,205,156,9461,317,471,0421,056,919,2851,077,510,167847,775,495
80-84141916141880-844,2584,2194,1554,3644,57480-8432945038532139437680-84603,301,033826,334,274706,578,869588,647,067722,084,521
85+171420172685+5,5015,3985,2575,4165,33785+30925938031448735085+379,184,985318,228,455466,805,402385,136,004597,750,571
Total10299108105111Total30,48330,45530,68832,26633,226Total335325352325334334Total4,888,840,1884,754,763,2215,013,205,4714,698,717,2914,579,285,908
Mcare onlyMcare onlyMcare onlyMcare only
65-6935032031829129965-69154,845150,892145,569143,013142,27765-6922621221820321021465-69994,624,754933,194,497961,272,741895,376,883924,751,181
70-7436938940138232470-74131,027131,424132,369131,679131,03370-7428229630329024728470-741,099,143,3281,155,217,2881,182,352,1461,132,232,462965,057,266
75-7931631331830329175-7992,41095,25497,07098,768100,50575-7934232932830729031975-791,041,064,9241,000,393,399997,359,646933,976,762881,485,196
80-8421623322123119480-8453,44054,93956,30357,73159,12580-8440442439340032839080-84741,649,985778,192,179720,232,025734,200,355602,063,455
85+16415616214714885+29,80431,25133,03534,29736,25185+55049949042940847585+675,170,017612,497,802601,706,299525,902,283500,939,847
Total1,4151,4111,4201,3541,256Total461,526463,760464,346465,488469,191Total307304306291268295Total4,551,653,0084,479,495,1634,462,922,8574,221,688,7453,874,296,946
All MichAll MichAll MichAll Mich
65-6937533534031532365-69163,278159,109153,791151,468151,05065-6923021122120821465-691,010,629,570926,485,158972,828,761915,120,045940,957,912
70-7439441643141034970-74138,013138,499139,662139,494139,11170-7428530030929425170-741,114,204,6971,172,291,0581,204,447,2171,147,141,755979,157,858
75-7933733733832530975-7997,715100,800102,831104,984106,96975-7934533432931028975-791,049,973,5681,017,838,9601,000,696,413942,475,234879,448,162
80-8423025223724521280-8457,69859,15860,45862,09563,69980-8439942639239533380-84731,440,102781,625,552719,293,706723,970,956610,681,744
85+18117018216417485+35,30536,64938,29239,71341,58885+51346447541341885+629,051,517569,155,120583,186,138506,704,787513,363,595
Total1,5171,5101,5281,4591,367Total492,009494,215495,034497,754502,417Total308306309293272Total4,535,299,4544,467,395,8484,480,452,2354,235,412,7773,923,609,271
Both SexesStandardized against nat pop 2000
19961997199819992000
Dual
65-692,292,463,3021,758,146,4591,945,314,7722,416,448,6861,976,324,931
70-742,985,812,4412,970,494,8802,677,383,1572,846,882,7802,609,843,807
75-792,671,960,6122,518,623,5182,233,339,0562,241,136,6981,933,105,774
80-841,567,397,9271,766,053,3071,614,837,7991,539,292,3401,856,479,311
85+1,179,827,4921,112,985,2551,186,194,4371,121,796,1001,492,812,198
Total10,697,461,77410,126,303,4199,657,069,22110,165,556,6049,868,566,021
Mcare only
65-691,712,167,4081,658,173,8001,764,893,6721,748,366,4501,653,568,132
70-742,078,656,1692,134,269,4532,162,989,0132,069,188,3431,919,180,201
75-792,171,912,2862,179,578,6522,264,036,6112,184,846,8921,897,752,834
80-841,820,628,2031,834,031,9811,913,336,4911,762,869,0711,502,174,301
85+2,040,816,5371,996,166,8241,868,848,5421,657,037,0761,633,667,706
Total9,824,180,6049,802,220,7109,974,104,3299,422,307,8338,606,343,174
All Mich
65-691,752,268,6701,671,841,2841,773,171,3211,798,326,2581,674,037,965
70-742,151,152,0692,199,599,3022,193,864,7102,134,777,9451,978,766,806
75-792,216,255,8762,199,318,3362,257,860,9022,183,696,1531,903,477,465
80-841,793,966,1611,821,494,0751,873,579,8031,741,904,6991,543,280,601
85+1,834,230,0491,790,612,1791,707,286,5111,536,279,2271,587,052,257
Total9,747,872,8259,682,865,1759,805,763,2469,394,984,2828,686,615,094
all chart
282.2167652304339.2760177971256.1701878445315.8758821055
260.9807984076329.9713365559258.6090974783310.8682677901
225.6260261144347.9067269904267.7653871559309.7181818812
265.6109860722326.0818578305252.6764524853292.9770028917
256.9841230003317.7935517186229.9104459732268.8686864485
Female Dually Eligible
Male Dually Eligible
Female Medicare only
Male Medicare only
cancers
305.7137998678280.7570287686
289.3911436471280.1294553468
275.9812925213285.0415733388
290.5129275514269.2722434607
282.0254824399245.953472909
Dually Eligible
Mcare Only
Both Sexes colorectal cancer
cancer chart
806.9307174757364.6909648085453.5569816054222.041791091
797.5251376612468.7159929023396.8410209395261.2309981869
809.8911792262468.2031597736330.3143778456257.9826893484
455.3437358257467.7651309165242.8903973049229.9954970614
307.4873608447430.883654205114.4727887915176.8734892259
Male Dual
Male Mcare only
Female Dual
Female Mcare only
Age
Incidence
Medicare Only and Dually Eligible Lung Cancer Incidence Ratios by Age Groups
CANCERS 2
lung
# of cancersPopulationannual incidenceStandardized against nat pop 2000Incidence Rate, age adjusted
FemalesFemalesFemalesFemales
19961997199819992000199619971998199920001996199719981999200019961997199819992000FEMALES19961997199819992000
Female DualFemale DualFemale DualFemale Dual
65-69888670816065-6917,14616,66516,71217,14917,27665-6951351641947234745465-692,634,550,9392,648,987,3272,150,088,6192,424,560,1671,782,767,886Female Dually Eligible333365318360285
70-74528163816570-7416,83617,06117,10217,44417,67070-7430947536846436839770-741,530,265,5502,352,246,9321,825,139,3232,300,601,0611,822,548,868Female Medicare only229230246236227
75-79535753525375-7915,49715,64915,97816,90517,31975-7934236433230830633075-791,495,011,4281,592,225,3751,450,005,7641,344,635,1021,337,732,669Female Mich238241251248231
80-84432837442980-8414,84114,56414,72615,05115,35580-8429019225129218924380-84901,221,009598,003,021781,525,126909,312,870587,454,445MALES
85+262829372885+26,33926,15525,54525,76425,58085+9910711414410911485+297,381,503322,510,006342,004,623432,641,643329,759,547Male Dually Eligible719792671771635
Male Medicare only464448440425391
Total262280252295235Total90,65990,09490,06392,31393,200Total289311280320252290Total6,858,430,4297,513,972,6616,548,763,4557,411,750,8425,860,263,415Male Mich477464450445405
lung
Female Mcare onlyFemale Mcare onlyFemale Mcare onlyFemale Mcare only
65-6941238139336030765-69175,269171,347165,438161,279159,88065-6923522223822319222265-691,206,643,1581,141,393,0351,219,393,9231,145,806,881985,668,740
70-7440040544043340670-74161,861160,419160,665158,637156,30270-7424725227427326026170-741,224,391,0521,250,839,5171,356,856,0421,352,339,6541,286,956,516
75-7936432536635133275-79131,429134,197135,626135,942136,78475-7927724227025824325875-791,210,671,8821,058,660,7931,179,653,3571,128,677,1621,061,008,981
80-8417222322021323980-8488,79091,32593,33294,34295,37680-8419424423622625123080-84602,546,278759,523,471733,192,688702,264,220779,443,812
85+10512013613114585+66,40068,80172,27574,30777,39485+15817418817618717785+476,388,321525,443,933566,879,424531,106,301564,417,662
Total1,4531,4541,5551,4881,429Total623,749626,089627,336624,507625,736Total233232248238228236Total4,720,640,6904,735,860,7495,055,975,4354,860,194,2174,677,495,710
All MichAll MichAll MichAll Mich
65-6950046746344136765-69192,415188,012182,150178,428177,15665-6926024825424720765-691,333,883,2731,275,023,1161,304,783,8201,268,709,9011,063,400,710
70-7445248650351447170-74178,697177,480177,767176,081173,97270-7425327428329227170-741,253,209,1241,356,716,8661,401,907,0401,446,282,0551,341,355,597Both Sexes19961997199819992000
75-7941738241940338575-79146,926149,846151,604152,847154,10375-7928425527626425075-791,240,662,5571,114,383,0161,208,146,6081,152,562,2821,092,108,814Dually Eligible492541464529429
80-8421525125725726880-84103,631105,889108,058109,393110,73180-8420723723823524280-84645,319,499737,307,907739,779,368730,751,319752,820,764Mcare Only326320326314295
85+13114816516817385+92,73994,95697,820100,071102,97485+14115616916816885+425,548,215469,547,129508,154,963505,755,865506,125,718All Michigan336333333329303
Total1,7151,7341,8071,7831,664Total714,408716,183717,399716,820718,936Total240242252249231Total4,898,622,6684,952,978,0355,162,771,7995,104,061,4234,755,811,602
lung
# of cancersPopulationannual incidenceStandardized against nat pop 2000
19961997199819992000199619971998199920001996199719981999200019961997199819992000
MALESMALES0MALES0MALES
Male DualMale DualMale DualMale Dual
65-69607071815765-698,4338,2178,2228,4558,77365-6971185286495865080765-693,130,816,0803,748,635,0253,799,874,7514,215,604,0452,859,006,429
70-74636063595070-746,9867,0757,2937,8158,07870-7490284886475561979870-743,519,660,1203,309,890,0353,371,499,4652,946,536,2512,415,766,279
75-79415530516175-795,3055,5465,7616,2166,46475-7977399252182094481075-792,352,925,4673,019,204,4721,585,378,9272,497,864,4792,873,016,955
80-84212515201780-844,2584,2194,1554,3644,57480-8449359336145837245580-84904,951,5501,087,281,939662,417,690840,924,381681,968,714
85+201111271485+5,5015,3985,2575,4165,33785+36420420949926230785+446,099,982250,036,643256,742,971611,686,595321,865,692
Total205221190238199Total30,48330,45530,68832,26633,226Total673726619738599671Total10,354,453,19811,415,048,1149,675,913,80411,112,615,7519,151,624,070
Male Mcare onlyMale Mcare onlyMale Mcare onlyMale Mcare only
65-6962855853154543065-69154,845150,892145,569143,013142,27765-6940637036538130236565-691,784,640,9871,627,257,9041,605,144,1051,676,908,5961,329,909,725
70-7465462764556958770-74131,027131,424132,369131,679131,03370-7449947748743244846970-741,948,075,1661,862,008,3271,901,788,3641,686,492,8561,748,421,653
75-7943646444846745075-7992,41095,25497,07098,768100,50575-7947248746247344846875-791,436,406,0341,483,011,3001,405,085,2871,439,495,5371,363,121,437
80-8429126127425922780-8453,44054,93956,30357,73159,12580-8454547548744938446880-84999,167,341871,708,835892,957,352823,194,338704,476,311
85+12615614313814485+29,80431,25133,03534,29736,25185+42349943340239743185+518,728,184612,497,802531,135,807493,704,184487,400,932
Total2,1352,0662,0411,9781,838Total461,526463,760464,346465,488469,191Total463445440425392433Total6,687,017,7126,456,484,1686,336,110,9166,119,795,5105,633,330,058
All MichAll MichAll MichAll Mich
65-6968862860262648765-69163,278159,109153,791151,468151,05065-6942139539141332265-691,854,168,3851,736,813,9681,722,479,1591,818,619,5181,418,719,824
70-7471768770862863770-74138,013138,499139,662139,494139,11170-7452049650745045870-742,027,626,3131,935,971,0501,978,535,1031,757,085,4201,787,173,512
75-7947751947851851175-7997,715100,800102,831104,984106,96975-7948851546549347875-791,486,164,3681,567,532,4051,415,186,0511,502,160,5271,454,362,494
80-8431228628927924480-8457,69859,15860,45862,09563,69980-8454148347844938380-84992,214,399887,082,968877,113,423824,440,395702,860,120
85+14616715416515885+35,30536,64938,29239,71341,58885+41445640241538085+507,411,721559,111,206493,465,194509,794,450466,157,747
Total2,3402,2872,2312,2162,037Total492,009494,215495,034497,754502,417Total476463451445405Total6,867,585,1866,686,511,5966,486,778,9306,412,100,3115,829,273,697
Both SexesStandardized against nat pop 2000
19961997199819992000
Male Dual
65-695,765,367,0196,397,622,3525,949,963,3706,640,164,2124,641,774,315
70-745,049,925,6705,662,136,9675,196,638,7885,247,137,3114,238,315,147
75-793,847,936,8954,611,429,8473,035,384,6913,842,499,5814,210,749,625
80-841,806,172,5591,685,284,9601,443,942,8151,750,237,2511,269,423,159
85+743,481,485572,546,649598,747,5941,044,328,239651,625,239
Total17,212,883,62718,929,020,77516,224,677,25918,524,366,59315,011,887,485
Male Mcare only
65-692,991,284,1442,768,650,9382,824,538,0282,822,715,4772,315,578,465
70-743,172,466,2183,112,847,8443,258,644,4063,038,832,5103,035,378,169
75-792,647,077,9162,541,672,0942,584,738,6442,568,172,6992,424,130,417
80-841,601,713,6191,631,232,3061,626,150,0411,525,458,5571,483,920,123
85+995,116,5051,137,941,7341,098,015,2321,024,810,4851,051,818,594
Total11,407,658,40211,192,344,91711,392,086,35110,979,989,72810,310,825,768
All Mich
65-693,188,051,6583,011,837,0843,027,262,9803,087,329,4202,482,120,533
70-743,280,835,4373,292,687,9163,380,442,1433,203,367,4763,128,529,109
75-792,726,826,9252,681,915,4212,623,332,6592,654,722,8092,546,471,307
80-841,637,533,8981,624,390,8751,616,892,7911,555,191,7131,455,680,884
85+932,959,9361,028,658,3361,001,620,1571,015,550,316972,283,466
Total11,766,207,85411,639,489,63111,649,550,72911,516,161,73310,585,085,299
CANCERS 2
333.2226108547718.5789497168229.356298334464.0660469678
365.0726815341792.1821778169230.0957776972448.0674665822
318.1771804577671.4896330742245.6488189847439.713796561
360.1061485142771.1939589741236.1366238373424.7019273868
284.7258269345635.104943387227.2600631932390.9421694384
Female Dually Eligible
Male Dually Eligible
Female Medicare only
Male Medicare only
Dual
491.9125837285326.0099144491
540.9566298282319.8566507077
463.6714616397325.5648938526
529.3923569188313.7879296224
429.0121585142294.6644533134
Dually Eligible
Mcare Only
Both Sexes lung cancer
Population
956.1836605698723.4284818325656.0440238288512.1142517689
1018.0324800561897.633608125783.5015841175670.9884839923
993.02413570131050.1174017186883.7286180014730.7213207449
848.85024211081159.1354182274779.9037535329828.9886351225
819.66962539131358.8504008631632.6463132983974.5090154912
Male Dual
Male Mcare only
Female Dual
Female Mcare only
Age
Incidence
Medicare Only and Dually Eligible Other Cancers Incidence Ratios by Age Groups
Mcare
All other cancers
# of cancersPopulationannual incidenceStandardized against nat pop 2000Incidence Rate, age adjusted
FemalesFemalesFemalesFemales
19961997199819992000199619971998199920001996199719981999200019961997199819992000FEMALES19961997199819992000
DualDualDualDual
65-691221141101189365-6917,14616,66516,71217,14917,27665-6971268465868853865665-693,652,445,6203,511,448,3173,378,710,6873,532,075,3052,763,290,223Female Dually Eligible754790726792690
70-7412115011815113570-7416,83617,06117,10217,44417,67070-7471987969086676478470-743,560,810,2224,356,012,8363,418,514,9224,288,774,8173,785,293,803Female Medicare only716733711717685
75-7912414814515215075-7915,49715,64915,97816,90517,31975-7980094690789986688475-793,497,762,5864,134,199,2203,966,996,9023,930,471,8373,786,035,857Female Mich712728703717678
80-8412811310912610580-8414,84114,56414,72615,05115,35580-8486277674083768478080-842,682,704,4002,413,369,3352,302,330,7752,603,941,3992,126,990,231MALES
85+18516115916714785+26,33926,15525,54525,76425,58085+70261662264857563385+2,115,983,7691,854,432,5331,875,128,7961,952,733,9041,731,237,619Male Dually Eligible1,0261,084853906909
Male Medicare only972952959954909
Total680686641714630Total90,65990,09490,06392,31393,200Total750761712773676735Total15,509,706,59816,269,462,24214,941,682,08316,307,997,26114,192,847,733Male Mich970953947947906
All other cancers
Mcare onlyMcare onlyMcare onlyMcare only
65-6988790188085574665-69175,269171,347165,438161,279159,88065-6950652653253046751265-692,597,797,2842,699,199,8012,730,449,4982,721,291,3432,395,142,931
70-741,0971,1491,0321,0171,05970-74161,861160,419160,665158,637156,30270-7467871664264167867170-743,357,892,4593,548,678,0383,182,444,1713,176,280,4353,356,864,411
75-791,0029869931,00793575-79131,429134,197135,626135,942136,78475-7976273573274168473175-793,332,673,6983,211,813,9763,200,534,9283,238,113,6802,988,082,521
80-8470476573582481480-8488,79091,32593,33294,34295,37680-8479383878887385382980-842,466,235,9272,605,540,1592,449,530,1182,716,740,4552,654,674,740
85+65869073871469485+66,40068,80172,27574,30777,39485+9911,0031,02196189797585+2,985,366,8103,021,302,6123,076,154,5242,894,732,0522,701,419,704
Total4,3484,4914,3784,4174,248Total623,749626,089627,336624,507625,736Total697717698707679700Total14,739,966,17815,086,534,58614,639,113,23914,747,157,96514,096,184,306
All MichAll MichAll MichAll Mich
65-691,0091,01599097383965-69192,415188,012182,150178,428177,15665-6952454054454547465-692,691,776,4452,771,195,8522,789,926,5282,799,217,0842,431,044,129
70-741,2181,2991,1501,1681,19470-74178,697177,480177,767176,081173,97270-7468273264766368670-743,377,010,4273,626,286,4383,205,155,2593,286,493,0753,400,379,156Both Sexes19961997199819992000
75-791,1261,1341,1381,1591,08575-79146,926149,846151,604152,847154,10375-7976675775175870475-793,350,086,4263,308,142,2513,281,314,6533,314,689,0443,077,761,202Dually Eligible866911778839780
80-8483287884495091980-84103,631105,889108,058109,393110,73180-8480382978186883080-842,497,236,3872,579,108,9352,429,469,9882,701,220,8282,581,501,052Mcare Only822823813814777
85+84385189788184185+92,73994,95697,820100,071102,97485+90989691788081785+2,738,451,4902,699,895,9932,762,515,1642,652,207,8412,460,414,618All Michigan818821804812772
Total5,0285,1775,0195,1314,878Total714,408716,183717,399716,820718,936Total704723700716679Total14,654,561,17414,984,629,46914,468,381,59214,753,827,87313,951,100,158
All other cancers
# of cancersPopulationannual incidenceStandardized against nat pop 2000
19961997199819992000199619971998199920001996199719981999200019961997199819992000
MALESMALES0MALES0MALES0
DualDualDualDual
65-69879374717765-698,4338,2178,2228,4558,77365-691,0321,13290084087895665-694,539,683,3164,980,329,3903,960,432,8393,695,159,1013,862,166,579
70-74748270737970-746,9867,0757,2937,8158,07870-741,0591,1599609349781,01870-744,134,203,9514,523,516,3823,746,110,5173,645,714,3443,816,910,720
75-79556645636175-795,3055,5465,7616,2166,46475-791,0371,1907811,01494499375-793,156,363,4313,623,045,3662,378,068,3913,085,597,2972,873,016,955
80-84413633363780-844,2584,2194,1554,3644,57480-8496385379482580984980-841,766,810,1691,565,685,9921,457,318,9171,513,663,8861,484,284,849
85+534132494685+5,5015,3985,2575,4165,33785+96376060990586282085+1,182,164,952931,954,761746,888,6441,110,097,8951,057,558,703
Total310318254292300Total30,48330,45530,68832,26633,226Total1,0171,044828905903939Total14,779,225,81815,624,531,89112,288,819,30713,050,232,52413,093,937,808
Mcare onlyMcare onlyMcare onlyMcare only
65-691,2011,0961,0591,09588565-69154,845150,892145,569143,013142,27765-6977672672776662272365-693,412,983,7983,196,191,1513,201,219,5993,369,201,6742,737,139,784
70-741,1791,1841,1931,1231,22370-74131,027131,424132,369131,679131,03370-7490090190185393389870-743,511,896,9743,516,136,9373,517,571,3473,328,526,3223,642,793,324
75-799321,0191,0441,0431,04675-7992,41095,25497,07098,768100,50575-791,0091,0701,0761,0561,0411,05075-793,070,482,6233,256,871,8003,274,350,5353,214,976,1143,168,500,051
80-8465862166067564680-8453,44054,93956,30357,73159,12580-841,2311,1301,1721,1691,0931,15980-842,259,285,6032,074,065,8492,150,919,1692,145,390,6482,004,809,238
85+42642545247145885+29,80431,25133,03534,29736,25185+1,4291,3601,3681,3731,2631,35985+1,753,795,2891,668,663,8831,678,834,8601,685,033,8461,550,205,743
Total4,3964,3454,4084,4074,258Total461,526463,760464,346465,488469,191Total952937949947908939Total14,008,444,28713,711,929,62013,822,895,51013,743,128,60413,103,448,140
All MichAll MichAll MichAll Mich
65-691,2881,1891,1331,16696265-69163,278159,109153,791151,468151,05065-6978974773777063765-693,471,175,6983,288,330,9043,241,808,7833,387,396,7392,802,481,459
70-741,2531,2661,2631,1961,30270-74138,013138,499139,662139,494139,11170-7490891490485793670-743,543,397,1703,567,597,3053,529,505,4173,346,296,4373,652,904,101
75-799871,0851,0891,1061,10775-7997,715100,800102,831104,984106,96975-791,0101,0761,0591,0531,03575-793,075,145,1383,277,018,6113,224,137,2583,207,315,7203,150,644,385
80-8469965769371168380-8457,69859,15860,45862,09563,69980-841,2111,1111,1461,1451,07280-842,222,941,8752,037,809,4752,103,251,2172,100,993,2641,967,432,222
85+47946648452050485+35,30536,64938,29239,71341,58885+1,3571,2721,2641,3091,21285+1,664,727,4951,560,154,6241,550,890,6091,606,624,9341,486,984,207
Total4,7064,6634,6624,6994,558Total492,009494,215495,034497,754502,417Total956944942944907Total13,977,387,37613,730,910,91913,649,593,28513,648,627,09413,060,446,374
Both SexesStandardized against nat pop 2000
19961997199819992000
Dual
65-698,192,128,9368,491,777,7077,339,143,5267,227,234,4066,625,456,803
70-747,695,014,1738,879,529,2187,164,625,4397,934,489,1617,602,204,524
75-796,654,126,0177,757,244,5866,345,065,2937,016,069,1346,659,052,812
80-844,449,514,5693,979,055,3273,759,649,6924,117,605,2863,611,275,080
85+3,298,148,7212,786,387,2942,622,017,4403,062,831,7992,788,796,323
Total30,288,932,41631,893,994,13327,230,501,39029,358,229,78527,286,785,541
Mcare only
65-696,010,781,0825,895,390,9525,931,669,0976,090,493,0175,132,282,715
70-746,869,789,4337,064,814,9746,700,015,5186,504,806,7576,999,657,734
75-796,403,156,3216,468,685,7766,474,885,4626,453,089,7946,156,582,571
80-844,725,521,5304,679,606,0084,600,449,2884,862,131,1034,659,483,978
85+4,739,162,0994,689,966,4954,754,989,3844,579,765,8984,251,625,448
Total28,748,410,46528,798,464,20628,462,008,74928,490,286,56827,199,632,446
All Mich
65-696,162,952,1436,059,526,7566,031,735,3116,186,613,8235,233,525,588
70-746,920,407,5967,193,883,7446,734,660,6776,632,789,5127,053,283,257
75-796,425,231,5646,585,160,8626,505,451,9116,522,004,7646,228,405,587
80-844,720,178,2624,616,918,4094,532,721,2064,802,214,0914,548,933,274
85+4,403,178,9844,260,050,6164,313,405,7734,258,832,7753,947,398,825
Total28,631,948,55028,715,540,38828,117,974,87728,402,454,96627,011,546,531
Mcare
753.55213988121025.6495792188716.1536541733972.1588373575
790.46550686341084.3121795957732.9919717546951.5812951403
725.9541910775852.8202022776711.2536293021959.2821124682
792.3377631852905.6608013116716.5030731871953.746444031
689.5714443856908.6938631461684.8749704829909.3538617118
Female Dually Eligible
Male Dually Eligible
Female Medicare only
Male Medicare only
865.6020295885821.5767430863
911.4717440065823.0071870252
778.1976910428813.3919083344
839.0042586667814.2000364572
779.8061886533777.3155133452
Dually Eligible
Mcare Only
Both Sexes other cancers
2757.34080397812215.3800117721675.50363135351334.6765119542
2957.88129666242773.6144305341855.09480631061612.1727540711
2948.73748442182949.36614614841851.64021323961736.0200039439
2395.98284260382998.77986470071678.71623080031852.2923529319
2124.26701842923207.0070277781306.05042828991981.5081376092
Male Dual
Male Mcare only
Female Dual
Female Mcare only
Age
Incidence
Medicare Only and Dually Eligible All Cancers Incidence Ratios by Age Groups
All cancers
# of cancersPopulationannual incidenceStandardized against nat pop 2000Incidence Rate, age adjusted
FemalesFemalesFemalesFemales
19961997199819992000199619971998199920001996199719981999200019961997199819992000FEMALES19961997199819992000
DualDualDualDual
65-6932029725930324465-6917,14616,66516,71217,14917,27665-691,8661,7821,5501,7671,4121,67665-699,580,185,2339,148,246,9317,955,327,8909,069,650,9947,249,922,737Female Dually Eligible1,7491,8051,6041,7831,572
70-7428736727235731570-7416,83617,06117,10217,44417,67070-741,7052,1511,5902,0471,7831,85570-748,445,888,70910,657,711,4067,879,966,60010,139,686,1568,832,352,207Female Medicare only1,6481,6891,7011,6771,583
75-7929330729430830275-7915,49715,64915,97816,90517,31975-791,8911,9621,8401,8221,7441,85275-798,264,874,4988,575,670,0048,043,428,2017,964,377,1437,622,552,191Female Mich1,6391,6781,6711,6731,568
80-8427222825026523680-8414,84114,56414,72615,05115,35580-841,8331,5661,6981,7611,5371,67980-845,700,746,8504,869,453,1725,280,575,1735,476,543,4194,780,663,758MALES
85+35033932734632885+26,33926,15525,54525,76425,58085+1,3291,2961,2801,3431,2821,30685+4,003,212,5373,904,674,7123,856,396,9584,045,784,0163,862,897,545Male Dually Eligible2,8482,9142,6212,8332,544
Male Medicare only2,6962,7062,7282,7772,623
Total1,5221,5381,4021,5791,425Total90,65990,09490,06392,31393,200Total1,6791,7071,5571,7101,5291,636Total35,994,907,82637,155,756,22633,015,694,82336,696,041,72832,348,388,438Male Mich2,6922,7062,7112,7732,611
All Cancer incidenceAll cancers
Mcare onlyMcare onlyMcare onlyMcare only
65-692,2992,3242,3392,2631,90065-69175,269171,347165,438161,279159,88065-691,3121,3561,4141,4031,1881,33565-696,733,185,9706,962,197,9337,257,410,6547,202,669,3676,100,229,985
70-742,5962,6602,5812,5272,50070-74161,861160,419160,665158,637156,30270-741,6041,6581,6061,5931,5991,61270-747,946,297,9258,215,390,4097,959,194,1927,892,291,6997,924,609,090
75-792,3102,3452,4222,4192,20275-79131,429134,197135,626135,942136,78475-791,7581,7471,7861,7791,6101,73675-797,683,110,0217,638,644,8027,806,339,9757,778,547,1627,037,174,022
80-841,5721,7011,7231,7721,81680-8488,79091,32593,33294,34295,37680-841,7701,8631,8461,8781,9041,85280-845,506,992,7245,793,495,1775,742,231,8285,842,310,7845,922,468,462
85+1,3341,4051,4961,4331,43885+66,40068,80172,27574,30777,39485+2,0092,0422,0701,9281,8581,98285+6,052,400,1906,152,072,7106,235,673,6695,809,735,3375,597,466,189
Total10,11110,43510,56110,4149,856Total623,749626,089627,336624,507625,736Total1,6211,6671,6831,6681,5751,643Total33,921,986,83034,761,801,03035,000,850,31734,525,554,35032,581,947,747
All MichAll MichAll MichAll Mich
65-692,6192,6212,5982,5662,14465-69192,415188,012182,150178,428177,15665-691,3611,3941,4261,4381,21065-696,986,880,5857,155,964,8557,321,443,5547,382,107,9536,212,346,379
70-742,8833,0272,8532,8842,81570-74178,697177,480177,767176,081173,97270-741,6131,7061,6051,6381,61870-747,993,367,0448,450,168,6297,951,572,1358,114,936,6698,016,806,805Both Sexes19961997199819992000
75-792,6032,6522,7162,7272,50475-79146,926149,846151,604152,847154,10375-791,7721,7701,7921,7841,62575-797,744,471,5517,736,501,9857,831,327,4147,799,100,1067,102,962,258Dually Eligible2,2022,2622,0232,2151,972
80-841,8441,9291,9732,0372,05280-84103,631105,889108,058109,393110,73180-841,7791,8221,8261,8621,85380-845,534,740,2615,666,402,2045,679,317,8765,791,986,1335,764,135,102Mcare Only2,0802,1082,1242,1302,011
85+1,6841,7441,8231,7791,76685+92,73994,95697,820100,071102,97485+1,8161,8371,8641,7781,71585+5,470,406,0605,533,041,8475,614,342,4125,355,593,3605,166,578,140All Michigan2,0732,1012,1002,1261,997
Total11,63311,97311,96311,99311,281Total714,408716,183717,399716,820718,936Total1,6281,6721,6681,6731,569Total33,729,865,50134,542,079,52034,398,003,39034,443,724,22032,262,828,685
All cancers
# of cancersPopulationannual incidenceStandardized against nat pop 2000
19961997199819992000199619971998199920001996199719981999200019961997199819992000
MALESMALES0MALES0MALES0
DualDualDualDual
65-6923924622424520565-698,4338,2178,2228,4558,77365-692,8342,9942,7242,8982,3372,75765-6912,471,084,05113,173,774,51611,988,337,24212,750,901,12410,282,391,542
70-7421221421922722870-746,9867,0757,2937,8158,07870-743,0353,0253,0032,9052,8222,95870-7411,843,935,64311,805,274,45911,719,974,33211,336,673,37211,015,894,231
75-7916018413819518675-795,3055,5465,7616,2166,46475-793,0163,3182,3953,1372,8772,94975-799,182,148,16210,100,611,3237,292,743,0659,550,658,3018,760,346,782
80-841131021001029980-844,2584,2194,1554,3644,57480-842,6542,4182,4072,3372,1642,39680-844,869,501,1984,436,110,3114,416,117,9304,288,714,3453,971,464,867
85+12010910112811485+5,5015,3985,2575,4165,33785+2,1812,0191,9212,3632,1362,12485+2,676,599,8912,477,635,8282,357,367,2822,899,847,5632,620,906,352
Total844855782897832Total30,48330,45530,68832,26633,226Total2,7692,8072,5482,7802,5042,682Total41,043,268,94441,993,406,43837,774,539,85040,826,794,70436,651,003,774
Mcare onlyMcare onlyMcare onlyMcare only
65-693,4583,3623,2373,3612,90565-69154,845150,892145,569143,013142,27765-692,2332,2282,2242,3502,0422,21565-699,826,892,5679,804,374,6819,785,031,01210,341,449,1568,984,622,680
70-743,5413,6193,7223,6853,67170-74131,027131,424132,369131,679131,03370-742,7022,7542,8122,7982,8022,77470-7410,547,605,75510,747,381,39810,974,350,84010,922,190,11410,934,337,115
75-792,6292,8112,8883,0052,94875-7992,41095,25497,07098,768100,50575-792,8452,9512,9753,0422,9332,94975-798,661,264,8248,984,363,7189,057,781,9399,262,706,8288,929,959,990
80-841,6571,6211,7151,7561,68880-8453,44054,93956,30357,73159,12580-843,1012,9513,0463,0422,8552,99980-845,689,416,7835,413,946,4445,589,130,8725,581,194,0415,238,572,746
85+1,0011,0311,0501,0911,09485+29,80431,25133,03534,29736,25185+3,3593,2993,1783,1813,0183,20785+4,121,007,2414,047,982,2663,899,948,2373,903,125,1073,702,893,195
Total12,28612,44412,61212,89812,306Total461,526463,760464,346465,488469,191Total2,6622,6832,7162,7712,6232,691Total38,846,187,17038,998,048,50739,306,242,90040,010,665,24737,790,385,725
All MichAll MichAll MichAll Mich
65-693,6973,6083,4613,6063,11065-69163,278159,109153,791151,468151,05065-692,2642,2682,2502,3812,05965-699,963,460,0589,978,383,4339,902,824,53610,475,945,6609,059,997,233
70-743,7533,8333,9413,9123,89970-74138,013138,499139,662139,494139,11170-742,7192,7682,8222,8042,80370-7410,613,223,92510,801,422,17311,013,286,50010,945,411,08910,939,073,034
75-792,7892,9953,0263,2003,13475-7997,715100,800102,831104,984106,96975-792,8542,9712,9433,0482,93075-798,689,543,8619,045,779,4848,958,897,4699,279,756,1538,919,710,481
80-841,7701,7231,8151,8581,78780-8457,69859,15860,45862,09563,69980-843,0682,9133,0022,9922,80580-845,628,908,6105,344,209,6275,508,515,0935,490,359,3305,147,586,209
85+1,1211,1401,1511,2191,20885+35,30536,64938,29239,71341,58885+3,1753,1113,0063,0702,90585+3,895,948,8973,816,687,2773,688,171,6763,766,299,6053,564,041,512
Total13,13013,29913,39413,79513,138Total492,009494,215495,034497,754502,417Total2,6692,6912,7062,7712,615Total38,791,085,35238,986,481,99439,071,695,27339,957,771,83637,630,408,468
Both SexesStandardized against nat pop 2000
19961997199819992000
Dual
65-6922,051,269,28322,322,021,44719,943,665,13221,820,552,11817,532,314,279
70-7420,289,824,35122,462,985,86519,599,940,93221,476,359,52719,848,246,438
75-7917,447,022,66018,676,281,32815,336,171,26717,515,035,44416,382,898,973
80-8410,570,248,0489,305,563,4839,696,693,1039,765,257,7648,752,128,624
85+6,679,812,4276,382,310,5406,213,764,2406,945,631,5796,483,803,897
Total77,038,176,77079,149,162,66370,790,234,67477,522,836,43268,999,392,212
Mcare only
65-6916,560,078,53716,766,572,61417,042,441,66617,544,118,52415,084,852,665
70-7418,493,903,67918,962,771,80618,933,545,03318,814,481,81318,858,946,205
75-7916,344,374,84616,623,008,52016,864,121,91317,041,253,99015,967,134,012
80-8411,196,409,50811,207,441,62111,331,362,70111,423,504,82511,161,041,208
85+10,173,407,43010,200,054,97610,135,621,9059,712,860,4449,300,359,383
Total72,768,174,00073,759,849,53774,307,093,21874,536,219,59770,372,333,473
All Mich
65-6916,950,340,64317,134,348,28817,224,268,09017,858,053,61315,272,343,612
70-7418,606,590,96919,251,590,80318,964,858,63519,060,347,75818,955,879,839
75-7916,434,015,41216,782,281,46916,790,224,88217,078,856,25916,022,672,738
80-8411,163,648,87111,010,611,83111,187,832,96911,282,345,46310,911,721,311
85+9,366,354,9579,349,729,1239,302,514,0879,121,892,9648,730,619,652
Total72,520,950,85373,528,561,51373,469,698,66374,401,496,05669,893,237,152
0000
0000
0000
0000
0000
Female Dually Eligible
Male Dually Eligible
Female Medicare only
Male Medicare only
00
00
00
00
00
Dually Eligible
Mcare Only
Both Sexes All cancers
15221011111633
15381043511973
14021056111963
15791041411993
1425985611281
Dually Eligible
Medicare only
Michigan Population
Year of Study
Cancer Cases
Number of Cancer Cases In Michigan from 1996-2000
Dually=mcaid eligible w/n 12 mo of diagnosis
CountOLDCount
dual12mo eligible for Mcaid w/n 12 mo of diagnosiswsex gender (taken from ssex and sexprefer)diagyear Year of DiagnosisTotalsameyear Mcaid eligible in the same calendar year as diagnosiswsex gender (taken from ssex and sexprefer)diagyear Year of DiagnosisTotal
19961997199819992000Total19961997199819992000
.00 No1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis3458336232373361290516323162270 No1.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis3458336232373361290516323
2.00 age 70-74 at diagnosis3541361937223685367118238181052 age 70-74 at diagnosis3541361937223685367118238
3.00 age 75-79 at diagnosis2629281128883005294814281141603 age 75-79 at diagnosis2629281128883005294814281
4.00 age 80-84 at diagnosis16571621171517561688843783834 age 80-84 at diagnosis165716211715175616888437
5.00 age 85 or more at diagnosis10011031105010911094526751995 age 85 or more at diagnosis100110311050109110945267
Total12286124441261212898123066254662074Total122861244412612128981230662546
2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis2299232423392263190011125109832.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis2299232423392263190011125
2.00 age 70-74 at diagnosis2596266025812527250012864127072 age 70-74 at diagnosis2596266025812527250012864
3.00 age 75-79 at diagnosis2310234524222419220211698115383 age 75-79 at diagnosis2310234524222419220211698
4.00 age 80-84 at diagnosis15721701172317721816858484584 age 80-84 at diagnosis157217011723177218168584
5.00 age 85 or more at diagnosis13341405149614331438710669875 age 85 or more at diagnosis133414051496143314387106
Total1011110435105611041498565137750673Total10111104351056110414985651377
1.00 Yes1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis239246224245205115912551 Yes1.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis2392462242452051159
2.00 age 70-74 at diagnosis212214219227228110012332 age 70-74 at diagnosis2122142192272281100
3.00 age 75-79 at diagnosis1601841381951868639843 age 75-79 at diagnosis160184138195186863
4.00 age 80-84 at diagnosis113102100102995165704 age 80-84 at diagnosis11310210010299516
5.00 age 85 or more at diagnosis1201091011281145726405 age 85 or more at diagnosis120109101128114572
Total84485578289783242104682Total8448557828978324210
2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis320297259303244142315652.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis3202972593032441423
2.00 age 70-74 at diagnosis287367272357315159817552 age 70-74 at diagnosis2873672723573151598
3.00 age 75-79 at diagnosis293307294308302150416643 age 75-79 at diagnosis2933072943083021504
4.00 age 80-84 at diagnosis272228250265236125113774 age 80-84 at diagnosis2722282502652361251
5.00 age 85 or more at diagnosis350339327346328169018095 age 85 or more at diagnosis3503393273463281690
Total1522153814021579142574668170Total152215381402157914257466
116331197311963119931128158843
03211.2
4995.20
1476.21770.2
2222.21740.6
4657.65046.6
Male
Female
Cancer Site
Average Annual Number
Average Annual Number of Cancers for Michigan Residents by Cancers Site, 1996-2000
Dually=mcaid eligible w/n 12 mo of diagnosis
5 different sitesagegroup 5 groups for age-adjusting incidence * diagyear Year of Diagnosis * wsex gender (taken from ssex and sexprefer) * sameyear Mcaid eligible in the same calendar year as diagnosis * cancsite Major Cancer Types Crosstabulation
19961997199819992000TotaloldCount
TYPEDUALSEXAGETotalcancsite Major Cancer Typessameyear Mcaid eligible in the same calendar year as diagnosiswsex gender (taken from ssex and sexprefer)diagyear Year of DiagnosisTotal
1996199719981999200019961997199819992000cancsite Major Cancer Types * wsex gender (taken from ssex and sexprefer) Crosstabulation
1.00 breast.00 No2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis755800807780620376237251.00 breast0 No2.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis7558008077806203762Count
2.00 age 70-74 at diagnosis779789791777734387038372 age 70-74 at diagnosis7797897917777343870wsex gender (taken from ssex and sexprefer)Total
3.00 age 75-79 at diagnosis604672670672617323531973 age 75-79 at diagnosis6046726706726173235MaleFemale
4.00 age 80-84 at diagnosis388403410423487211120744 age 80-84 at diagnosis3884034104234872111cancsite Major Cancer Typesbreast0.016,05616,056
5.00 age 85 or more at diagnosis270279318309308148414525 age 85 or more at diagnosis2702793183093081484prostate24,9760.024,976
Total279629432996296127661446214285Total2796294329962961276614462colo-rectal7,3818,85116,232
1.00 Yes2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis77665465653273641 Yes2.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis7766546565327lung11,1118,70319,814
2.00 age 70-74 at diagnosis60855474653383712 age 70-74 at diagnosis6085547465338all other23,28825,23348,521
3.00 age 75-79 at diagnosis64595359562913293 age 75-79 at diagnosis6459535956291Total66,75658,843125,599
4.00 age 80-84 at diagnosis55436149462542914 age 80-84 at diagnosis5543614946254MaleFemale
5.00 age 85 or more at diagnosis69817879773844165 age 85 or more at diagnosis6981787977384cancsite Major Cancer Typesbreast0.03,2113,211
Total32533430032630915941771Total3253343003263091594prostate4,9950.04,995
3.00 prostate.00 No1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis12791388132914301291671766963.00 prostate0 No1.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis127913881329143012916717colo-rectal1,4761,7703,246
2.00 age 70-74 at diagnosis13391419148316111537738973542 age 70-74 at diagnosis133914191483161115377389lung2,2221,7413,963
3.00 age 75-79 at diagnosis9451015107811921161539153473 age 75-79 at diagnosis94510151078119211615391all other4,6585,0479,704
4.00 age 80-84 at diagnosis492506560591621277027504 age 80-84 at diagnosis4925065605916212770Total13,35111,76925,120
5.00 age 85 or more at diagnosis285294293335344155115245 age 85 or more at diagnosis2852942933353441551
Total434046224743515949542381823671Total4340462247435159495423818
1.00 Yes1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis67685769473083291 Yes1.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis6768576947308
2.00 age 70-74 at diagnosis50455667742923272 age 70-74 at diagnosis5045566774292
3.00 age 75-79 at diagnosis43394359462302743 age 75-79 at diagnosis4339435946230
4.00 age 80-84 at diagnosis37223632271541744 age 80-84 at diagnosis3722363227154
5.00 age 85 or more at diagnosis30433835281742015 age 85 or more at diagnosis3043383528174
Total22721723026222211581305Total2272172302622221158
4.00 colo-rectal.00 No2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis245242259268227124112184.00 colo-rectal0 No2.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis2452422592682271241
2.00 age 70-74 at diagnosis320317318300301155615282 age 70-74 at diagnosis3203173183003011556
3.00 age 75-79 at diagnosis340362393389318180217723 age 75-79 at diagnosis3403623933893181802
4.00 age 80-84 at diagnosis308310358312276156415384 age 80-84 at diagnosis3083103583122761564
5.00 age 85 or more at diagnosis301316304279291149114675 age 85 or more at diagnosis3013163042792911491
Total1514154716321548141376547523Total151415471632154814137654
1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis350320318291299157815671.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis3503203182912991578
2.00 age 70-74 at diagnosis369389401382324186518452 age 70-74 at diagnosis3693894013823241865
3.00 age 75-79 at diagnosis316313318303291154115273 age 75-79 at diagnosis3163133183032911541
4.00 age 80-84 at diagnosis216233221231194109510904 age 80-84 at diagnosis2162332212311941095
5.00 age 85 or more at diagnosis1641561621471487777645 age 85 or more at diagnosis164156162147148777
Total1415141114201354125668566793Total141514111420135412566856
1.00 Yes2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis33312539261541771 Yes2.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis3331253926154
2.00 age 70-74 at diagnosis54513751502432712 age 70-74 at diagnosis5451375150243
3.00 age 75-79 at diagnosis52434345432262563 age 75-79 at diagnosis5243434543226
4.00 age 80-84 at diagnosis46444346562352614 age 80-84 at diagnosis4644434656235
5.00 age 85 or more at diagnosis70696163763393635 age 85 or more at diagnosis7069616376339
Total25523820924425111971328Total2552382092442511197
1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis25152224241101211.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis2515222424110
2.00 age 70-74 at diagnosis25273028251351552 age 70-74 at diagnosis2527302825135
3.00 age 75-79 at diagnosis21242022181051193 age 75-79 at diagnosis2124202218105
4.00 age 80-84 at diagnosis141916141881864 age 80-84 at diagnosis141916141881
5.00 age 85 or more at diagnosis1714201726941075 age 85 or more at diagnosis171420172694
Total10299108105111525588Total10299108105111525
5.00 lung.00 No2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis412381393360307185318155.00 lung0 No2.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis4123813933603071853
2.00 age 70-74 at diagnosis400405440433406208420492 age 70-74 at diagnosis4004054404334062084
3.00 age 75-79 at diagnosis364325366351332173817073 age 75-79 at diagnosis3643253663513321738
4.00 age 80-84 at diagnosis172223220213239106710534 age 80-84 at diagnosis1722232202132391067
5.00 age 85 or more at diagnosis1051201361311456376295 age 85 or more at diagnosis105120136131145637
Total1453145415551488142973797253Total145314541555148814297379
1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis628558531545430269226621.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis6285585315454302692
2.00 age 70-74 at diagnosis654627645569587308230482 age 70-74 at diagnosis6546276455695873082
3.00 age 75-79 at diagnosis436464448467450226522463 age 75-79 at diagnosis4364644484674502265
4.00 age 80-84 at diagnosis291261274259227131213024 age 80-84 at diagnosis2912612742592271312
5.00 age 85 or more at diagnosis1261561431381447076985 age 85 or more at diagnosis126156143138144707
Total21352066204119781838100589956Total2135206620411978183810058
1.00 Yes2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis88867081603854231 Yes2.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis8886708160385
2.00 age 70-74 at diagnosis52816381653423772 age 70-74 at diagnosis5281638165342
3.00 age 75-79 at diagnosis53575352532682993 age 75-79 at diagnosis5357535253268
4.00 age 80-84 at diagnosis43283744291811954 age 80-84 at diagnosis4328374429181
5.00 age 85 or more at diagnosis26282937281481565 age 85 or more at diagnosis2628293728148
Total26228025229523513241450Total2622802522952351324
1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis60707181573393691.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis6070718157339
2.00 age 70-74 at diagnosis63606359502953292 age 70-74 at diagnosis6360635950295
3.00 age 75-79 at diagnosis41553051612382573 age 75-79 at diagnosis4155305161238
4.00 age 80-84 at diagnosis2125152017981084 age 80-84 at diagnosis212515201798
5.00 age 85 or more at diagnosis201111271483925 age 85 or more at diagnosis201111271483
Total20522119023819910531155Total2052211902381991053
6.00 all other.00 No2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis887901880855746426942256.00 all other0 No2.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis8879018808557464269
2.00 age 70-74 at diagnosis10971149103210171059535452932 age 70-74 at diagnosis109711491032101710595354
3.00 age 75-79 at diagnosis10029869931007935492348623 age 75-79 at diagnosis100298699310079354923
4.00 age 80-84 at diagnosis704765735824814384237934 age 80-84 at diagnosis7047657358248143842
5.00 age 85 or more at diagnosis658690738714694349434395 age 85 or more at diagnosis6586907387146943494
Total434844914378441742482188221612Total4348449143784417424821882
1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis1201109610591095885533653021.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis12011096105910958855336
2.00 age 70-74 at diagnosis11791184119311231223590258582 age 70-74 at diagnosis117911841193112312235902
3.00 age 75-79 at diagnosis9321019104410431046508450403 age 75-79 at diagnosis93210191044104310465084
4.00 age 80-84 at diagnosis658621660675646326032414 age 80-84 at diagnosis6586216606756463260
5.00 age 85 or more at diagnosis426425452471458223222135 age 85 or more at diagnosis4264254524714582232
Total439643454408440742582181421654Total4396434544084407425821814
1.00 Yes2.00 Femaleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis122114110118935576011 Yes2.00 Femaleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis12211411011893557
2.00 age 70-74 at diagnosis1211501181511356757362 age 70-74 at diagnosis121150118151135675
3.00 age 75-79 at diagnosis1241481451521507197803 age 75-79 at diagnosis124148145152150719
4.00 age 80-84 at diagnosis1281131091261055816304 age 80-84 at diagnosis128113109126105581
5.00 age 85 or more at diagnosis1851611591671478198745 age 85 or more at diagnosis185161159167147819
Total68068664171463033513621Total6806866417146303351
1.00 Maleagegroup 5 groups for age-adjusting incidence1.00 age 65-69 at diagnosis87937471774024361.00 Maleagegroup 5 groups for age-adjusting incidence1 age 65-69 at diagnosis8793747177402
2.00 age 70-74 at diagnosis74827073793784222 age 70-74 at diagnosis7482707379378
3.00 age 75-79 at diagnosis55664563612903343 age 75-79 at diagnosis5566456361290
4.00 age 80-84 at diagnosis41363336371832024 age 80-84 at diagnosis4136333637183
5.00 age 85 or more at diagnosis53413249462212405 age 85 or more at diagnosis5341324946221
Total31031825429230014741634Total3103182542923001474
172768773
176708078
173196464
153554574
255805337
females
males
Age Groups in 2000
Number of Cases
Medicaid (Dually Eligible) Population by Age Group and Gender
Whole Population 65+Mcaid Eligibles 65+Mcare only Population 65+ (whole - Mcaid)NATIONAL STANDARDIZED POPULATION
State population figures from michigan.gov website98-2000 numbers from Tom's final Mcaid enrollee table. 96-97 estimates based on 98-00 proportions.census
females19961997199819992000females19961997199819992000females19961997199819992000whitefemales2000
65-69192,415188,012182,150178,428177,15665-6917,14616,66516,71217,14917,27665-69175,269171,347165,438161,279159,88065-695,133,183
70-74178,697177,480177,767176,081173,97270-7416,83617,06117,10217,44417,67070-74161,861160,419160,665158,637156,30270-744,954,529
75-79146,926149,846151,604152,847154,10375-7915,49715,64915,97816,90517,31975-79131,429134,197135,626135,942136,78475-794,371,357
80-84103,631105,889108,058109,393110,73180-8414,84114,56414,72615,05115,35580-8488,79091,32593,33294,34295,37680-843,110,470
85+92,73994,95697,820100,071102,97485+26,33926,15525,54525,76425,58085+66,40068,80172,27574,30777,39485+3,012,589
Total714,408716,183717,399716,820718,936Total90,65990,09490,06392,31393,200Total623,749626,089627,336624,507625,736Total20,582,128
males19961997199819992000males19961997199819992000males19961997199819992000whitemales2000
65-69163,278159,109153,791151,468151,05065-698,4338,2178,2228,4558,77365-69154,845150,892145,569143,013142,27765-694,400,362
70-74138,013138,499139,662139,494139,11170-746,9867,0757,2937,8158,07870-74131,027131,424132,369131,679131,03370-743,902,912
75-7997,715100,800102,831104,984106,96975-795,3055,5465,7616,2166,46475-7992,41095,25497,07098,768100,50575-793,044,456
80-8457,69859,15860,45862,09563,69980-844,2584,2194,1554,3644,57480-8453,44054,93956,30357,73159,12580-841,834,897
85+35,30536,64938,29239,71341,58885+5,5015,3985,2575,4165,33785+29,80431,25133,03534,29736,25185+1,226,998
Total492,009494,215495,034497,754502,417Total304833045530,68832,26633,226Total461,526463,760464,346465,488469,191Total14,409,625
ALLcensus
Total females9065990094900639231393200Female2000
Total Males304833045530688322663322665-695,133,183
953354570-744,954,529
crosscheck proportions1.001.001.001.001.00885744175-794,371,357
0.000.000.000.000.00741581380-843,110,470
1.001.001.001.001.00494536785+3,012,589
0.000.000.000.000.004239587Total20,582,128
1.001.001.001.001.00
0.000.000.000.000.00Male2000
1.001.001.001.001.0065-694,400,362
0.000.000.000.000.0070-743,902,912
75-793,044,456
80-841,834,897
85+1,226,998
Total14,409,625
Both
65-6995335459,533,545
70-7488574418,857,441
75-7974158137,415,813
80-8449453674,945,367
85+42395874,239,587
Total34,991,75334,991,753
00000
00000
00000
00000
00000
65-69
70-74
75-79
80-84
85+
Female Mcaidicaid
00000
00000
00000
00000
00000
65-69
70-74
75-79
80-84
85+
Male Medicaid
00000
00000
00000
00000
00000
65-69
70-74
75-79
80-84
85+
Females
00000
00000
00000
00000
00000
65-69
70-74
75-79
80-84
85+
Males
159880142277
156302131033
136784100505
9537659125
7739436251
females
males
Age Groups in 2000
Number of Cases
Medicare Only Population by Age Group and Gender
Calculate Incidence for Medicaid:Medicaid cancers = Number of people eligible for Medicaid for at least 1 month within the same calendar year as date of diagnosisMedicaid population = number of Medicaid eligibles within that year Medicaid cancers divided by Medicaid population times 10,000Want to Compare Medicare only and Dually Eligible Cancer Rates
Want to compare Medicare Only and Dually Eligible Cancer Rates
Calculate Incidence for MedicareMedicare cancers = total number of cancers minus Medicaid cancers Medicare population = Total Michigan population Medicaid populationMedicare cancers divided by Medicare population * 1000
Differences in Profiles of Medicare only and Dually Eligible Population by Age and Gender
ratios
SEPARATELY BY SEXBOTH SEXES
Incidence Rates
1996199719981999200019961997199819992000
Breast CancerBREAST
Dual380389334365340Dual380389334365340
Mcare446467476472441Mcare446467476472441
Difference-67-79-142-107-101Difference-67-79-142-107-101
Ratio0.850.830.700.770.77Ratio0.850.830.700.770.77
ProstatePROSTATE
Dual765708749830682Dual765708749830682
Mcare944996101911051053Mcare944996101911051053
Difference-179-288-270-275-371Difference-179-288-270-275-371
Ratio0.810.710.740.750.65Ratio0.810.710.740.750.65
ColorectalCOLO-RECTAL
MaleDual339330348326318Dual306289276291282
Mcare316311310293269Mcare281280285269246
Difference2319383349Difference259-92136
Ratio1.071.061.121.111.18Ratio1.091.030.971.081.15
FemaleDual282261226266257LUNG
Mcare256259268253230Dual492541464529429
Difference262-421327Mcare326320326314295
Ratio1.101.010.841.051.12Difference166221138216134
Ratio1.511.691.421.691.46
Lung
MaleDual719792671771635OTHER
Mcare464448440425391Dual866911778839780
Difference255344232346244Mcare822823813814777
Ratio1.551.771.531.821.62Difference4488-35252
Ratio1.051.110.961.031.00
FemaleDual333365318360285
Mcare229230246236227ALL
Difference1041357312457Dual22022262202322151972
Ratio1.451.591.301.521.25Mcare20802108212421302011
Difference122154-10185-39
OtherRatio1.061.070.951.040.98
MaleDual10261084853906909
Mcare972952959954909
Difference53133-106-48-1
Ratio1.061.140.890.951.00
FemaleDual754790726792690
Mcare716733711717685
Difference375715765
Ratio1.051.081.021.111.01
All sites
MaleDual28482914262128332544
Mcare26962706272827772623
Difference152208-10657-79
Ratio1.061.080.961.020.97
FemaleDual17491805160417831572
Mcare16481689170116771583
Difference101116-96105-11
Ratio1.061.070.941.060.99
summ
Summary from individual spread sheets BY SEX
Incidence rates by sex and year per 100,000
Breast Cancer19961997199819992000
FemaleDual380389334365340
Mcare446467476472441
Prostate
MaleDual765708749830682
Mcare944996101911051053
Colorectal
maleDual339330348326318
Mcare316311310293269
FemaleDual282261226266257
Mcare256259268253230
Lung
maleDual719792671771635
Mcare464448440425391
FemaleDual333365318360285
Mcare229230246236227
Other
maleDual10261084853906909
Mcare972952959954909
FemaleDual754790726792690
Mcare716733711717685
All sites
maleDual28482914262128332544
Mcare26962706272827772623
FemaleDual17491805160417831572
Mcare16481689170116771583
summ
00
00
00
00
00
Dual
Mcare
Breast Cancer incidence rate
breast by age
00
00
00
00
00
Dual
Mcare
Prostate Cancer incidence rate
breast
00
00
00
00
00
Dual
Mcare
Female colorectal Cancer incidence
prostate by age
00
00
00
00
00
Dual
Mcare
Male colorectal Cancer incidence
prostate
00
00
00
00
00
Dual
Mcare
Male lung Cancer incidence
colo-r by age
00
00
00
00
00
Dual
Mcare
Female lung Cancer incidence
colo-r
00
00
00
00
00
Dual
Mcare
Female all sites Cancer incidence
lung by age
00
00
00
00
00
Dual
Mcare
Male all sites Cancer incidence
lung
384.70407948451.375215284
392.4827558833484.9688167334
358.812724529479.9460513142
341.0426617738455.3077225345
296.9300997505413.1872163412
Female Dual
Female Mcare only
Age
Incidence
Medicare Only and Dually Eligible Breast Cancer Incidence Ratios by Age Groups
other by age
BREAST
# of cancersPopulationannual incidenceStandardized against nat pop 2000Incidence Rate, age adjusted
Females00Females0
19961997199819992000199619971998199920001996199719981999200019961997199819992000FEMALES19961997199819992000
DualDualDualDual0
65-69776654656565-6917,14616,66516,71217,14917,27665-6944939632337937638565-692,305,232,0722,032,943,7621,658,639,7921,945,634,7021,931,331,877Dually Eligible380389334365340
70-74608554746570-7416,83617,06117,10217,44417,67070-7435649831642436839270-741,765,691,0192,468,407,2741,564,405,1342,101,783,6851,822,548,868Medicare only446467476472441
75-79645953595675-7915,49715,64915,97816,90517,31975-7941337733234932335975-791,805,296,8191,648,092,9321,450,005,7641,525,643,6731,413,453,386All Mich436456459458427
80-84554361494680-8414,84114,56414,72615,05115,35580-8437129541432630034180-841,152,724,547918,361,7821,288,460,3421,012,643,877931,824,292
85+698178797785+26,33926,15525,54525,76425,58085+26231030530730129785+789,204,757932,975,374919,874,504923,748,374906,838,753
FEMALESBreast
Total325334300326309Total90,65990,09490,06392,31393,200Total358371333353332349Total7,818,149,2148,000,781,1256,881,385,5367,509,454,3117,005,997,176
Mcare onlyMcare onlyMcare onlyMcare only
65-6975580080778062065-69175,269171,347165,438161,279159,88065-6943146748848438845165-692,211,202,8742,396,625,7942,503,946,3012,482,581,5761,990,601,364
70-7477978979177773470-74161,861160,419160,665158,637156,30270-7448149249249047048570-742,384,501,5732,436,820,6892,439,257,1122,426,715,7302,326,665,229
75-7960467267067261775-79131,429134,197135,626135,942136,78475-7946050149449445148075-792,008,917,0792,188,984,7792,159,474,7252,160,886,1901,971,814,883
80-8438840341042348780-8488,79091,32593,33294,34295,37680-8443744143944851145580-841,359,232,3011,372,591,7441,366,404,5561,394,637,3941,588,239,064
85+27027931830930885+66,40068,80172,27574,30777,39485+40740644041639841385+1,224,998,5391,221,657,1431,325,497,4781,252,762,1911,198,900,964
Total2,7962,9432,9962,9612,766Total623,749626,089627,336624,507625,736Total448470478474442462Total9,188,852,3669,616,680,1499,794,580,1719,717,583,0809,076,221,503
All MichAll MichAll MichAll Mich
65-6983286686184568565-69192,415188,012182,150178,428177,15665-6943246147347438765-692,219,581,7662,364,389,7612,426,390,6472,430,974,7551,984,821,488
70-7483987484585179970-74178,697177,480177,767176,081173,97270-7447049247548345970-742,326,200,1212,439,857,0802,355,092,3432,394,525,3492,275,463,104
75-7966873172373167375-79146,926149,846151,604152,847154,10375-7945548847747843775-791,987,440,2602,132,497,3422,084,701,6642,090,627,8611,909,062,939
80-8444344647147253380-84103,631105,889108,058109,393110,73180-8442742143643148180-841,329,658,3171,310,116,8391,355,782,4221,342,080,2431,497,214,430
85+33936039638838585+92,73994,95697,820100,071102,97485+36637940538837485+1,101,227,8231,142,141,6661,219,571,9121,168,055,2131,126,349,142
Total3,1213,2773,2963,2873,075Total714,408716,183717,399716,820718,936Total437458459459428Total8,964,108,2879,389,002,6889,441,538,9889,426,263,4208,792,911,102
Population
00000
00
0
08,4338,2178,2228,4558,773
06,9867,0757,2937,8158,078
05,3055,5465,7616,2166,464
04,2584,2194,1554,3644,574
05,5015,3985,2575,4165,337
030,48330,45530,68832,26633,226
0
0154,845150,892145,569143,013142,277
0131,027131,424132,369131,679131,033
092,41095,25497,07098,768100,505
053,44054,93956,30357,73159,125
029,80431,25133,03534,29736,251
0461,526463,760464,346465,488469,191
0
0163,278159,109153,791151,468151,050
0138,013138,499139,662139,494139,111
097,715100,800102,831104,984106,969
057,69859,15860,45862,09563,699
035,30536,64938,29239,71341,588
0492,009494,215495,034497,754502,417
other by age
00
00
00
00
00
Dually Eligible
Medicare only
other
733.4264436317913.2227175338
778.6026264671123.6815721886
784.19218136671112.1524933786
716.0788641795982.0658274917
647.1330285198941.9313260776
Dual
Mcare only
Age
Incidence
Medicare Only and Dually Eligible Prostate Cancer Incidence Ratios by Age Groups
all by age
Prostate
# of cancersPopulationannual incidenceStandardized against nat pop 2000Incidence Rate, age adjusted
0Males0Males0Males0
19961997199819992000199619971998199920001996199719981999200019961997199819992000Males19961997199819992000
DualDualDualDual0
65-69676857694765-698,4338,2178,2228,4558,77365-6979482869381653673365-693,496,077,9563,641,531,1673,050,603,6733,591,070,1122,357,426,354Dually Eligible765708749830682
70-74504556677470-746,9867,0757,2937,8158,07870-7471663676885791677970-742,793,381,0482,482,417,5272,996,888,4143,346,066,5903,575,334,093Medicare only9449961,0191,1051,053
75-79433943594675-795,3055,5465,7616,2166,46475-7981170374694971278475-792,467,702,3192,140,890,4442,272,376,4622,889,686,3582,166,537,376All Mich9319791,0031,0871,028
80-84372236322780-844,2584,2194,1554,3644,57480-8486952186673359071680-841,594,438,445956,808,1061,589,802,4551,345,479,0101,083,126,782
85+304338352885+5,5015,3985,2575,4165,33785+54579772364652564785+669,149,973977,415,969886,930,264792,927,068643,731,385
Total227217230262222Total30,48330,45530,68832,26633,226Total745713749812668737Total11,020,749,74010,199,063,21210,796,601,26811,965,229,1389,826,155,989Prostate
Mcare onlyMcare onlyMcare onlyMcare only
65-691,2791,3881,3291,4301,29165-69154,845150,892145,569143,013142,27765-698269209131,00090791365-693,634,643,0294,047,731,1304,017,394,5684,399,962,0033,992,821,989
70-741,3391,4191,4831,6111,53770-74131,027131,424132,369131,679131,03370-741,0221,0801,1201,2231,1731,12470-743,988,490,2874,214,018,8464,372,638,9834,774,938,4734,578,064,872
75-799451,0151,0781,1921,16175-7992,41095,25497,07098,768100,50575-791,0231,0661,1111,2071,1551,11275-793,113,311,2433,244,087,2193,380,986,4723,674,258,4163,516,853,307
80-8449250656059162180-8453,44054,93956,30357,73159,12580-849219219951,0241,05098280-841,689,313,8551,689,979,5811,825,022,3261,878,408,7011,927,223,741
85+28529429333534485+29,80431,25133,03534,29736,25185+95694188797794994285+1,173,313,7501,154,322,7801,088,271,2701,198,484,7951,164,346,672
Total4,3404,6224,7435,1594,954Total461,526463,760464,346465,488469,191Total9409971,0211,1081,0561,025Total13,599,072,16414,350,139,55614,684,313,61815,926,052,38815,179,310,582
All MichAll MichAll MichAll Mich
65-691,3461,4561,3861,4991,33865-69163,278159,109153,791151,468151,05065-6982491590199088665-693,627,486,4054,026,753,4033,965,707,8324,354,809,3583,897,838,038
70-741,3891,4641,5391,6781,61170-74138,013138,499139,662139,494139,11170-741,0061,0571,1021,2031,15870-743,927,995,7454,125,562,7614,300,798,7634,694,887,4764,519,837,563