Activity Report Michigan Cancer Surveillance Program

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


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


Mcare716733711717685

Difference375715765

Ratio1.051.081.021.111.01

All sites

MaleDual28482914262128332544

Mcare26962706272827772623


Ratio1.061.080.961.020.97

FemaleDual17491805160417831572

Mcare16481689170116771583


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


Mcare446467476472441

Prostate

MaleDual765708749830682

Mcare944996101911051053

Colorectal

maleDual339330348326318

Mcare316311310293269


Mcare256259268253230

Lung

maleDual719792671771635

Mcare464448440425391


Mcare229230246236227

Other

maleDual10261084853906909

Mcare972952959954909


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


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


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


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


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


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


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



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


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



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



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


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



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


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



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



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


lung


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


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



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



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




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



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


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



All other cancers


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



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


All other cancers


19961997199819992000199619971998199920001996199719981999200019961997199819992000


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


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



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



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




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



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


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


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


19961997199819992000199619971998199920001996199719981999200019961997199819992000


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


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


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


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




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



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





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





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





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


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





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





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





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





Total25523820924425111971328Total2552382092442511197






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





Total1453145415551488142973797253Total145314541555148814297379






Total21352066204119781838100589956Total2135206620411978183810058






Total26228025229523513241450Total2622802522952351324






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





Total434844914378441742482188221612Total4348449143784417424821882






Total439643454408440742582181421654Total4396434544084407425821814






Total68068664171463033513621Total6806866417146303351






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


Ratio0.850.830.700.770.77Ratio0.850.830.700.770.77

ProstatePROSTATE

Dual765708749830682Dual765708749830682

Mcare944996101911051053Mcare944996101911051053


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


Mcare229230246236227ALL

Difference1041357312457Dual22022262202322151972

Ratio1.451.591.301.521.25Mcare20802108212421302011


OtherRatio1.061.070.951.040.98

MaleDual10261084853906909

Mcare972952959954909

Difference53133-106-48-1

Ratio1.061.140.890.951.00


Mcare716733711717685

Difference375715765

Ratio1.051.081.021.111.01

All sites

MaleDual28482914262128332544

Mcare26962706272827772623


Ratio1.061.080.961.020.97

FemaleDual17491805160417831572

Mcare16481689170116771583


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


Mcare446467476472441

Prostate

MaleDual765708749830682

Mcare944996101911051053

Colorectal

maleDual339330348326318

Mcare316311310293269


Mcare256259268253230

Lung

maleDual719792671771635

Mcare464448440425391


Mcare229230246236227

Other

maleDual10261084853906909

Mcare972952959954909


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


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



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



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


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


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


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


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

Documents

Activity Report Michigan Cancer Surveillance Program