Table 7
Invasive Colorectal Cancer
Incidence & Mortality Trends
Michigan Residents,1985-2021
Year of
Diagnosis
or Death
Cases Diagnosed Deaths
Number Age-Adjusted
Rate
National
Rate
Number Age-Adjusted
Rate
National
Rate
2021 --- ---   ---   1,849   14.4  ±0.6 ---  
2020 4,037   32.1  ±1.0 ---   1,838   14.3  ±0.6 ---  
2019 4,821   38.5  ±1.1 36.3   1,743   13.4  ±0.6 12.8  
2018 4,707   37.5  ±1.1 37.1   1,717   13.4  ±0.6 13.1  
2017 4,909   39.9  ±1.1 37.6   1,744   13.9  ±0.6 13.5  
2016 4,908   40.2  ±1.1 38.5   1,758   14.0  ±0.6 13.7  
2015 4,732   39.2  ±1.1 38.9   1,735   14.1  ±0.6 14.0  
2014 4,732   39.7  ±1.1 39.3   1,766   14.6  ±0.6 14.1  
2013 4,632   39.3  ±1.1 39.3   1,766   14.9  ±0.7 14.5  
2012 4,706   40.4  ±1.1 39.8   1,721   14.6  ±0.6 14.7  
2011 4,700   41.2  ±1.1 41.0   1,803   15.7  ±0.7 15.1  
2010 4,841   42.9  ±1.2 41.8   1,791   15.9  ±0.7 15.5  
2009 4,989   44.8  ±1.2 43.8   1,833   16.4  ±0.7 15.8  
2008 5,011   45.9  ±1.2 45.9   1,820   16.6  ±0.7 16.5  
2007 5,315   49.2  ±1.3 47.1   1,812   16.8  ±0.7 16.9  
2006 5,386   50.8  ±1.3 48.3   1,894   17.8  ±0.7 17.3  
2005 5,401   51.5  ±1.3 49.8   1,929   18.5  ±0.7 17.6  
2004 5,316   51.6  ±1.3 51.1   1,872   18.3  ±0.7 18.1  
2003 5,623   55.3  ±1.3 52.7   1,916   18.9  ±0.8 19.1  
2002 5,643   56.4  ±1.4 53.7   1,935   19.4  ±0.8 19.8  
2001 5,558   56.3  ±1.4 54.9   1,899   19.3  ±0.8 20.2  
2000 5,443   55.8  ±1.4 55.7   1,958   20.2  ±0.8 20.7  
1999 5,473   56.8  ±1.4 56.0   2,049   21.4  ±0.8 20.9  
1998 5,794   60.9  ±1.5 ---   2,015   21.3  ±0.8 21.2  
1997 5,463   58.2  ±1.4 ---   2,024   21.7  ±0.8 21.5  
1996 5,384   58.1  ±1.4 ---   2,030   22.1  ±0.9 21.9  
1995 5,174   56.6  ±1.4 ---   2,047   22.6  ±0.9 22.6  
1994 5,241   58.3  ±1.5 ---   2,048   23.0  ±0.9 22.9  
1993 5,262   59.2  ±1.5 ---   2,027   23.1  ±0.9 23.3  
1992 5,551   63.3  ±1.5 ---   2,041   23.6  ±0.9 23.6  
1991 5,624   65.8  ±1.6 ---   2,129   25.3  ±1.0 24.0  
1990 5,459   64.7  ±1.6 ---   2,052   24.6  ±1.0 24.6  
1989 5,574   67.0  ±1.6 ---   2,079   25.4  ±1.0 25.0  
1988 5,134   62.6  ±1.6 ---   1,982   24.4  ±1.0 25.3  
1987 5,233   64.3  ±1.6 ---   1,913   23.9  ±1.0 25.9  
1986 5,139   64.0  ±1.6 ---   1,967   24.9  ±1.0 26.2  
1985 5,269   66.1  ±1.7 ---   2,102   27.0  ±1.0 26.9  
         

 

Notes:

Age-Adjusted Rates are per 100,000 population. Age-adjusted rates are computed by the direct method, using as the standard population the age distribution of the total population of the United States for the year 2000. Adding and subtracting the number shown after the ± symbol from the rate creates a confidence interval indicating that the true rate lies between the lower and upper bounds of this interval with 95 % statistical confidence. Underlying causes of death for 1985-1998 were classified in accordance with the Ninth Revision of the International Classification of Diseases (ICD-9). Beginning with 1999, causes of death were classified using ICD-10. Because the comparability between classifications for cancer deaths is high, the change should have little or no impact on comparisons of mortality statistics over time.

COVID-19 Pandemic: In 2020, the highly publicized impact of the COVID-19 pandemic on health services and the consequential delays and reductions in cancer screening and diagnosis led to a decline in the 2020 incidence rates for most cancer sites. Because 2020 was a temporary, anomalous year, it can bias estimates such as cancer incidence trends.

---: Not available.
Case: A case is defined as a person with any newly diagnosed cancer with a behavior code of 3 (malignant primary site). Both in-situ and invasive urinary bladder cancer cases are included, in order to be consistent with national tabulations from the National Cancer Institute.
Source of Michigan Cases Diagnosed: Michigan Resident Cancer Incidence File. Updated with cases processed through November 30, 2022. Division for Vital Records & Health Statistics, Michigan Department of Health & Human Services.
Source of Michigan Death Data: 1985 - 2021 Michigan Resident Death Files, Division for Vital Records & Health Statistics, Michigan Department of Health & Human Services.
Source of National CDC Data: U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999 - 2018 Incidence and Mortality Web-based Report. Atlanta : U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2022. Available at: www.cdc.gov/uscs.
Last Updated: April 13, 2023
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