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Figure 2.1. Adults ages 50-75 who reported having colorectal cancer screening, by age and insurance, 2000, 2003, 2005, 2008, and 2010
Insurance
2000
2003
2005
2008
2010
Total, 50-64
30.0
35.6
40.2
48.3
55.0
Private
32.3
38.7
43.8
53.9
61.4
Public Only
29.2
36.6
42.6
46.3
55.3
Uninsured
14.3
14.7
16.2
18.8
21.0
Insurance
2000
2003
2005
2008
2010
Total, 65-75
42.8
47.8
55.0
60.5
67.8
Medicare and Private
47.5
50.9
60.1
66.5
73.4
Medicare and Public
26.8
49.8
52.4
59.5
66.6
Medicare Only
36.2
39.6
47.1
50.3
61.3
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2000, 2003, 2005, 2008, and 2010. Denominator: Civilian noninstitutionalized population ages 50-75. Note: Rates are age adjusted to the 2000 U.S. standard population. Colorectal cancer screening includes blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or colonoscopy in the past 10 years.
Figure 2.3. Adults age 50 and over who have advanced stage colorectal cancer, per 100,000 population, by age and gender, 2000-2008
Age Group
2000
2001
2002
2003
2004
2005
2006
2007
2008
50-64
49.1
48.4
47.3
46.6
43.6
42.1
41.4
40.7
39.4
65+
163.3
159.0
153.7
149.8
133.1
127.5
123.2
118.9
113.3
Gender
2000
2001
2002
2003
2004
2005
2006
2007
2008
Male
119.9
116.7
113.2
110.6
99.3
95.1
91.0
88.6
85.0
Female
87.4
85.5
82.9
80.8
73.0
70.2
69.2
66.7
63.7
Source: Centers for Disease Control and Prevention, National Program of Cancer Registries and National Cancer Institute, Surveillance, Epidemiology, and End Results (SEER) Program, 2000-2008. Registries meeting United States Cancer Statistics publication criteria for every year, 2000-2008, are included and cover 90.1% of the total U.S. population. States excluded are Arkansas, Washington DC, Mississippi, North Carolina, South Dakota, Tennessee, and Virginia. Denominator: Adults age 50 and over. Note: For this measure, lower rates are better. Age adjusted to the 2000 U.S. standard population. Advanced stage colorectal cancer is defined as regional or distant stage.
Figure 2.4. Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined, by residence location and insurance, 2004-2009
Location
2004
2005
2006
2007
2008
2009
Large Metropolitan
57.7
62.6
69.2
78.7
82.5
84.8
Small Metropolitan
54.3
60.3
67.2
77.5
80.9
83.5
Micropolitan
48.1
52.7
61.2
73.7
77.8
81.1
Noncore
53.0
58.4
66.0
74.8
80.8
83.4
Insurance
2004
2005
2006
2007
2008
2009
Total
55.4
60.5
67.4
77.4
81.4
83.9
Private
60.5
65.3
72.1
80.8
84.8
86.4
Public Only
56.2
62.6
69.0
76.5
80.2
83.8
Uninsured/Other
60.1
64.4
70.0
80.6
82.6
86.1
Source: Commission on Cancer, American College of Surgeons and American Cancer Society, National Cancer Data Base, 2004-2009. Denominator: U.S. population.
Figure 2.5. Age-adjusted colorectal cancer deaths per 100,000 population, by gender and residence location, 2004-2009
Gender
2004
2005
2006
2007
2008
2009
Total
18.0
17.5
17.2
16.9
16.5
16
Female
15.3
14.8
14.7
14.4
14.1
13.5
Male
21.5
20.9
20.5
20.1
19.6
19.3
Location
2004
2005
2006
2007
2008
2009
Large Central MSA
18.0
17.2
17.2
16.5
16.3
16
Large Fringe MSA
17.9
17.4
17.0
16.7
16.1
15.4
Medium MSA
17.2
16.9
16.6
16.1
15.9
15.2
Small MSA
17.4
17.3
16.9
17.0
16.5
16.2
Micropolitan
18.9
18.5
18.1
18.3
17.9
16.9
Noncore
19.8
19.0
18.7
18.9
18.7
18.8
Key: MSA = metropolitan statistical area. Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Mortality, 2004-2009. Denominator: U.S. population. Note: For this measure, lower rates are better. Total rate is age adjusted to the 2000 U.S. standard population.
Figure 2.6. Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high, by gender and insurance (ages 18-64), 1998, 2003, and 2008
Gender
1998
2003
2008
Total
90.1
90.4
92.9
Male
87.5
87.7
90.6
Female
92.7
93.0
94.9
Insurance
1998
2003
2008
Private
92.2
92.6
94.8
Public
91.7
93.1
94.2
Uninsured
77.3
77.6
82.0
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 1998, 2003, and 2008. Denominator: Civilian noninstitutionalized population age 18 and over. Note: Rates are age adjusted to the 2000 U.S. standard population. Rates by age are not age adjusted. Insurance status refers to adults ages 18-64.
Figure 2.7. Adults with hypertension whose blood pressure is under control, by age and gender, 1988-1994, 1999-2002, 2003-2006, and 2007-2010
Age Group
1999-2002
2003-2006
2007-2010
Total
29.4
36.2
45.9
18-39
20.9
26.4
37.0
40-59
38.7
44.1
52.7
60+
30.4
41.9
51.6
Gender
1988-1994
1999-2002
2003-2006
2007-2010
Total
23.1
29.4
36.2
45.9
Male
17.0
27.1
34.7
39.9
Female
32.0
35.1
44.0
55.1
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health and Nutrition Examination Survey, 1988-1994, 1999-2002, 2003-2006, and 2007-2010. Denominator: U.S. civilian noninstitutionalized population age 18 and over. Note: Rates are age adjusted to the 2000 U.S. standard population. Rates by age are not age adjusted.
Figure 2.8. Inpatient deaths per 1,000 adult hospital admissions with heart attack, by gender and expected payment source, 2004-2009
Gender
2004
2005
2006
2007
2008
2009
Total
81.7
76.3
71.6
66.1
58.8
54.1
Male
73.0
69.6
62.0
59.7
52.9
48.9
Female
100.4
92.3
85.7
77.1
69.5
61.3
Expected Payment Source
2004
2005
2006
2007
2008
2009
Private Insurance
73.4
71.6
69.1
63.5
60.6
53.0
Medicare
82.2
76.2
71.0
65.4
57.3
52.9
Medicaid
89.8
79.8
75.8
74.7
63.6
57.8
Uninsured
97.3
96.2
89.0
88.1
84.1
75.5
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators modified version 4.1, 2004-2009. Denominator: Adults age 18 and over admitted to a non-Federal community hospital in the United States with acute myocardial infarction as principal discharge diagnosis. Note: For this measure, lower rates are better. Rates are adjusted by age, Major Diagnostic Category, All Payer Refined-Diagnosis Related Group risk of mortality score, and transfers into the hospital.
Figure 2.9. Hospital patients with heart failure and left ventricular systolic dysfunction prescribed ACE inhibitor or ARB at discharge, by age and gender, 2005-2010
Figure 2.11. New adult end stage renal disease patients beginning nephrology care more than 12 months before start of dialysis, by age and gender, 2008-2009
Figure 2.13. Standardized mortality rates on dialysis, by State or territory, 2009/2010
State
Rate
Vermont
0.81
South Dakota
0.82
District of Columbia
0.84
Colorado
0.85
Montana
0.8
North Dakota
0.87
Massachusetts
0.87
New Hampshire
0.88
Minnesota
0.89
Delaware
0.90
Connecticut
0.90
Maine
0.90
Wisconsin
0.91
Alaska
0.91
New Mexico
0.92
Hawaii
0.92
New Jersey
0.94
Nebraska
0.94
Indiana
0.95
Oregon
0.96
California
0.96
Tennessee
0.96
Arizona
0.97
Ohio
0.97
New York
0.97
Washington
0.97
Iowa
0.98
Michigan
0.98
Pennsylvania
1.00
Nevada
1.00
Illinois
1.00
Rhode Island
1.00
North Carolina
1.01
Wyoming
1.01
Kansas
1.01
Utah
1.02
Missouri
1.03
Texas
1.04
Georgia
1.04
Oklahoma
1.05
Kentucky
1.06
Mississippi
1.07
Idaho
1.07
Alabama
1.10
Maryland
1.11
Virginia
1.11
Florida
1.11
Arkansas
1.12
Louisiana
1.12
South Carolina
1.13
West Virginia
1.20
Northern Marianas
1.34
American Samoa
1.56
Puerto Rico
1.59
Guam
2.05
Source: University of Michigan Kidney Epidemiology and Cost Center, 2010 Dialysis Facility Report. Denominator: End stage renal disease hemodialysis patients age 20 and over. Note: For this measure, rates for 2009 and 2010 are averaged. Lower rates are better.
Figure 2.14. Dialysis patients who were registered on a waiting list for transplantation, by age and gender, 2000-2008
Age Group
2000
2001
2002
2003
2004
2005
2006
2007
2008
0-19
40.5
41.5
43.1
47.4
44.9
48.8
50.4
50.1
48.9
20-39
27.8
26.7
27.3
25.5
26.6
25.9
27.9
26.6
27.0
40-59
16.5
16.2
15.8
16.1
16.6
17.0
17.8
18.1
17.5
60-69
6.8
6.8
7.6
8.1
9.0
9.8
10.9
11.1
11.8
Gender
2000
2001
2002
2003
2004
2005
2006
2007
2008
Total
14.7
14.3
14.5
14.7
15.4
15.9
17.0
17.0
17.0
Male
16.0
15.2
15.9
15.9
16.6
17.0
18.1
18.0
17.9
Female
13.1
13.2
12.9
13.2
13.8
14.4
15.4
15.7
15.9
Source: National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Renal Data System, 2000-2008. Denominator: End stage renal disease hemodialysis patients and peritoneal dialysis patients under age 70.
Figure 2.15. Adults age 40 and over with diagnosed diabetes who reported receiving four recommended services for diabetes in the calendar year (2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot), by age and residence location, 2008-2009
Age Group
2008
2009
Total
21.0
23.2
40-59
16.0
18.4
60+
29.0
30.9
Location
2008
2009
Large Central MSA
18.6
20.9
Large Fringe MSA
21.1
27.9
Medium MSA
20.0
26.8
Small MSA
22.3
22.6
Micropolitan
27.5
19.4
Noncore
13.6
Key: MSA = metropolitan statistical area. Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2008-2009. Denominator: Civilian noninstitutionalized population with diagnosed diabetes, age 40 and over. Note: Data include people with both type 1 and type 2 diabetes. Rates are age adjusted to the 2000 U.S. standard population. The noncore sample size in 2008 did not meet requirements for statistical reliability, data quality, or confidentiality.
Figure 2.16. Adults age 40 and over with diagnosed diabetes with hemoglobin A1c and blood pressure under control, by age, 1988-1994, 1999-2002, 2003-2006, and 2007-2010
Age Group
1988-1994
1999-2002
2003-2006
2007-2010
Total
41.2
45.5
54.6
52.1
40-59
38.1
45.0
48.9
50.2
60+
46
46.2
63.9
55.0
Age Group
1988-1994
1999-2002
2003-2006
2007-2010
Total
54.5
53.4
58.5
64.9
40-59
58
54.9
59.6
66
60+
49
51.2
56.8
63.2
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health and Nutrition Examination Survey, 1988-1994, 1999-2002, 2003-2006, and 2007-2010. Denominator: Civilian noninstitutionalized population with diagnosed diabetes, age 40 and over. Note: Age adjusted to the 2000 U.S. standard population using two age groups: 40-59 and 60 and over.
Figure 2.17. Hospital admissions for uncontrolled diabetes per 100,000 population, age 18 and over, by age and residence location, 2004-2009
Age Group
2000
2004
2005
2006
2007
2008
2009
Total
51.4
22.0
20.4
21.6
21.1
22.1
22.0
18-44
55.7
11.5
11.1
11.7
11.8
11.8
11.7
45-64
47.3
28.5
27.0
28.5
27.5
29.3
29.4
65+
43.5
43.9
38.1
40.3
38.5
41.1
41.3
Location
2000
2004
2005
2006
2007
2008
2009
Large Central MSA
62
26.5
25.8
30.1
27.3
29.5
30.4
Large Fringe MSA
48.5
17.6
16.1
16.6
17.6
19.2
18.2
Medium MSA
39.6
15.1
16.0
14.3
15.0
16.6
16.1
Small MSA
49.4
19.0
13.7
14.8
17.5
16.8
16.4
Micropolitan
48.7
27.9
23.2
24.7
22.8
21.7
22.2
Noncore
56.6
34.4
31.7
29.9
28.2
26.7
27.2
Key: MSA = metropolitan statistical area. Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators version 4.1, 2004-2009. Denominator: U.S. resident population age 18 and over. Note: For this measure, lower rates are better. Data are adjusted for age and gender. Rates by age are not age adjusted.
Figure 2.18. End stage renal disease due to diabetes per million population, by age and gender, 2000-2009
Age Group
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
20-44
37.1
36.2
35.0
36.1
37.1
38.1
41.7
41.1
41.3
43.7
45-64
337.5
344.3
333.0
330.9
328.1
328.4
331.9
317.5
316.7
314.2
65-74
725.9
751.7
736.8
738.0
735.2
724.5
739.0
715.3
692.5
692.2
75+
504.9
528.4
557.1
555.8
575.0
580.7
598.4
597.2
586.9
592.2
Gender
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Total
154.0
157.3
155.0
155.3
156.0
156.1
160.3
155.2
153.4
154.1
Male
168.3
174.1
175.1
176.2
182.0
183.5
189.4
185.4
184.5
186.9
Female
142.1
143.4
138.5
138.4
135.0
133.9
136.5
131.0
128.3
127.7
Source: National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Renal Data System, 2000-2009. Denominator: U.S. resident population. Note: For this measure, lower rates are better. Rates are age adjusted.
Figure 2.21. HIV infection deaths per 100,000 population, by age and residence location, 2004-2009
Age Group
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Total
5.2
5.0
4.9
4.7
4.5
4.2
4.0
3.7
3.3
3.0
18-44
7.6
7.3
6.8
6.3
5.7
5.1
4.7
4.3
3.5
3.0
45-64
8.7
8.4
8.7
8.7
8.5
8.4
8.1
7.7
7.2
6.6
65+
1.4
1.4
1.4
1.5
1.5
1.5
1.6
1.5
1.7
1.8
Location
2004
2005
2006
2007
2008
2009
Large Central MSA
8.2
7.6
7.1
6.5
5.9
5.2
Large Fringe MSA
3.1
2.9
2.8
2.5
2.1
2.1
Medium MSA
3.5
3.4
3.3
3.2
2.8
2.5
Small MSA
2.6
2.4
2.5
2.2
2.2
1.9
Micropolitan
2.1
2.2
2.1
2.3
1.8
1.8
Noncore
1.8
1.8
1.8
1.9
1.6
1.7
Key: MSA = metropolitan statistical area. Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Mortality, 2004-2009. Denominator: U.S. population. Note: For this measure, lower rates are better. Rates are age adjusted to the 2000 U.S. standard population. Age data are unadjusted. Respondents for which age is not reported are not included in the age adjustment calculations and are excluded from numerators.
Internet Citation: 2012 National Healthcare Quality Report: Chapter 2, Text Descriptions for Figures.
May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqr12/chap2-text.html
The information on this page is archived and provided for reference purposes only.
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