2012 National Healthcare Quality Report

Chapter 2, Text Descriptions for Figures

Figure 2.1. Adults ages 50-75 who reported having colorectal cancer screening, by age and insurance, 2000, 2003, 2005, 2008, and 2010

Insurance20002003200520082010
Total, 50-6430.035.640.248.355.0
Private32.338.743.853.961.4
Public Only29.236.642.646.355.3
Uninsured14.314.716.218.821.0

 

Insurance20002003200520082010
Total, 65-7542.847.855.060.567.8
Medicare and Private47.550.960.166.573.4
Medicare and Public26.849.852.459.566.6
Medicare Only36.239.647.150.361.3

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.

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Figure 2.2. State variation: Adults ages 50-75 who reported having colorectal cancer screening, 2010

QuartileStates
Lowest Quality QuartileAlaska, Hawaii, Montana, Idaho, Wyoming, Nevada, North Dakota, Oklahoma, Texas, Illinois, Mississippi, West Virginia
Second QuartileOregon, California, Arizona, Nevada, Nebraska, Kansas, Arkansas, Louisiana, Indiana, Ohio, Kentucky, Tennessee, Alabama
Third QuartileUtah, Colorado, South Dakota, Minnesota, Iowa, Missouri, Pennsylvania, New Jersey, Virginia, South Carolina, Georgia, Florida
Highest Quality QuartileWashington, Wisconsin, Michigan, North Carolina, Maryland, Delaware, New York, Connecticut, Rhode Island, Massachusetts, Vermont, New Hampshire, Maine

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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 Group200020012002200320042005200620072008
50-6449.148.447.346.643.642.141.440.739.4
65+163.3159.0153.7149.8133.1127.5123.2118.9113.3

 

Gender200020012002200320042005200620072008
Male119.9116.7113.2110.699.395.191.088.685.0
Female87.485.582.980.873.070.269.266.763.7

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.

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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

Location200420052006200720082009
Large Metropolitan57.762.669.278.782.584.8
Small Metropolitan54.360.367.277.580.983.5
Micropolitan48.152.761.273.777.881.1
Noncore53.058.466.074.880.883.4

 

Insurance200420052006200720082009
Total55.460.567.477.481.483.9
Private60.565.372.180.884.886.4
Public Only56.262.669.076.580.283.8
Uninsured/Other60.164.470.080.682.686.1

Source: Commission on Cancer, American College of Surgeons and American Cancer Society, National Cancer Data Base, 2004-2009.
Denominator: U.S. population.

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Figure 2.5. Age-adjusted colorectal cancer deaths per 100,000 population, by gender and residence location, 2004-2009

Gender200420052006200720082009
Total18.017.517.216.916.516
Female15.314.814.714.414.113.5
Male21.520.920.520.119.619.3

 

Location200420052006200720082009
Large Central MSA18.017.217.216.516.316
Large Fringe MSA17.917.417.016.716.115.4
Medium MSA17.216.916.616.115.915.2
Small MSA17.417.316.917.016.516.2
Micropolitan18.918.518.118.317.916.9
Noncore19.819.018.718.918.718.8

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.

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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

Gender199820032008
Total90.190.492.9
Male87.587.790.6
Female92.793.094.9

 

Insurance199820032008
Private92.292.694.8
Public91.793.194.2
Uninsured77.377.682.0

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.

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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 Group1999-20022003-20062007-2010
Total29.436.245.9
18-3920.926.437.0
40-5938.744.152.7
60+30.441.951.6

 

Gender1988-19941999-20022003-20062007-2010
Total23.129.436.245.9
Male17.027.134.739.9
Female32.035.144.055.1

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.

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Figure 2.8. Inpatient deaths per 1,000 adult hospital admissions with heart attack, by gender and expected payment source, 2004-2009

Gender200420052006200720082009
Total81.776.371.666.158.854.1
Male73.069.662.059.752.948.9
Female100.492.385.777.169.561.3

 

Expected Payment Source200420052006200720082009
Private Insurance73.471.669.163.560.653.0
Medicare82.276.271.065.457.352.9
Medicaid89.879.875.874.763.657.8
Uninsured97.396.289.088.184.175.5

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.

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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

Age Group200520062007200820092010
<6586.888.992.394.395.696.3
65-7481.884.488.991.693.394.6
75-8480.283.088.290.792.693.9
85+78.581.486.789.691.793.1

 

Gender200520062007200820092010
Total82.685.289.792.193.894.9
Male82.485.089.692.293.894.9
Female83.085.789.992.193.894.9

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Figure 2.10. Adult admissions for congestive heart failure per 100,000 population, by age and gender, 2004-2009

Age Group200420052006200720082009
Total440.0421.9414.225382.4369.7361.706
18-4434.133.034.54533.229.729.845
45-64307.8283.2285.010269.1251.0256.097
65+2038.01981.71934.2241781.21756.71693.549

 

Gender200420052006200720082009
Male494.8479.5474.021440.1430.4425.0
Female399.4378.2369.514339.5325.4315.1

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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

Age Group20082009
Total28.328.3
18-4423.823.4
45-6427.227.2
65+30.330.4

 

Gender20082009
Male28.128.0
Female28.528.6

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Figure 2.12. Incident adult hemodialysis patients who used an arteriovenous fistula at first outpatient dialysis, by age and gender, 2008-2011

Age Group2008200920102011
<6513.313.914.515.2
65-7414.915.616.117.1
75-8414.114.615.916.7
85+10.211.512.213.1

 

Gender2008200920102011
Total13.614.315.015.8
Male15.616.116.817.50
Female11.211.912.713.40

Source: Centers for Medicare & Medicaid Services, Fistula First Incident AVF Dataset, 2008-2011.

Denominator: New end stage renal disease hemodialysis patients.

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Figure 2.13. Standardized mortality rates on dialysis, by State or territory, 2009/2010

StateRate
Vermont0.81
South Dakota0.82
District of Columbia0.84
Colorado0.85
Montana0.8
North Dakota0.87
Massachusetts0.87
New Hampshire0.88
Minnesota0.89
Delaware0.90
Connecticut0.90
Maine0.90
Wisconsin0.91
Alaska0.91
New Mexico0.92
Hawaii0.92
New Jersey0.94
Nebraska0.94
Indiana0.95
Oregon0.96
California0.96
Tennessee0.96
Arizona0.97
Ohio0.97
New York0.97
Washington0.97
Iowa0.98
Michigan0.98
Pennsylvania1.00
Nevada1.00
Illinois1.00
Rhode Island1.00
North Carolina1.01
Wyoming1.01
Kansas1.01
Utah1.02
Missouri1.03
Texas1.04
Georgia1.04
Oklahoma1.05
Kentucky1.06
Mississippi1.07
Idaho1.07
Alabama1.10
Maryland1.11
Virginia1.11
Florida1.11
Arkansas1.12
Louisiana1.12
South Carolina1.13
West Virginia1.20
Northern Marianas1.34
American Samoa1.56
Puerto Rico1.59
Guam2.05

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.

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Figure 2.14. Dialysis patients who were registered on a waiting list for transplantation, by age and gender, 2000-2008

Age Group200020012002200320042005200620072008
0-1940.541.543.147.444.948.850.450.148.9
20-3927.826.727.325.526.625.927.926.627.0
40-5916.516.215.816.116.617.017.818.117.5
60-696.86.87.68.19.09.810.911.111.8

 

Gender200020012002200320042005200620072008
Total14.714.314.514.715.415.917.017.017.0
Male16.015.215.915.916.617.018.118.017.9
Female13.113.212.913.213.814.415.415.715.9

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.

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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 Group20082009
Total21.023.2
40-5916.018.4
60+29.030.9

 

Location20082009
Large Central MSA18.620.9
Large Fringe MSA21.127.9
Medium MSA20.026.8
Small MSA22.322.6
Micropolitan27.519.4
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.

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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 Group1988-19941999-20022003-20062007-2010
Total41.245.554.652.1
40-5938.145.048.950.2
60+4646.263.955.0

 

Age Group1988-19941999-20022003-20062007-2010
Total54.553.458.564.9
40-595854.959.666
60+4951.256.863.2

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.

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Figure 2.17. Hospital admissions for uncontrolled diabetes per 100,000 population, age 18 and over, by age and residence location, 2004-2009

Age Group2000200420052006200720082009
Total51.422.020.421.621.122.122.0
18-4455.711.511.111.711.811.811.7
45-6447.328.527.028.527.529.329.4
65+43.543.938.140.338.541.141.3

 

Location2000200420052006200720082009
Large Central MSA6226.525.830.127.329.530.4
Large Fringe MSA48.517.616.116.617.619.218.2
Medium MSA39.615.116.014.315.016.616.1
Small MSA49.419.013.714.817.516.816.4
Micropolitan48.727.923.224.722.821.722.2
Noncore56.634.431.729.928.226.727.2

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.

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Figure 2.18. End stage renal disease due to diabetes per million population, by age and gender, 2000-2009

Age Group2000200120022003200420052006200720082009
20-4437.136.235.036.137.138.141.741.141.343.7
45-64337.5344.3333.0330.9328.1328.4331.9317.5316.7314.2
65-74725.9751.7736.8738.0735.2724.5739.0715.3692.5692.2
75+504.9528.4557.1555.8575.0580.7598.4597.2586.9592.2

 

Gender2000200120022003200420052006200720082009
Total154.0157.3155.0155.3156.0156.1160.3155.2153.4154.1
Male168.3174.1175.1176.2182.0183.5189.4185.4184.5186.9
Female142.1143.4138.5138.4135.0133.9136.5131.0128.3127.7

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.

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Figure 2.19. New AIDS cases per 100,000 population age 13 and over, by age and gender, 2000-2009

Age Group2000200120022003200420052006200720082009
Total16.816.216.216.315.614.814.514.413.813.5
13-170.90.90.90.90.91.11.01.21.01.0
18-4424.523.323.223.222.020.620.019.918.918.1
45-6416.616.416.817.016.616.316.016.215.915.9
65+2.02.01.92.12.21.92.22.12.12.1

 

Gender2000200120022003200420052006200720082009
Male25.624.524.624.423.422.321.721.620.920.6
Female8.58.38.38.68.17.77.57.57.16.7

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Figure 2.20. Adults with HIV who received recommended care, by age and expected payment source, 2009

Age Group2 or More Outpatient Visits2 or More CD4 TestsHAARTPCPMAC
Total88.982.893.093.388.3
18-4486.780.892.193.889.2
45+90.684.493.692.987.2

 

Expected Payment Source2 or More Outpatient Visits2 or More CD4 TestsHAARTPCPMAC
Private88.279.194.493.886.1
Medicaid90.581.592.592.787.6
Medicare/Dual Eligible92.688.694.692.887.4
Ryan White Program/Uninsured89.483.092.196.193.9

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Figure 2.21. HIV infection deaths per 100,000 population, by age and residence location, 2004-2009

Age Group2000200120022003200420052006200720082009
Total5.25.04.94.74.54.24.03.73.33.0
18-447.67.36.86.35.75.14.74.33.53.0
45-648.78.48.78.78.58.48.17.77.26.6
65+1.41.41.41.51.51.51.61.51.71.8

 

Location200420052006200720082009
Large Central MSA8.27.67.16.55.95.2
Large Fringe MSA3.12.92.82.52.12.1
Medium MSA3.53.43.33.22.82.5
Small MSA2.62.42.52.22.21.9
Micropolitan2.12.22.12.31.81.8
Noncore1.81.81.81.91.61.7

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.

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Current as of May 2013
Internet Citation: 2012 National Healthcare Quality Report: Chapter 2, Text Descriptions for Figures. May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr12/chap2-text.html