## Interpretation of Rate/Trend Comparison by Cancer Data

**Death Rate/Trend Comparison by Cancer, death years through 2012**

South Dakota Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

South Dakota Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

**United States**

- The priority index is -
- The recent trend is falling
- This death rate is - the US rate
- The average deaths per year (2008-2012) is 573,421
- The annual death rate (2008-2012) is 171.2 per 100,000 with a 95% confidence interval from 171.0 to 171.4
- The rate ratio is -0.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -1.6 to -1.5
- The recent trend period is 2008 - 2012

**South Dakota**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 1,605
- The annual death rate (2008-2012) is 165.3 per 100,000 with a 95% confidence interval from 161.7 to 169.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.1 to -0.6
- The recent trend period is 2008 - 2012

**Butte County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2008-2012) is 28
- The annual death rate (2008-2012) is 212.6 per 100,000 with a 95% confidence interval from 178.6 to 251.8
- The rate ratio is 1.2
- The average annual percent change in death rates is 0.4 with a 95% confidence interval from -1.3 to 2.2
- The recent trend period is 2008 - 2012

**Dewey County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2008-2012) is 11
- The annual death rate (2008-2012) is 256.8 per 100,000 with a 95% confidence interval from 192.5 to 334.7
- The rate ratio is 1.5
- The average annual percent change in death rates is 0.4 with a 95% confidence interval from -1.6 to 2.5
- The recent trend period is 2008 - 2012

**Todd County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2008-2012) is 13
- The annual death rate (2008-2012) is 255.9 per 100,000 with a 95% confidence interval from 194.9 to 328.1
- The rate ratio is 1.5
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -3.3 to 0.6
- The recent trend period is 2008 - 2012

**Aurora County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 7
- The annual death rate (2008-2012) is 154.7 per 100,000 with a 95% confidence interval from 106.3 to 221.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -2.8 to 1.6
- The recent trend period is 2008 - 2012

**Beadle County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 42
- The annual death rate (2008-2012) is 172.4 per 100,000 with a 95% confidence interval from 149.1 to 198.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.1 to 0.0
- The recent trend period is 2008 - 2012

**Bennett County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 6
- The annual death rate (2008-2012) is 180.7 per 100,000 with a 95% confidence interval from 121.7 to 258.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -3.9 to 2.1
- The recent trend period is 2008 - 2012

**Bon Homme County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 15
- The annual death rate (2008-2012) is 140.7 per 100,000 with a 95% confidence interval from 109.6 to 178.9
- The rate ratio is 0.8
- The average annual percent change in death rates is 0.1 with a 95% confidence interval from -1.7 to 1.9
- The recent trend period is 2008 - 2012

**Brookings County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 43
- The annual death rate (2008-2012) is 156.1 per 100,000 with a 95% confidence interval from 135.6 to 178.8
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.3 to 0.6
- The recent trend period is 2008 - 2012

**Brule County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 14
- The annual death rate (2008-2012) is 194.2 per 100,000 with a 95% confidence interval from 150.4 to 248.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.2 with a 95% confidence interval from -2.1 to 1.7
- The recent trend period is 2008 - 2012

**Charles Mix County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 23
- The annual death rate (2008-2012) is 180.4 per 100,000 with a 95% confidence interval from 148.4 to 217.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -2.4 to 1.4
- The recent trend period is 2008 - 2012

**Clark County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 9
- The annual death rate (2008-2012) is 134.1 per 100,000 with a 95% confidence interval from 97.0 to 184.4
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.9 to 0.9
- The recent trend period is 2008 - 2012

**Clay County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 20
- The annual death rate (2008-2012) is 161.2 per 100,000 with a 95% confidence interval from 130.3 to 197.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -2.5 to 0.6
- The recent trend period is 2008 - 2012

**Corson County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 7
- The annual death rate (2008-2012) is 187.5 per 100,000 with a 95% confidence interval from 128.7 to 263.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -3.1 to 0.9
- The recent trend period is 2008 - 2012

**Custer County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 22
- The annual death rate (2008-2012) is 168.8 per 100,000 with a 95% confidence interval from 136.9 to 207.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -2.1 to 0.6
- The recent trend period is 2008 - 2012

**Davison County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 42
- The annual death rate (2008-2012) is 154.3 per 100,000 with a 95% confidence interval from 133.4 to 177.9
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.2 to 0.0
- The recent trend period is 2008 - 2012

**Day County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 18
- The annual death rate (2008-2012) is 162.8 per 100,000 with a 95% confidence interval from 129.8 to 204.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.4 to 0.3
- The recent trend period is 2008 - 2012

**Douglas County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 9
- The annual death rate (2008-2012) is 174.6 per 100,000 with a 95% confidence interval from 122.0 to 245.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -2.9 to 2.0
- The recent trend period is 2008 - 2012

**Fall River County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 26
- The annual death rate (2008-2012) is 192.5 per 100,000 with a 95% confidence interval from 160.2 to 231.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.8 to 0.7
- The recent trend period is 2008 - 2012

**Grant County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 17
- The annual death rate (2008-2012) is 154.2 per 100,000 with a 95% confidence interval from 122.0 to 193.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.8 to 0.6
- The recent trend period is 2008 - 2012

**Gregory County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 15
- The annual death rate (2008-2012) is 187.6 per 100,000 with a 95% confidence interval from 143.3 to 244.0
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.1 with a 95% confidence interval from -1.3 to 1.5
- The recent trend period is 2008 - 2012

**Haakon County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 5
- The annual death rate (2008-2012) is 155.7 per 100,000 with a 95% confidence interval from 97.1 to 243.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -3.8 to 3.0
- The recent trend period is 2008 - 2012

**Hamlin County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 12
- The annual death rate (2008-2012) is 150.0 per 100,000 with a 95% confidence interval from 112.9 to 196.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.7 to 0.9
- The recent trend period is 2008 - 2012

**Hanson County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 6
- The annual death rate (2008-2012) is 176.4 per 100,000 with a 95% confidence interval from 119.8 to 251.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.2 with a 95% confidence interval from -2.2 to 1.8
- The recent trend period is 2008 - 2012

**Hughes County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 33
- The annual death rate (2008-2012) is 170.1 per 100,000 with a 95% confidence interval from 144.8 to 198.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.7 to 0.9
- The recent trend period is 2008 - 2012

**Jackson County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 4
- The annual death rate (2008-2012) is 138.8 per 100,000 with a 95% confidence interval from 86.0 to 212.0
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -4.7 to 0.6
- The recent trend period is 2008 - 2012

**Jerauld County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 7
- The annual death rate (2008-2012) is 183.0 per 100,000 with a 95% confidence interval from 121.7 to 270.8
- The rate ratio is 1.1
- The average annual percent change in death rates is 1.0 with a 95% confidence interval from -1.4 to 3.5
- The recent trend period is 2008 - 2012

**Kingsbury County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 14
- The annual death rate (2008-2012) is 160.2 per 100,000 with a 95% confidence interval from 123.4 to 206.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.6 to 0.4
- The recent trend period is 2008 - 2012

**Lake County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 27
- The annual death rate (2008-2012) is 169.6 per 100,000 with a 95% confidence interval from 141.6 to 202.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -2.0 to 0.6
- The recent trend period is 2008 - 2012

**Lawrence County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 53
- The annual death rate (2008-2012) is 160.0 per 100,000 with a 95% confidence interval from 140.9 to 181.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.6 to 0.3
- The recent trend period is 2008 - 2012

**Marshall County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 13
- The annual death rate (2008-2012) is 188.1 per 100,000 with a 95% confidence interval from 144.7 to 242.2
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.8 with a 95% confidence interval from -0.9 to 2.4
- The recent trend period is 2008 - 2012

**McCook County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 18
- The annual death rate (2008-2012) is 205.2 per 100,000 with a 95% confidence interval from 163.2 to 256.0
- The rate ratio is 1.2
- The average annual percent change in death rates is 0.1 with a 95% confidence interval from -1.7 to 2.0
- The recent trend period is 2008 - 2012

**Meade County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 43
- The annual death rate (2008-2012) is 165.3 per 100,000 with a 95% confidence interval from 143.6 to 189.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -2.0 to 0.4
- The recent trend period is 2008 - 2012

**Mellette County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 5
- The annual death rate (2008-2012) is 244.7 per 100,000 with a 95% confidence interval from 160.1 to 359.0
- The rate ratio is 1.4
- The average annual percent change in death rates is 1.1 with a 95% confidence interval from -1.2 to 3.4
- The recent trend period is 2008 - 2012

**Miner County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 9
- The annual death rate (2008-2012) is 192.6 per 100,000 with a 95% confidence interval from 136.9 to 269.5
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.1 with a 95% confidence interval from -2.0 to 2.1
- The recent trend period is 2008 - 2012

**Moody County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 13
- The annual death rate (2008-2012) is 155.7 per 100,000 with a 95% confidence interval from 119.6 to 200.0
- The rate ratio is 0.9
- The average annual percent change in death rates is 0.2 with a 95% confidence interval from -1.3 to 1.7
- The recent trend period is 2008 - 2012

**Perkins County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 11
- The annual death rate (2008-2012) is 214.6 per 100,000 with a 95% confidence interval from 159.1 to 287.5
- The rate ratio is 1.3
- The average annual percent change in death rates is 1.7 with a 95% confidence interval from -0.7 to 4.1
- The recent trend period is 2008 - 2012

**Potter County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 10
- The annual death rate (2008-2012) is 193.0 per 100,000 with a 95% confidence interval from 137.5 to 271.1
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.1 with a 95% confidence interval from -2.0 to 2.1
- The recent trend period is 2008 - 2012

**Roberts County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 26
- The annual death rate (2008-2012) is 192.1 per 100,000 with a 95% confidence interval from 159.6 to 229.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -2.1 to 0.6
- The recent trend period is 2008 - 2012

**Stanley County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 7
- The annual death rate (2008-2012) is 188.3 per 100,000 with a 95% confidence interval from 129.2 to 267.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -2.0 with a 95% confidence interval from -4.4 to 0.3
- The recent trend period is 2008 - 2012

**Sully County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 3
- The annual death rate (2008-2012) is 163.4 per 100,000 with a 95% confidence interval from 95.0 to 272.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -4.8 to 2.3
- The recent trend period is 2008 - 2012

**Tripp County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 14
- The annual death rate (2008-2012) is 147.3 per 100,000 with a 95% confidence interval from 113.7 to 189.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -2.4 to 1.1
- The recent trend period is 2008 - 2012

**Union County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 31
- The annual death rate (2008-2012) is 181.8 per 100,000 with a 95% confidence interval from 153.7 to 213.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.2 to 0.2
- The recent trend period is 2008 - 2012

**Campbell County**

- The priority index is 7
- The recent trend is stable
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 3
- The annual death rate (2008-2012) is 111.4 per 100,000 with a 95% confidence interval from 63.2 to 203.5
- The rate ratio is 0.7
- The average annual percent change in death rates is -2.3 with a 95% confidence interval from -4.6 to 0.1
- The recent trend period is 2008 - 2012

**McPherson County**

- The priority index is 7
- The recent trend is stable
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 5
- The annual death rate (2008-2012) is 81.6 per 100,000 with a 95% confidence interval from 50.4 to 135.5
- The rate ratio is 0.5
- The average annual percent change in death rates is 30.3 with a 95% confidence interval from -12.8 to 94.7
- The recent trend period is 2008 - 2012

**Brown County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 74
- The annual death rate (2008-2012) is 154.3 per 100,000 with a 95% confidence interval from 138.5 to 171.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.4 with a 95% confidence interval from -3.6 to -1.2
- The recent trend period is 2008 - 2012

**Codington County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 58
- The annual death rate (2008-2012) is 174.0 per 100,000 with a 95% confidence interval from 154.3 to 195.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.8 to -0.2
- The recent trend period is 2008 - 2012

**Edmunds County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 10
- The annual death rate (2008-2012) is 146.6 per 100,000 with a 95% confidence interval from 107.7 to 197.8
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.4 with a 95% confidence interval from -4.3 to -0.5
- The recent trend period is 2008 - 2012

**Hutchinson County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 21
- The annual death rate (2008-2012) is 146.6 per 100,000 with a 95% confidence interval from 117.1 to 182.8
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -3.7 to -0.1
- The recent trend period is 2008 - 2012

**Lyman County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 6
- The annual death rate (2008-2012) is 150.3 per 100,000 with a 95% confidence interval from 102.1 to 214.1
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.4 with a 95% confidence interval from -4.6 to -0.0
- The recent trend period is 2008 - 2012

**Minnehaha County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 304
- The annual death rate (2008-2012) is 184.4 per 100,000 with a 95% confidence interval from 175.0 to 194.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.1 to -0.2
- The recent trend period is 2008 - 2012

**Pennington County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 184
- The annual death rate (2008-2012) is 162.6 per 100,000 with a 95% confidence interval from 152.1 to 173.6
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.8 to -0.7
- The recent trend period is 2008 - 2012

**Shannon County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 15
- The annual death rate (2008-2012) is 211.1 per 100,000 with a 95% confidence interval from 163.2 to 267.2
- The rate ratio is 1.2
- The average annual percent change in death rates is -2.4 with a 95% confidence interval from -3.8 to -1.0
- The recent trend period is 2008 - 2012

**Turner County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 20
- The annual death rate (2008-2012) is 147.5 per 100,000 with a 95% confidence interval from 118.6 to 182.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.9 with a 95% confidence interval from -4.2 to -1.5
- The recent trend period is 2008 - 2012

**Deuel County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 8
- The annual death rate (2008-2012) is 117.0 per 100,000 with a 95% confidence interval from 83.6 to 161.7
- The rate ratio is 0.7
- The average annual percent change in death rates is -2.2 with a 95% confidence interval from -3.6 to -0.7
- The recent trend period is 2008 - 2012

**Faulk County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 5
- The annual death rate (2008-2012) is 108.8 per 100,000 with a 95% confidence interval from 69.9 to 168.9
- The rate ratio is 0.6
- The average annual percent change in death rates is -3.0 with a 95% confidence interval from -5.4 to -0.5
- The recent trend period is 2008 - 2012

**Hand County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 7
- The annual death rate (2008-2012) is 115.5 per 100,000 with a 95% confidence interval from 76.2 to 171.2
- The rate ratio is 0.7
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.9 to -0.3
- The recent trend period is 2008 - 2012

**Lincoln County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 47
- The annual death rate (2008-2012) is 128.2 per 100,000 with a 95% confidence interval from 111.8 to 146.1
- The rate ratio is 0.7
- The average annual percent change in death rates is -6.5 with a 95% confidence interval from -9.8 to -3.0
- The recent trend period is 2008 - 2012

**Sanborn County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 3
- The annual death rate (2008-2012) is 93.6 per 100,000 with a 95% confidence interval from 53.5 to 157.5
- The rate ratio is 0.5
- The average annual percent change in death rates is -2.6 with a 95% confidence interval from -5.0 to -0.2
- The recent trend period is 2008 - 2012

**Spink County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 15
- The annual death rate (2008-2012) is 135.7 per 100,000 with a 95% confidence interval from 105.2 to 173.9
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.0 with a 95% confidence interval from -3.5 to -0.4
- The recent trend period is 2008 - 2012

**Walworth County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 14
- The annual death rate (2008-2012) is 133.7 per 100,000 with a 95% confidence interval from 103.3 to 172.6
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.9 to -0.3
- The recent trend period is 2008 - 2012

**Yankton County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2008-2012) is 41
- The annual death rate (2008-2012) is 138.3 per 100,000 with a 95% confidence interval from 119.6 to 159.3
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.3 to -0.1
- The recent trend period is 2008 - 2012

**Buffalo County**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2008-2012) is *
- The annual death rate (2008-2012) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Harding County**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2008-2012) is *
- The annual death rate (2008-2012) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Hyde County**

- The priority index is **
- The recent trend is **
- This death rate is similar to the US rate
- The average deaths per year (2008-2012) is 3
- The annual death rate (2008-2012) is 135.2 per 100,000 with a 95% confidence interval from 74.4 to 235.7
- The rate ratio is 0.8
- The average annual percent change in death rates is **
- The recent trend period is **

**Jones County**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2008-2012) is *
- The annual death rate (2008-2012) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Ziebach County**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2008-2012) is *
- The annual death rate (2008-2012) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Notes:**

Created by statecancerprofiles.cancer.gov on 11/26/2015 4:24 pm.

Trend

Rate Comparison

* Data has been suppressed to ensure confidentiality and stability of rate and trendestimates.^{2}**Rising**when 95% confidence interval of average annual percent change is above 0.**Stable**when 95% confidence interval of average annual percent change includes 0.**Falling**when 95% confidence interval of average annual percent change is below 0.Rate Comparison

**Above**when 95% confident the rate is above and Rate Ratio^{3}> 1.10**Similar**when unable to conclude above or below with confidence.**Below**when 95% confident the rate is below and Rate Ratio^{3}< 0.90** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.

^{1}Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.

^{2}Recent trend in death rates is Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Regression Program (Version 4.2). Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

^{3}Rate ratio is the county rate divided by the US rate.

Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2013 US Population Data File is used with mortality data.

Note: When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate. Suppression is used to avoid misinterpretation when rates are unstable.

State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).