## Interpretation of Rate/Trend Comparison by Cancer Data

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

Washington Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

Washington 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

**Washington**

- 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 11,873
- The annual death rate (2008-2012) is 169.6 per 100,000 with a 95% confidence interval from 168.2 to 171.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -1.7 to -1.2
- The recent trend period is 2008 - 2012

**Cowlitz County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2008-2012) is 242
- The annual death rate (2008-2012) is 191.7 per 100,000 with a 95% confidence interval from 180.9 to 203.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.0 to -0.1
- The recent trend period is 2008 - 2012

**Grays Harbor County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2008-2012) is 192
- The annual death rate (2008-2012) is 201.1 per 100,000 with a 95% confidence interval from 188.3 to 214.6
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.5 to -0.5
- The recent trend period is 2008 - 2012

**Lewis County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2008-2012) is 199
- The annual death rate (2008-2012) is 194.5 per 100,000 with a 95% confidence interval from 182.4 to 207.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.0 to -0.1
- The recent trend period is 2008 - 2012

**Asotin 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 60
- The annual death rate (2008-2012) is 190.2 per 100,000 with a 95% confidence interval from 168.9 to 213.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.0 to 0.1
- 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 73
- The annual death rate (2008-2012) is 167.9 per 100,000 with a 95% confidence interval from 150.9 to 186.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.0 with a 95% confidence interval from -1.0 to 1.0
- The recent trend period is 2008 - 2012

**Ferry 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 159.8 per 100,000 with a 95% confidence interval from 127.6 to 199.0
- The rate ratio is 0.9
- The average annual percent change in death rates is 0.0 with a 95% confidence interval from -2.6 to 2.8
- 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 153
- The annual death rate (2008-2012) is 181.0 per 100,000 with a 95% confidence interval from 168.3 to 194.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -0.9 to 0.1
- The recent trend period is 2008 - 2012

**Okanogan 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 95
- The annual death rate (2008-2012) is 176.6 per 100,000 with a 95% confidence interval from 160.7 to 193.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.1 to 0.2
- The recent trend period is 2008 - 2012

**Pacific 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 72
- The annual death rate (2008-2012) is 188.9 per 100,000 with a 95% confidence interval from 169.2 to 210.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.9 to 0.1
- The recent trend period is 2008 - 2012

**Pend Oreille 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 36
- The annual death rate (2008-2012) is 197.1 per 100,000 with a 95% confidence interval from 168.1 to 230.2
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.2 with a 95% confidence interval from -1.6 to 1.2
- The recent trend period is 2008 - 2012

**Skamania 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 204.1 per 100,000 with a 95% confidence interval from 169.9 to 243.6
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.8 to 0.9
- The recent trend period is 2008 - 2012

**Stevens 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 107
- The annual death rate (2008-2012) is 183.6 per 100,000 with a 95% confidence interval from 167.8 to 200.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.3 to 0.0
- The recent trend period is 2008 - 2012

**Wahkiakum 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 190.7 per 100,000 with a 95% confidence interval from 146.8 to 248.1
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.6 with a 95% confidence interval from -2.0 to 3.2
- The recent trend period is 2008 - 2012

**Walla Walla 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 120
- The annual death rate (2008-2012) is 164.2 per 100,000 with a 95% confidence interval from 150.9 to 178.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.2 to 0.2
- The recent trend period is 2008 - 2012

**Whitman 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 153.2 per 100,000 with a 95% confidence interval from 135.0 to 173.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.4 to 0.1
- The recent trend period is 2008 - 2012

**Benton 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 294
- The annual death rate (2008-2012) is 169.0 per 100,000 with a 95% confidence interval from 160.3 to 178.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.4 to -0.5
- The recent trend period is 2008 - 2012

**Chelan 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 146
- The annual death rate (2008-2012) is 159.8 per 100,000 with a 95% confidence interval from 148.2 to 172.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.1 to -0.9
- The recent trend period is 2008 - 2012

**Clallam 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 234
- The annual death rate (2008-2012) is 183.4 per 100,000 with a 95% confidence interval from 172.5 to 194.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.4 to -0.2
- The recent trend period is 2008 - 2012

**Clark 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 748
- The annual death rate (2008-2012) is 180.2 per 100,000 with a 95% confidence interval from 174.3 to 186.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.3 to -0.7
- The recent trend period is 2008 - 2012

**Columbia 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 13
- The annual death rate (2008-2012) is 198.5 per 100,000 with a 95% confidence interval from 151.6 to 258.4
- The rate ratio is 1.2
- The average annual percent change in death rates is -2.5 with a 95% confidence interval from -4.2 to -0.8
- The recent trend period is 2008 - 2012

**Franklin 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 84
- The annual death rate (2008-2012) is 169.3 per 100,000 with a 95% confidence interval from 153.0 to 186.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.1 to -0.4
- The recent trend period is 2008 - 2012

**Garfield 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 5
- The annual death rate (2008-2012) is 140.7 per 100,000 with a 95% confidence interval from 88.7 to 218.5
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.4 with a 95% confidence interval from -4.4 to -0.3
- The recent trend period is 2008 - 2012

**Jefferson 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 89
- The annual death rate (2008-2012) is 158.4 per 100,000 with a 95% confidence interval from 143.2 to 175.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.4 to -0.5
- The recent trend period is 2008 - 2012

**King 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 2,941
- The annual death rate (2008-2012) is 157.5 per 100,000 with a 95% confidence interval from 154.9 to 160.1
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -1.6 to -1.3
- The recent trend period is 2008 - 2012

**Kitsap 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 473
- The annual death rate (2008-2012) is 170.9 per 100,000 with a 95% confidence interval from 163.8 to 178.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -1.6 to -0.9
- The recent trend period is 2008 - 2012

**Kittitas 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 71
- The annual death rate (2008-2012) is 171.7 per 100,000 with a 95% confidence interval from 153.9 to 191.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.1 to -0.4
- The recent trend period is 2008 - 2012

**Klickitat 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 48
- The annual death rate (2008-2012) is 170.8 per 100,000 with a 95% confidence interval from 149.3 to 194.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.3 to -0.7
- The recent trend period is 2008 - 2012

**Lincoln 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 27
- The annual death rate (2008-2012) is 152.4 per 100,000 with a 95% confidence interval from 126.9 to 182.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.4 to -0.0
- The recent trend period is 2008 - 2012

**Mason 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 146
- The annual death rate (2008-2012) is 172.4 per 100,000 with a 95% confidence interval from 159.9 to 185.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.0 to -0.7
- The recent trend period is 2008 - 2012

**Pierce 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 1,365
- The annual death rate (2008-2012) is 180.3 per 100,000 with a 95% confidence interval from 176.0 to 184.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -2.8 to -1.1
- The recent trend period is 2008 - 2012

**Skagit 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 275
- The annual death rate (2008-2012) is 181.3 per 100,000 with a 95% confidence interval from 171.6 to 191.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.1 to -0.1
- The recent trend period is 2008 - 2012

**Snohomish 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 1,093
- The annual death rate (2008-2012) is 167.7 per 100,000 with a 95% confidence interval from 163.2 to 172.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.5 to -0.9
- The recent trend period is 2008 - 2012

**Spokane 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 908
- The annual death rate (2008-2012) is 176.6 per 100,000 with a 95% confidence interval from 171.5 to 182.0
- 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 -0.7
- The recent trend period is 2008 - 2012

**Thurston 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 471
- The annual death rate (2008-2012) is 171.5 per 100,000 with a 95% confidence interval from 164.4 to 178.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.3 to -0.4
- The recent trend period is 2008 - 2012

**Whatcom 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 357
- The annual death rate (2008-2012) is 162.4 per 100,000 with a 95% confidence interval from 154.8 to 170.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.4 to -0.5
- The recent trend period is 2008 - 2012

**Yakima 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 399
- The annual death rate (2008-2012) is 171.6 per 100,000 with a 95% confidence interval from 164.0 to 179.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.0 to -0.4
- The recent trend period is 2008 - 2012

**Adams 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 22
- The annual death rate (2008-2012) is 142.7 per 100,000 with a 95% confidence interval from 117.0 to 172.1
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.5 with a 95% confidence interval from -3.5 to -1.5
- The recent trend period is 2008 - 2012

**Island 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 165
- The annual death rate (2008-2012) is 149.1 per 100,000 with a 95% confidence interval from 138.8 to 160.0
- The rate ratio is 0.9
- The average annual percent change in death rates is -3.5 with a 95% confidence interval from -5.6 to -1.3
- The recent trend period is 2008 - 2012

**San Juan 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 36
- The annual death rate (2008-2012) is 125.3 per 100,000 with a 95% confidence interval from 106.4 to 147.7
- The rate ratio is 0.7
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.5 to -0.2
- The recent trend period is 2008 - 2012

**Notes:**

Created by statecancerprofiles.cancer.gov on 10/08/2015 9:43 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).