## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

All Cancer Sites, 2008-2012

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Rate

**Explanation of Column Headers**

**Incidence Rate (95% Confidence Interval)**- The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

**Recent Trends** - This is an interpretation of the AAPC/APC:

**Rising**when 95% confidence interval of AAPC/APC is above 0.**Stable**when 95% confidence interval of AAPC/APC includes 0.**Falling**when 95% confidence interval of AAPC/APC is below 0.

**AAPC/APC (95% Confidence Interval)** - the change in rate over time

- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.

**Other Notes**

**Line by Line Interpretation of the Report**

#### Idaho^{6,10}

- Rate : The incidence rate is 446.4 with a 95% confidence interval from 441.7 to 451.1 and 7,233 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 453.8 with a 95% confidence interval from 453.5 to 454.1 and 1,526,274 § average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.9 to -1.2.

#### Lewis County^{6,10}

- Rate : The incidence rate is 538.6 with a 95% confidence interval from 456.5 to 633.7 and 33 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -17.1 to 15.3.

#### Gem County^{6,10}

- Rate : The incidence rate is 533.0 with a 95% confidence interval from 489.9 to 579.2 and 122 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -13.1 to 13.9.

#### Boise County^{6,10}

- Rate : The incidence rate is 507.4 with a 95% confidence interval from 436.9 to 587.0 and 48 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -27.9 to 23.9.

#### Elmore County^{6,10}

- Rate : The incidence rate is 498.1 with a 95% confidence interval from 457.8 to 540.8 and 116 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -10.5 to 8.3.

#### Shoshone County^{6,10}

- Rate : The incidence rate is 497.6 with a 95% confidence interval from 452.6 to 546.5 and 95 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -7.6 to 9.9.

#### Washington County^{6,10}

- Rate : The incidence rate is 481.0 with a 95% confidence interval from 430.2 to 536.8 and 72 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -9.1 to 14.5.

#### Kootenai County^{6,10}

- Rate : The incidence rate is 475.2 with a 95% confidence interval from 460.1 to 490.7 and 777 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.4 to 1.5.

#### Twin Falls County^{6,10}

- Rate : The incidence rate is 471.4 with a 95% confidence interval from 450.7 to 492.8 and 399 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -6.0 to 4.4.

#### Ada County^{6,10}

- Rate : The incidence rate is 469.0 with a 95% confidence interval from 459.0 to 479.2 and 1,757 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.7 to 0.4.

#### Benewah County^{6,10}

- Rate : The incidence rate is 468.9 with a 95% confidence interval from 415.7 to 527.6 and 61 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.2 with a 95% confidence interval from -24.2 to 13.7.

#### Nez Perce County^{6,10}

- Rate : The incidence rate is 466.9 with a 95% confidence interval from 440.4 to 494.6 and 245 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -5.7 to 3.1.

#### Gooding County^{6,10}

- Rate : The incidence rate is 460.6 with a 95% confidence interval from 416.2 to 508.5 and 81 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -12.7 to 10.9.

#### Lincoln County^{6,10}

- Rate : The incidence rate is 460.0 with a 95% confidence interval from 377.6 to 554.7 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -6.1 to 6.8.

#### Canyon County^{6,10}

- Rate : The incidence rate is 458.6 with a 95% confidence interval from 444.2 to 473.3 and 792 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.8 to 2.4.

#### Payette County^{6,10}

- Rate : The incidence rate is 457.5 with a 95% confidence interval from 421.0 to 496.3 and 120 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.3 with a 95% confidence interval from -2.6 to 13.9.

#### Bonner County^{6,10}

- Rate : The incidence rate is 454.1 with a 95% confidence interval from 428.3 to 481.3 and 256 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -13.8 to 5.7.

#### Clark County^{6,10}

- Rate : The incidence rate is 448.2 with a 95% confidence interval from 272.6 to 693.4 and 4 average annual cases over 2008-2012.
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Custer County^{6,10}

- Rate : The incidence rate is 447.3 with a 95% confidence interval from 373.8 to 533.0 and 29 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 6.6 with a 95% confidence interval from -10.3 to 26.7.

#### Owyhee County^{6,10}

- Rate : The incidence rate is 446.4 with a 95% confidence interval from 395.0 to 502.8 and 56 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -12.8 to 5.3.

#### Jerome County^{6,10}

- Rate : The incidence rate is 441.3 with a 95% confidence interval from 401.4 to 483.9 and 92 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -12.5 to 0.8.

#### Clearwater County^{6,10}

- Rate : The incidence rate is 439.7 with a 95% confidence interval from 388.7 to 496.6 and 61 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.5 with a 95% confidence interval from -25.2 to 11.8.

#### Lemhi County^{6,10}

- Rate : The incidence rate is 435.5 with a 95% confidence interval from 381.3 to 496.3 and 55 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -9.3 to 18.0.

#### Caribou County^{6,10}

- Rate : The incidence rate is 431.8 with a 95% confidence interval from 368.8 to 503.0 and 35 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.7 with a 95% confidence interval from -13.6 to 24.4.

#### Adams County^{6,10}

- Rate : The incidence rate is 431.7 with a 95% confidence interval from 354.7 to 522.8 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 10.4 with a 95% confidence interval from -12.4 to 39.2.

#### Bingham County^{6,10}

- Rate : The incidence rate is 422.8 with a 95% confidence interval from 395.5 to 451.4 and 183 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -10.4 to 2.5.

#### Bonneville County^{6,10}

- Rate : The incidence rate is 420.4 with a 95% confidence interval from 402.1 to 439.3 and 409 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -7.9 to 6.6.

#### Valley County^{6,10}

- Rate : The incidence rate is 410.8 with a 95% confidence interval from 359.0 to 468.4 and 54 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -28.1 to 32.6.

#### Minidoka County^{6,10}

- Rate : The incidence rate is 405.3 with a 95% confidence interval from 368.5 to 444.9 and 92 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -3.8 to 5.2.

#### Jefferson County^{6,10}

- Rate : The incidence rate is 402.5 with a 95% confidence interval from 365.1 to 442.5 and 88 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.4 to 4.8.

#### Latah County^{6,10}

- Rate : The incidence rate is 395.9 with a 95% confidence interval from 365.6 to 427.9 and 134 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -8.9 to 10.5.

#### Boundary County^{6,10}

- Rate : The incidence rate is 394.4 with a 95% confidence interval from 348.4 to 445.3 and 57 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -14.3 with a 95% confidence interval from -23.6 to -3.8.

#### Power County^{6,10}

- Rate : The incidence rate is 385.5 with a 95% confidence interval from 325.4 to 453.5 and 30 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -19.0 to 22.9.

#### Fremont County^{6,10}

- Rate : The incidence rate is 383.5 with a 95% confidence interval from 337.6 to 433.9 and 53 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -14.1 to 17.3.

#### Blaine County^{6,10}

- Rate : The incidence rate is 380.7 with a 95% confidence interval from 343.7 to 420.7 and 89 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -19.1 to 11.7.

#### Bannock County^{6,10}

- Rate : The incidence rate is 378.7 with a 95% confidence interval from 359.3 to 398.8 and 297 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -6.3 to 6.7.

#### Madison County^{6,10}

- Rate : The incidence rate is 376.2 with a 95% confidence interval from 336.9 to 418.4 and 74 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -12.9 to 14.0.

#### Teton County^{6,10}

- Rate : The incidence rate is 376.2 with a 95% confidence interval from 309.6 to 451.7 and 25 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.1 with a 95% confidence interval from -25.6 to 13.5.

#### Idaho County^{6,10}

- Rate : The incidence rate is 375.5 with a 95% confidence interval from 340.9 to 413.1 and 97 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -4.2 to 4.9.

#### Camas County^{6,10}

- Rate : The incidence rate is 366.5 with a 95% confidence interval from 231.3 to 557.6 and 5 average annual cases over 2008-2012.
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Bear Lake County^{6,10}

- Rate : The incidence rate is 363.9 with a 95% confidence interval from 305.8 to 430.8 and 30 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -16.7 to 34.1.

#### Franklin County^{6,10}

- Rate : The incidence rate is 360.0 with a 95% confidence interval from 314.0 to 410.7 and 45 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -13.9 to 12.1.

#### Butte County^{6,10}

- Rate : The incidence rate is 351.1 with a 95% confidence interval from 266.9 to 455.2 and 13 average annual cases over 2008-2012.
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Oneida County^{6,10}

- Rate : The incidence rate is 349.5 with a 95% confidence interval from 279.6 to 432.6 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.9 with a 95% confidence interval from -21.4 to 5.6.

#### Cassia County^{6,10}

- Rate : The incidence rate is 345.3 with a 95% confidence interval from 312.1 to 381.2 and 81 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -6.3 with a 95% confidence interval from -10.2 to -2.2.

**Notes:**

Created by statecancerprofiles.cancer.gov on 05/04/2016 1:24 pm.

Data for the United States does not include data from Nevada.

State Cancer Registries may provide more current or more local data.

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2013 US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

§ The total count for the US (SEER+NPCR) may differ from the summation of the individual states reported in this table. The total uses data from the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2015 data submission for the following states: California, Kentucky, Louisiana, and New Jersey but data for those states when shown individually are sourced from the SEER November 2014 submission.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2014 data submission and SEER November 2014 submission.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2014 data submission. State rates include rates from metropolitan areas funded by SEER.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2013 US Population Data File is used with NPCR November 2014 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Interpret Rankings provides insight into interpreting cancer incidence statistics. 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.