## 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**

#### Missouri^{6,10}

- Rate : The incidence rate is 454.8 with a 95% confidence interval from 452.5 to 457.1 and 30,947 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.6 to 0.0.

#### 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.

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

- Rate : The incidence rate is 529.5 with a 95% confidence interval from 475.2 to 588.9 and 74 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 8.7 with a 95% confidence interval from -7.1 to 27.3.

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

- Rate : The incidence rate is 521.6 with a 95% confidence interval from 487.4 to 557.4 and 182 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -8.3 to 9.6.

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

- Rate : The incidence rate is 520.2 with a 95% confidence interval from 474.8 to 569.4 and 106 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -6.1 to 0.9.

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

- Rate : The incidence rate is 517.2 with a 95% confidence interval from 483.3 to 553.0 and 181 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -11.1 to 4.2.

#### St. Francois County^{6,10}

- Rate : The incidence rate is 513.8 with a 95% confidence interval from 490.8 to 537.5 and 383 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -0.6 to 7.7.

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

- Rate : The incidence rate is 510.0 with a 95% confidence interval from 461.1 to 563.1 and 84 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -11.5 to 10.5.

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

- Rate : The incidence rate is 508.2 with a 95% confidence interval from 451.8 to 570.1 and 62 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -7.0 to 16.3.

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

- Rate : The incidence rate is 506.4 with a 95% confidence interval from 441.9 to 578.2 and 47 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -18.6 to 16.8.

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

- Rate : The incidence rate is 500.7 with a 95% confidence interval from 459.7 to 544.5 and 113 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -10.1 to 20.1.

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

- Rate : The incidence rate is 500.6 with a 95% confidence interval from 463.2 to 540.7 and 164 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -11.3 to 12.4.

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

- Rate : The incidence rate is 497.9 with a 95% confidence interval from 450.0 to 549.8 and 86 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -15.5 to 16.0.

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

- Rate : The incidence rate is 492.8 with a 95% confidence interval from 424.4 to 569.8 and 39 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.4 with a 95% confidence interval from -22.4 to 8.0.

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

- Rate : The incidence rate is 492.2 with a 95% confidence interval from 463.7 to 522.0 and 230 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -5.3 to 4.4.

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

- Rate : The incidence rate is 492.0 with a 95% confidence interval from 478.8 to 505.5 and 1,089 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -4.3 to -3.3.

#### St. Louis County^{6,10}

- Rate : The incidence rate is 488.5 with a 95% confidence interval from 482.8 to 494.2 and 5,880 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 1.0.

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

- Rate : The incidence rate is 488.3 with a 95% confidence interval from 440.0 to 540.7 and 78 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -13.4 to 11.6.

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

- Rate : The incidence rate is 488.0 with a 95% confidence interval from 453.1 to 525.1 and 150 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -11.9 to 17.8.

#### St. Louis City^{6,10}

- Rate : The incidence rate is 485.1 with a 95% confidence interval from 474.1 to 496.4 and 1,526 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -6.1 to 1.8.

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

- Rate : The incidence rate is 483.4 with a 95% confidence interval from 448.7 to 520.4 and 152 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -11.6 to 10.8.

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

- Rate : The incidence rate is 482.6 with a 95% confidence interval from 448.0 to 519.2 and 150 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -9.2 to 5.4.

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

- Rate : The incidence rate is 481.5 with a 95% confidence interval from 439.3 to 526.7 and 100 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -6.2 to 12.3.

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

- Rate : The incidence rate is 481.0 with a 95% confidence interval from 439.0 to 526.4 and 105 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -9.6 to 16.9.

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

- Rate : The incidence rate is 479.9 with a 95% confidence interval from 441.2 to 521.3 and 118 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -8.2 to 4.2.

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

- Rate : The incidence rate is 477.4 with a 95% confidence interval from 449.5 to 506.6 and 228 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -10.8 to 6.3.

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

- Rate : The incidence rate is 476.9 with a 95% confidence interval from 430.9 to 526.6 and 81 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -13.8 to 14.3.

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

- Rate : The incidence rate is 476.5 with a 95% confidence interval from 412.3 to 548.8 and 43 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -19.4 to 10.9.

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

- Rate : The incidence rate is 475.2 with a 95% confidence interval from 457.4 to 493.6 and 550 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -8.8 to 6.8.

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

- Rate : The incidence rate is 473.6 with a 95% confidence interval from 419.4 to 533.4 and 60 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -9.8 to 17.1.

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

- Rate : The incidence rate is 472.9 with a 95% confidence interval from 436.8 to 511.4 and 132 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -11.0 to 8.1.

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

- Rate : The incidence rate is 472.0 with a 95% confidence interval from 444.5 to 500.7 and 227 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -3.5 to 5.5.

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

- Rate : The incidence rate is 470.4 with a 95% confidence interval from 427.4 to 516.9 and 93 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.9 with a 95% confidence interval from -18.7 to 4.4.

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

- Rate : The incidence rate is 469.6 with a 95% confidence interval from 450.4 to 489.3 and 465 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -3.6 to 6.4.

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

- Rate : The incidence rate is 469.5 with a 95% confidence interval from 434.3 to 506.9 and 134 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -8.7 to 0.7.

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

- Rate : The incidence rate is 468.8 with a 95% confidence interval from 442.1 to 496.7 and 240 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -7.2 to 9.4.

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

- Rate : The incidence rate is 468.7 with a 95% confidence interval from 420.9 to 520.7 and 74 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -9.9 to 4.9.

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

- Rate : The incidence rate is 467.3 with a 95% confidence interval from 440.2 to 495.7 and 227 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -15.8 to 8.6.

#### St. Charles County^{6,10}

- Rate : The incidence rate is 465.2 with a 95% confidence interval from 455.1 to 475.4 and 1,691 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.4 to 3.1.

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

- Rate : The incidence rate is 463.2 with a 95% confidence interval from 410.4 to 521.3 and 58 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -18.5 to 18.1.

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

- Rate : The incidence rate is 461.5 with a 95% confidence interval from 444.7 to 478.9 and 576 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -15.2 to 20.1.

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

- Rate : The incidence rate is 460.8 with a 95% confidence interval from 408.3 to 518.7 and 59 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -16.2 to 3.7.

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

- Rate : The incidence rate is 460.1 with a 95% confidence interval from 434.7 to 486.7 and 254 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -11.1 to 11.5.

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

- Rate : The incidence rate is 459.7 with a 95% confidence interval from 443.5 to 476.4 and 639 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.4.

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

- Rate : The incidence rate is 459.5 with a 95% confidence interval from 422.0 to 499.5 and 115 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -10.0 to 5.6.

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

- Rate : The incidence rate is 458.6 with a 95% confidence interval from 437.7 to 480.2 and 376 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -6.9 with a 95% confidence interval from -12.9 to -0.4.

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

- Rate : The incidence rate is 457.4 with a 95% confidence interval from 444.5 to 470.5 and 1,024 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -8.1 to 4.5.

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

- Rate : The incidence rate is 455.0 with a 95% confidence interval from 412.1 to 501.5 and 87 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -9.8 to 16.7.

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

- Rate : The incidence rate is 454.5 with a 95% confidence interval from 414.5 to 497.5 and 100 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.9 with a 95% confidence interval from -9.4 to 21.6.

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

- Rate : The incidence rate is 454.2 with a 95% confidence interval from 424.7 to 485.4 and 181 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -6.2 to 0.1.

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

- Rate : The incidence rate is 453.4 with a 95% confidence interval from 423.0 to 485.5 and 172 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -8.6 to 13.9.

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

- Rate : The incidence rate is 453.1 with a 95% confidence interval from 446.1 to 460.3 and 3,240 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.7 to 1.3.

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

- Rate : The incidence rate is 451.6 with a 95% confidence interval from 384.1 to 529.1 and 34 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -19.7 to 33.5.

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

- Rate : The incidence rate is 449.5 with a 95% confidence interval from 420.6 to 479.9 and 187 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -9.7 to 9.9.

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

- Rate : The incidence rate is 445.9 with a 95% confidence interval from 411.1 to 483.1 and 126 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -8.5 with a 95% confidence interval from -14.3 to -2.3.

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

- Rate : The incidence rate is 444.5 with a 95% confidence interval from 396.4 to 497.4 and 66 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -9.5 to 6.9.

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

- Rate : The incidence rate is 444.2 with a 95% confidence interval from 389.1 to 505.9 and 52 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -10.2 to 10.2.

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

- Rate : The incidence rate is 439.7 with a 95% confidence interval from 379.4 to 507.5 and 42 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.0 with a 95% confidence interval from -30.4 to 16.3.

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

- Rate : The incidence rate is 439.5 with a 95% confidence interval from 410.3 to 470.4 and 175 average annual cases over 2008-2012.
- Recent Trend : The trend is rising because the trend is 6.9 with a 95% confidence interval from 2.1 to 12.0.

#### New Madrid County^{6,10}

- Rate : The incidence rate is 438.4 with a 95% confidence interval from 400.9 to 478.7 and 105 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -19.5 to 17.5.

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

- Rate : The incidence rate is 437.7 with a 95% confidence interval from 399.5 to 478.6 and 100 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -9.6 to 8.6.

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

- Rate : The incidence rate is 435.4 with a 95% confidence interval from 396.2 to 477.6 and 95 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -12.5 to 2.0.

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

- Rate : The incidence rate is 434.6 with a 95% confidence interval from 424.0 to 445.3 and 1,333 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -6.2 to 1.5.

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

- Rate : The incidence rate is 433.8 with a 95% confidence interval from 393.8 to 477.2 and 94 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -13.8 to 11.6.

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

- Rate : The incidence rate is 433.7 with a 95% confidence interval from 378.8 to 494.9 and 47 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -20.6 to 20.5.

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

- Rate : The incidence rate is 433.1 with a 95% confidence interval from 388.8 to 481.2 and 71 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -10.2 to 1.0.

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

- Rate : The incidence rate is 432.8 with a 95% confidence interval from 410.3 to 456.2 and 294 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.6 to 1.2.

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

- Rate : The incidence rate is 431.6 with a 95% confidence interval from 356.5 to 519.3 and 25 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -16.4 with a 95% confidence interval from -20.7 to -11.8.

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

- Rate : The incidence rate is 430.9 with a 95% confidence interval from 403.1 to 460.2 and 185 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -7.4 to 5.7.

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

- Rate : The incidence rate is 430.1 with a 95% confidence interval from 412.8 to 448.0 and 473 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.1 to 2.4.

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

- Rate : The incidence rate is 425.7 with a 95% confidence interval from 392.6 to 461.2 and 135 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -7.5 to 5.0.

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

- Rate : The incidence rate is 425.4 with a 95% confidence interval from 365.2 to 493.3 and 37 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.7 with a 95% confidence interval from -17.4 to 30.1.

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

- Rate : The incidence rate is 425.1 with a 95% confidence interval from 406.0 to 444.9 and 397 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -9.9 to 4.5.

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

- Rate : The incidence rate is 425.0 with a 95% confidence interval from 387.0 to 465.7 and 98 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -13.2 to 5.7.

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

- Rate : The incidence rate is 424.9 with a 95% confidence interval from 396.2 to 455.3 and 168 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -8.2 to 6.4.

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

- Rate : The incidence rate is 424.4 with a 95% confidence interval from 384.9 to 467.1 and 90 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -9.3 to 14.8.

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

- Rate : The incidence rate is 423.3 with a 95% confidence interval from 397.4 to 450.4 and 206 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -12.9 to 10.9.

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

- Rate : The incidence rate is 422.7 with a 95% confidence interval from 370.6 to 480.7 and 51 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -18.2 to 18.3.

#### Cape Girardeau County^{6,10}

- Rate : The incidence rate is 422.7 with a 95% confidence interval from 403.0 to 443.0 and 360 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -3.9 to 5.2.

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

- Rate : The incidence rate is 422.2 with a 95% confidence interval from 388.4 to 458.2 and 121 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -5.5 to 6.7.

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

- Rate : The incidence rate is 421.8 with a 95% confidence interval from 389.4 to 456.4 and 129 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -2.0 to 9.6.

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

- Rate : The incidence rate is 420.1 with a 95% confidence interval from 384.3 to 458.4 and 105 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -6.3 to 4.4.

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

- Rate : The incidence rate is 419.6 with a 95% confidence interval from 393.1 to 447.6 and 198 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -10.7 with a 95% confidence interval from -17.9 to -2.9.

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

- Rate : The incidence rate is 417.7 with a 95% confidence interval from 397.7 to 438.5 and 337 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -10.8 to 5.1.

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

- Rate : The incidence rate is 417.6 with a 95% confidence interval from 392.4 to 444.1 and 214 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -12.3 to 5.0.

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

- Rate : The incidence rate is 417.0 with a 95% confidence interval from 382.2 to 454.4 and 110 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -9.2 to 7.2.

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

- Rate : The incidence rate is 413.5 with a 95% confidence interval from 384.4 to 444.3 and 155 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -11.0 to 6.7.

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

- Rate : The incidence rate is 412.0 with a 95% confidence interval from 386.0 to 439.3 and 194 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -8.1 to 3.8.

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

- Rate : The incidence rate is 409.2 with a 95% confidence interval from 367.1 to 455.0 and 70 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -10.6 with a 95% confidence interval from -17.8 to -2.8.

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

- Rate : The incidence rate is 405.5 with a 95% confidence interval from 330.1 to 494.5 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.9 with a 95% confidence interval from -32.4 to 17.4.

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

- Rate : The incidence rate is 400.7 with a 95% confidence interval from 360.9 to 444.2 and 82 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -13.1 to 10.6.

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

- Rate : The incidence rate is 399.4 with a 95% confidence interval from 377.3 to 422.7 and 279 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -4.4 to 3.3.

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

- Rate : The incidence rate is 398.7 with a 95% confidence interval from 349.6 to 453.1 and 50 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -9.1 with a 95% confidence interval from -32.1 to 21.6.

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

- Rate : The incidence rate is 394.3 with a 95% confidence interval from 338.1 to 458.1 and 38 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -15.1 to 6.8.

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

- Rate : The incidence rate is 389.4 with a 95% confidence interval from 342.6 to 441.6 and 60 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -9.0 with a 95% confidence interval from -18.1 to 1.2.

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

- Rate : The incidence rate is 385.3 with a 95% confidence interval from 355.9 to 416.7 and 134 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.5 to 2.5.

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

- Rate : The incidence rate is 383.9 with a 95% confidence interval from 333.1 to 441.2 and 45 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -18.7 to 17.6.

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

- Rate : The incidence rate is 382.1 with a 95% confidence interval from 339.1 to 429.3 and 61 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -13.6 to 13.5.

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

- Rate : The incidence rate is 381.0 with a 95% confidence interval from 328.6 to 439.8 and 42 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 9.5 with a 95% confidence interval from -6.1 to 27.6.

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

- Rate : The incidence rate is 380.6 with a 95% confidence interval from 344.0 to 420.1 and 81 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -20.0 to 22.1.

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

- Rate : The incidence rate is 379.3 with a 95% confidence interval from 354.7 to 405.3 and 205 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -5.8 to 3.7.

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

- Rate : The incidence rate is 372.9 with a 95% confidence interval from 316.4 to 438.1 and 34 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -17.8 to 16.6.

#### St. Clair County^{6,10}

- Rate : The incidence rate is 372.7 with a 95% confidence interval from 327.9 to 422.7 and 57 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.3 with a 95% confidence interval from -16.1 to 4.7.

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

- Rate : The incidence rate is 369.8 with a 95% confidence interval from 322.9 to 422.0 and 48 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -17.3 to 12.6.

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

- Rate : The incidence rate is 368.6 with a 95% confidence interval from 301.4 to 447.5 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.7 with a 95% confidence interval from -26.8 to 16.4.

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

- Rate : The incidence rate is 368.2 with a 95% confidence interval from 305.7 to 441.2 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.3 with a 95% confidence interval from -20.6 to 36.9.

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

- Rate : The incidence rate is 365.2 with a 95% confidence interval from 322.8 to 412.8 and 68 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -11.2 to 14.4.

#### Ste. Genevieve County^{6,10}

- Rate : The incidence rate is 364.9 with a 95% confidence interval from 330.3 to 402.4 and 85 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.9 with a 95% confidence interval from -0.9 to 13.1.

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

- Rate : The incidence rate is 347.7 with a 95% confidence interval from 263.7 to 455.6 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).

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

- Rate : The incidence rate is 344.4 with a 95% confidence interval from 309.5 to 382.4 and 74 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -9.8 to 10.5.

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

- Rate : The incidence rate is 341.6 with a 95% confidence interval from 300.6 to 387.2 and 55 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -13.7 to 24.3.

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

- Rate : The incidence rate is 334.0 with a 95% confidence interval from 301.5 to 369.1 and 81 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.9 with a 95% confidence interval from -24.9 to 10.5.

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

- Rate : The incidence rate is 329.9 with a 95% confidence interval from 267.1 to 403.8 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.0 with a 95% confidence interval from -32.5 to 28.2.

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

- Rate : The incidence rate is 319.3 with a 95% confidence interval from 279.6 to 363.5 and 47 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -19.3 to 22.2.

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

- Rate : The incidence rate is 317.9 with a 95% confidence interval from 282.9 to 356.5 and 64 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -22.2 to 13.1.

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

- Rate : The incidence rate is 296.0 with a 95% confidence interval from 277.8 to 315.1 and 205 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -22.3 to 17.3.

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

- Rate : The incidence rate is 287.4 with a 95% confidence interval from 245.4 to 335.1 and 35 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -9.9 to 10.4.

**Notes:**

Created by statecancerprofiles.cancer.gov on 06/30/2016 1:45 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.