## 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**

#### North Dakota^{6,10}

- Rate : The incidence rate is 446.5 with a 95% confidence interval from 439.7 to 453.3 and 3,457 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.1.

#### 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.

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

- Rate : The incidence rate is 579.7 with a 95% confidence interval from 487.7 to 685.6 and 31 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -9.9 with a 95% confidence interval from -22.7 to 5.1.

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

- Rate : The incidence rate is 535.5 with a 95% confidence interval from 429.2 to 665.0 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -45.2 to 65.0.

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

- Rate : The incidence rate is 532.1 with a 95% confidence interval from 421.5 to 666.0 and 20 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -38.2 to 57.0.

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

- Rate : The incidence rate is 527.4 with a 95% confidence interval from 412.5 to 668.2 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -9.0 with a 95% confidence interval from -34.2 to 25.9.

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

- Rate : The incidence rate is 516.2 with a 95% confidence interval from 425.4 to 622.7 and 26 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 6.0 with a 95% confidence interval from -16.1 to 33.9.

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

- Rate : The incidence rate is 515.6 with a 95% confidence interval from 459.4 to 577.7 and 70 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 13.4 with a 95% confidence interval from -6.1 to 37.0.

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

- Rate : The incidence rate is 487.9 with a 95% confidence interval from 454.0 to 523.7 and 160 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.2 with a 95% confidence interval from 0.0 to 8.5.

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

- Rate : The incidence rate is 485.1 with a 95% confidence interval from 419.9 to 557.6 and 42 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -24.5 to 21.9.

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

- Rate : The incidence rate is 482.0 with a 95% confidence interval from 424.7 to 545.5 and 55 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -9.1 to 16.4.

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

- Rate : The incidence rate is 481.5 with a 95% confidence interval from 378.8 to 606.3 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -19.1 to 32.8.

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

- Rate : The incidence rate is 481.1 with a 95% confidence interval from 376.4 to 605.6 and 15 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.3 with a 95% confidence interval from -12.8 to 24.8.

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

- Rate : The incidence rate is 479.7 with a 95% confidence interval from 455.4 to 505.0 and 301 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -9.1 to 1.0.

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

- Rate : The incidence rate is 479.1 with a 95% confidence interval from 430.2 to 532.5 and 76 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -9.0 to 5.3.

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

- Rate : The incidence rate is 475.3 with a 95% confidence interval from 418.1 to 538.8 and 53 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.0 with a 95% confidence interval from -2.7 to 13.2.

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

- Rate : The incidence rate is 474.1 with a 95% confidence interval from 421.0 to 531.8 and 61 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -19.6 to 18.6.

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

- Rate : The incidence rate is 472.9 with a 95% confidence interval from 384.0 to 578.5 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.2 with a 95% confidence interval from -20.9 to 37.2.

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

- Rate : The incidence rate is 471.0 with a 95% confidence interval from 434.4 to 510.1 and 130 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -9.6 to 9.7.

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

- Rate : The incidence rate is 462.9 with a 95% confidence interval from 392.4 to 542.4 and 32 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -24.0 to 21.7.

#### Grand Forks County^{6,10}

- Rate : The incidence rate is 462.5 with a 95% confidence interval from 437.9 to 488.2 and 277 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.

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

- Rate : The incidence rate is 462.5 with a 95% confidence interval from 446.0 to 479.5 and 622 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.2.

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

- Rate : The incidence rate is 456.9 with a 95% confidence interval from 414.4 to 502.8 and 90 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -20.0 to 33.2.

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

- Rate : The incidence rate is 448.3 with a 95% confidence interval from 341.0 to 582.4 and 14 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).

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

- Rate : The incidence rate is 447.0 with a 95% confidence interval from 379.5 to 524.2 and 35 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.4 with a 95% confidence interval from -19.6 to 38.3.

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

- Rate : The incidence rate is 438.9 with a 95% confidence interval from 419.6 to 458.8 and 403 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.8 with a 95% confidence interval from -4.0 to 12.2.

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

- Rate : The incidence rate is 436.3 with a 95% confidence interval from 389.1 to 488.0 and 67 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -12.8 to 16.4.

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

- Rate : The incidence rate is 436.0 with a 95% confidence interval from 351.3 to 538.1 and 23 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -9.1 with a 95% confidence interval from -32.2 to 21.9.

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

- Rate : The incidence rate is 430.4 with a 95% confidence interval from 371.4 to 497.3 and 43 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.1 with a 95% confidence interval from -22.9 to 11.9.

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

- Rate : The incidence rate is 429.1 with a 95% confidence interval from 368.1 to 498.9 and 36 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -14.9 to 1.9.

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

- Rate : The incidence rate is 425.7 with a 95% confidence interval from 392.1 to 461.5 and 126 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -12.0 to 14.0.

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

- Rate : The incidence rate is 424.9 with a 95% confidence interval from 338.8 to 530.9 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -25.1 to 16.5.

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

- Rate : The incidence rate is 406.8 with a 95% confidence interval from 336.7 to 489.9 and 28 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -21.1 to 28.8.

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

- Rate : The incidence rate is 405.2 with a 95% confidence interval from 318.5 to 513.8 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -16.7 to 16.8.

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

- Rate : The incidence rate is 405.2 with a 95% confidence interval from 341.6 to 480.6 and 32 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -15.5 to 10.5.

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

- Rate : The incidence rate is 403.7 with a 95% confidence interval from 359.6 to 452.3 and 66 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -12.7 to 12.4.

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

- Rate : The incidence rate is 403.5 with a 95% confidence interval from 312.6 to 515.5 and 14 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).

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

- Rate : The incidence rate is 403.1 with a 95% confidence interval from 368.5 to 440.1 and 106 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -13.1 to 8.2.

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

- Rate : The incidence rate is 403.0 with a 95% confidence interval from 296.2 to 541.5 and 10 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).

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

- Rate : The incidence rate is 385.4 with a 95% confidence interval from 305.6 to 486.7 and 18 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -33.1 to 60.3.

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

- Rate : The incidence rate is 381.4 with a 95% confidence interval from 329.2 to 440.6 and 43 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.7 with a 95% confidence interval from -12.1 to 24.6.

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

- Rate : The incidence rate is 374.8 with a 95% confidence interval from 256.7 to 540.4 and 9 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 370.5 with a 95% confidence interval from 305.3 to 448.2 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -3.9 to 9.2.

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

- Rate : The incidence rate is 360.6 with a 95% confidence interval from 261.5 to 489.9 and 11 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 357.4 with a 95% confidence interval from 294.2 to 432.2 and 26 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -26.7 to 19.4.

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

- Rate : The incidence rate is 355.6 with a 95% confidence interval from 282.2 to 443.9 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -7.5 with a 95% confidence interval from -13.7 to -0.8.

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

- Rate : The incidence rate is 352.4 with a 95% confidence interval from 290.7 to 428.6 and 24 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.2 with a 95% confidence interval from -17.3 to 1.9.

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

- Rate : The incidence rate is 341.9 with a 95% confidence interval from 248.4 to 463.8 and 10 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 338.6 with a 95% confidence interval from 240.8 to 467.6 and 9 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 336.1 with a 95% confidence interval from 258.5 to 434.4 and 13 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 330.6 with a 95% confidence interval from 242.3 to 446.0 and 11 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 320.2 with a 95% confidence interval from 264.8 to 385.0 and 26 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 8.2 with a 95% confidence interval from -9.4 to 29.2.

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

- Rate : The incidence rate is 254.7 with a 95% confidence interval from 205.6 to 312.4 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -16.7 to 10.8.

**Billings County**

^{6,10}- Rate : * 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).

**Slope County**

^{6,10}- Rate : * 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).

**Notes:**

Created by statecancerprofiles.cancer.gov on 05/05/2016 3:59 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.