## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

Colon & Rectum, 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**

#### Oklahoma^{6,10}

- Rate : The incidence rate is 44.0 with a 95% confidence interval from 43.1 to 44.9 and 1,800 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -6.0 to 1.8.

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

- Rate : The incidence rate is 41.9 with a 95% confidence interval from 41.8 to 42.0 and 140,433 § average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -4.7 to -3.0.

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

- Rate : The incidence rate is 63.7 with a 95% confidence interval from 48.5 to 82.5 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).

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

- Rate : The incidence rate is 54.5 with a 95% confidence interval from 36.9 to 78.2 and 7 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).

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

- Rate : The incidence rate is 54.4 with a 95% confidence interval from 38.7 to 74.8 and 8 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).

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

- Rate : The incidence rate is 51.2 with a 95% confidence interval from 40.7 to 63.5 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.8 with a 95% confidence interval from -25.6 to 44.8.

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

- Rate : The incidence rate is 51.1 with a 95% confidence interval from 35.4 to 71.8 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 51.0 with a 95% confidence interval from 37.7 to 67.9 and 10 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 50.8 with a 95% confidence interval from 36.6 to 69.0 and 9 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 50.3 with a 95% confidence interval from 44.5 to 56.7 and 56 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -6.9 to 14.3.

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

- Rate : The incidence rate is 50.1 with a 95% confidence interval from 32.7 to 74.1 and 6 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 49.8 with a 95% confidence interval from 44.0 to 56.2 and 54 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -5.9 to 9.5.

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

- Rate : The incidence rate is 49.4 with a 95% confidence interval from 41.3 to 58.8 and 29 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -27.5 to 24.7.

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

- Rate : The incidence rate is 49.4 with a 95% confidence interval from 40.0 to 60.4 and 20 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.5 to 3.1.

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

- Rate : The incidence rate is 48.8 with a 95% confidence interval from 33.4 to 69.3 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 48.7 with a 95% confidence interval from 41.3 to 57.1 and 31 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.2 with a 95% confidence interval from -31.0 to 17.0.

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

- Rate : The incidence rate is 48.6 with a 95% confidence interval from 38.3 to 60.8 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 11.5 with a 95% confidence interval from -9.8 to 37.8.

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

- Rate : The incidence rate is 48.6 with a 95% confidence interval from 37.4 to 62.0 and 13 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 48.1 with a 95% confidence interval from 30.3 to 74.0 and 5 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 47.9 with a 95% confidence interval from 27.7 to 79.4 and 3 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 47.5 with a 95% confidence interval from 39.9 to 56.3 and 28 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.8 with a 95% confidence interval from -24.8 to 10.6.

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

- Rate : The incidence rate is 47.1 with a 95% confidence interval from 39.3 to 56.0 and 28 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -21.9 to 21.8.

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

- Rate : The incidence rate is 47.0 with a 95% confidence interval from 38.4 to 57.1 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -18.4 to 23.8.

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

- Rate : The incidence rate is 46.9 with a 95% confidence interval from 34.0 to 63.3 and 10 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 46.8 with a 95% confidence interval from 40.7 to 53.6 and 44 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -18.4 to 23.8.

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

- Rate : The incidence rate is 46.8 with a 95% confidence interval from 34.9 to 61.4 and 11 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 46.4 with a 95% confidence interval from 31.0 to 67.1 and 6 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 46.3 with a 95% confidence interval from 27.1 to 74.9 and 4 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 45.8 with a 95% confidence interval from 32.0 to 63.8 and 8 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 45.7 with a 95% confidence interval from 31.6 to 64.6 and 8 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 45.7 with a 95% confidence interval from 37.2 to 55.6 and 21 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 15.9.

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

- Rate : The incidence rate is 45.6 with a 95% confidence interval from 27.2 to 72.9 and 4 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 45.5 with a 95% confidence interval from 35.4 to 58.0 and 15 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -8.2 with a 95% confidence interval from -15.5 to -0.3.

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

- Rate : The incidence rate is 45.4 with a 95% confidence interval from 37.3 to 54.8 and 23 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -20.3 to 15.8.

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

- Rate : The incidence rate is 45.1 with a 95% confidence interval from 25.0 to 77.3 and 3 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 44.9 with a 95% confidence interval from 38.7 to 51.9 and 38 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.5 with a 95% confidence interval from -16.3 to 33.1.

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

- Rate : The incidence rate is 44.6 with a 95% confidence interval from 35.3 to 55.7 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 8.5 with a 95% confidence interval from -11.3 to 32.7.

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

- Rate : The incidence rate is 44.3 with a 95% confidence interval from 35.5 to 54.8 and 18 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -12.5 with a 95% confidence interval from -30.9 to 10.8.

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

- Rate : The incidence rate is 44.2 with a 95% confidence interval from 31.7 to 59.9 and 8 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 44.1 with a 95% confidence interval from 32.3 to 59.1 and 10 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.9 with a 95% confidence interval from 37.0 to 51.8 and 30 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -12.6 to 9.6.

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

- Rate : The incidence rate is 43.9 with a 95% confidence interval from 40.1 to 48.0 and 102 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -7.8 with a 95% confidence interval from -13.4 to -1.9.

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

- Rate : The incidence rate is 43.6 with a 95% confidence interval from 30.1 to 61.5 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.6 with a 95% confidence interval from 41.3 to 46.0 and 270 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -12.7 to 7.3.

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

- Rate : The incidence rate is 43.5 with a 95% confidence interval from 29.8 to 61.8 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.5 with a 95% confidence interval from 36.8 to 51.0 and 31 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -5.3 to 8.4.

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

- Rate : The incidence rate is 43.5 with a 95% confidence interval from 36.3 to 51.8 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -16.7 to 5.0.

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

- Rate : The incidence rate is 43.5 with a 95% confidence interval from 33.1 to 56.0 and 12 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.4 with a 95% confidence interval from 26.9 to 66.9 and 4 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.3 with a 95% confidence interval from 30.2 to 60.4 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.1 with a 95% confidence interval from 25.4 to 70.7 and 4 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.0 with a 95% confidence interval from 31.8 to 56.9 and 10 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.0 with a 95% confidence interval from 34.5 to 53.0 and 18 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -18.9 to 10.6.

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

- Rate : The incidence rate is 42.9 with a 95% confidence interval from 31.9 to 56.6 and 10 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 42.6 with a 95% confidence interval from 35.3 to 50.9 and 25 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -15.5 with a 95% confidence interval from -31.0 to 3.5.

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

- Rate : The incidence rate is 42.4 with a 95% confidence interval from 36.4 to 49.3 and 36 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -16.5 to 19.5.

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

- Rate : The incidence rate is 42.4 with a 95% confidence interval from 34.6 to 51.6 and 21 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 6.0 with a 95% confidence interval from -16.8 to 35.0.

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

- Rate : The incidence rate is 42.4 with a 95% confidence interval from 36.1 to 49.5 and 33 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -15.5 to 8.2.

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

- Rate : The incidence rate is 42.2 with a 95% confidence interval from 28.1 to 61.5 and 6 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 42.1 with a 95% confidence interval from 26.5 to 64.6 and 5 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 42.1 with a 95% confidence interval from 39.9 to 44.2 and 304 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -4.7 to 3.5.

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

- Rate : The incidence rate is 42.0 with a 95% confidence interval from 26.4 to 63.8 and 5 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 42.0 with a 95% confidence interval from 34.7 to 50.3 and 24 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.0 with a 95% confidence interval from -27.8 to 12.1.

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

- Rate : The incidence rate is 41.6 with a 95% confidence interval from 32.0 to 53.3 and 13 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 40.8 with a 95% confidence interval from 33.1 to 49.8 and 20 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -18.4 to 21.6.

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

- Rate : The incidence rate is 40.6 with a 95% confidence interval from 32.8 to 49.9 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -13.6 with a 95% confidence interval from -49.5 to 47.7.

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

- Rate : The incidence rate is 40.5 with a 95% confidence interval from 23.0 to 67.4 and 3 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 39.5 with a 95% confidence interval from 27.6 to 55.0 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 38.8 with a 95% confidence interval from 30.6 to 48.7 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -24.4 to 30.7.

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

- Rate : The incidence rate is 38.7 with a 95% confidence interval from 31.8 to 46.8 and 23 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -10.8 to 12.8.

#### Le Flore County^{6,10}

- Rate : The incidence rate is 38.6 with a 95% confidence interval from 31.8 to 46.5 and 23 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -18.8 with a 95% confidence interval from -31.4 to -3.8.

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

- Rate : The incidence rate is 38.3 with a 95% confidence interval from 26.6 to 54.0 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 35.4 with a 95% confidence interval from 29.4 to 42.2 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 12.7 with a 95% confidence interval from -15.6 to 50.6.

**Beaver 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).

**Cimarron 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).

**Ellis 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).

**Harmon County**

^{6,10}**Harper County**

^{6,10}**Roger Mills County**

^{6,10}**Notes:**

Created by statecancerprofiles.cancer.gov on 05/05/2016 6:27 am.

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.