## 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**

#### West Virginia^{6,10}

- Rate : The incidence rate is 47.6 with a 95% confidence interval from 46.4 to 48.9 and 1,126 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -7.0 to 0.2.

#### 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.

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

- Rate : The incidence rate is 69.7 with a 95% confidence interval from 51.8 to 92.7 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).

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

- Rate : The incidence rate is 66.8 with a 95% confidence interval from 52.2 to 84.5 and 15 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -16.5 to 10.7.

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

- Rate : The incidence rate is 61.6 with a 95% confidence interval from 49.7 to 75.6 and 20 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.3 with a 95% confidence interval from -19.9 to 5.1.

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

- Rate : The incidence rate is 59.9 with a 95% confidence interval from 41.2 to 84.6 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).

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

- Rate : The incidence rate is 59.6 with a 95% confidence interval from 39.2 to 88.0 and 6 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).

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

- Rate : The incidence rate is 59.1 with a 95% confidence interval from 40.9 to 83.2 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 56.5 with a 95% confidence interval from 37.4 to 82.6 and 6 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 55.3 with a 95% confidence interval from 45.8 to 66.3 and 25 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -16.7 to 10.8.

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

- Rate : The incidence rate is 55.1 with a 95% confidence interval from 48.1 to 62.9 and 47 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.0 with a 95% confidence interval from -19.4 to 7.3.

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

- Rate : The incidence rate is 54.2 with a 95% confidence interval from 40.4 to 71.8 and 11 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 53.6 with a 95% confidence interval from 43.0 to 66.3 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -25.2 to 21.4.

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

- Rate : The incidence rate is 53.5 with a 95% confidence interval from 42.3 to 66.9 and 17 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -13.3 with a 95% confidence interval from -31.6 to 10.0.

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

- Rate : The incidence rate is 53.3 with a 95% confidence interval from 40.6 to 69.1 and 13 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 53.1 with a 95% confidence interval from 42.7 to 65.3 and 19 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -14.9 with a 95% confidence interval from -34.7 to 11.0.

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

- Rate : The incidence rate is 53.0 with a 95% confidence interval from 41.9 to 66.4 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -12.2 to 17.7.

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

- Rate : The incidence rate is 52.5 with a 95% confidence interval from 43.3 to 63.3 and 24 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.6 with a 95% confidence interval from -14.5 to 6.4.

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

- Rate : The incidence rate is 52.3 with a 95% confidence interval from 46.0 to 59.1 and 54 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -24.2 to 13.1.

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

- Rate : The incidence rate is 51.3 with a 95% confidence interval from 43.5 to 60.3 and 32 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -19.0 to 26.6.

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

- Rate : The incidence rate is 50.8 with a 95% confidence interval from 43.5 to 59.0 and 37 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 9.3 with a 95% confidence interval from -20.6 to 50.5.

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

- Rate : The incidence rate is 50.1 with a 95% confidence interval from 40.3 to 61.9 and 18 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -9.3 with a 95% confidence interval from -25.4 to 10.2.

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

- Rate : The incidence rate is 49.6 with a 95% confidence interval from 38.2 to 63.6 and 13 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 49.4 with a 95% confidence interval from 36.4 to 66.1 and 10 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 49.2 with a 95% confidence interval from 45.3 to 53.2 and 127 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -10.4 to 0.0.

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

- Rate : The incidence rate is 48.3 with a 95% confidence interval from 42.7 to 54.6 and 55 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -12.2 to 19.2.

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

- Rate : The incidence rate is 48.2 with a 95% confidence interval from 39.0 to 59.2 and 20 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 11.0 with a 95% confidence interval from -16.0 to 46.6.

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

- Rate : The incidence rate is 48.1 with a 95% confidence interval from 39.0 to 58.9 and 20 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 10.7 with a 95% confidence interval from -11.6 to 38.5.

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

- Rate : The incidence rate is 47.4 with a 95% confidence interval from 36.7 to 60.4 and 14 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 47.1 with a 95% confidence interval from 36.5 to 60.0 and 14 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 47.1 with a 95% confidence interval from 38.6 to 57.2 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.9 with a 95% confidence interval from -14.5 to 31.2.

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

- Rate : The incidence rate is 47.0 with a 95% confidence interval from 38.7 to 56.8 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 -31.0 to 17.3.

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

- Rate : The incidence rate is 46.4 with a 95% confidence interval from 40.5 to 52.9 and 47 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -15.8 to 0.8.

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

- Rate : The incidence rate is 45.3 with a 95% confidence interval from 39.1 to 52.4 and 39 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.0 with a 95% confidence interval from -22.0 to 10.9.

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

- Rate : The incidence rate is 45.1 with a 95% confidence interval from 37.3 to 54.1 and 25 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -10.3 to 4.9.

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

- Rate : The incidence rate is 44.8 with a 95% confidence interval from 28.7 to 68.0 and 5 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 44.7 with a 95% confidence interval from 38.6 to 51.6 and 40 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -6.3 to 8.9.

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

- Rate : The incidence rate is 44.6 with a 95% confidence interval from 30.0 to 65.1 and 6 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 43.8 with a 95% confidence interval from 38.5 to 49.7 and 51 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.8 with a 95% confidence interval from -23.4 to 8.6.

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

- Rate : The incidence rate is 43.3 with a 95% confidence interval from 30.2 to 60.9 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 42.5 with a 95% confidence interval from 33.6 to 53.2 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -15.6 with a 95% confidence interval from -35.5 to 10.3.

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

- Rate : The incidence rate is 42.4 with a 95% confidence interval from 34.9 to 51.2 and 23 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 18.0.

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

- Rate : The incidence rate is 41.9 with a 95% confidence interval from 30.4 to 56.6 and 9 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 41.6 with a 95% confidence interval from 34.6 to 49.7 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -8.5 with a 95% confidence interval from -15.9 to -0.4.

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

- Rate : The incidence rate is 40.6 with a 95% confidence interval from 25.1 to 63.1 and 4 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 39.9 with a 95% confidence interval from 30.4 to 51.8 and 12 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 39.9 with a 95% confidence interval from 28.8 to 54.6 and 9 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 39.5 with a 95% confidence interval from 24.6 to 61.5 and 5 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 38.2 with a 95% confidence interval from 27.6 to 52.0 and 9 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 38.2 with a 95% confidence interval from 23.8 to 59.2 and 5 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 38.1 with a 95% confidence interval from 27.4 to 52.0 and 8 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 38.0 with a 95% confidence interval from 31.5 to 45.5 and 25 average annual cases over 2008-2012.
- Recent Trend : The trend is rising because the trend is 13.2 with a 95% confidence interval from 3.8 to 23.5.

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

- Rate : The incidence rate is 35.5 with a 95% confidence interval from 26.9 to 46.4 and 12 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 34.9 with a 95% confidence interval from 23.9 to 49.9 and 7 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 34.0 with a 95% confidence interval from 19.6 to 55.8 and 3 average annual cases over 2008-2012.

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

- Rate : The incidence rate is 32.0 with a 95% confidence interval from 21.8 to 46.1 and 7 average annual cases over 2008-2012.

**Wirt 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 05/06/2016 8:27 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.