## Interpretation of Incidence Rates Data

#### Incidence Rate Report for Wyoming by County

All Races (includes Hispanic), Both Sexes, All Cancer Sites, 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**

**Wyoming**^{6,10}- Rate : The incidence rate is 419.5 with a 95% confidence interval from 412.0 to 427.0 and 2,548 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -5.5 to 2.2.

**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.

**Hot Springs County**^{6,10}- Rate : The incidence rate is 484.2 with a 95% confidence interval from 411.5 to 567.7 and 37 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -10.9 to 14.2.

**Sheridan County**^{6,10}- Rate : The incidence rate is 458.1 with a 95% confidence interval from 427.0 to 490.9 and 173 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.1 to 0.8.

**Natrona County**^{6,10}- Rate : The incidence rate is 451.0 with a 95% confidence interval from 430.2 to 472.6 and 367 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -6.6 to 1.0.

**Washakie County**^{6,10}- Rate : The incidence rate is 448.0 with a 95% confidence interval from 392.5 to 509.7 and 50 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -19.9 to 15.6.

**Laramie County**^{6,10}- Rate : The incidence rate is 438.5 with a 95% confidence interval from 419.9 to 457.7 and 435 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -11.5 to 5.9.

**Niobrara County**^{6,10}- Rate : The incidence rate is 436.8 with a 95% confidence interval from 342.7 to 552.2 and 16 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 18.7 with a 95% confidence interval from -19.8 to 75.7.

**Campbell County**^{6,10}- Rate : The incidence rate is 436.5 with a 95% confidence interval from 401.4 to 473.6 and 146 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.1 with a 95% confidence interval from -16.2 to 7.4.

**Converse County**^{6,10}- Rate : The incidence rate is 434.9 with a 95% confidence interval from 388.5 to 485.5 and 67 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -10.4 to 6.2.

**Carbon County**^{6,10}- Rate : The incidence rate is 426.1 with a 95% confidence interval from 383.4 to 472.5 and 77 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -15.3 to 7.7.

**Platte County**^{6,10}- Rate : The incidence rate is 416.9 with a 95% confidence interval from 365.9 to 473.7 and 54 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -13.5 to 18.3.

**Big Horn County**^{6,10}- Rate : The incidence rate is 416.6 with a 95% confidence interval from 370.4 to 467.5 and 63 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -4.8 to 8.5.

**Johnson County**^{6,10}- Rate : The incidence rate is 412.7 with a 95% confidence interval from 360.7 to 470.6 and 49 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -10.2 to 9.0.

**Park County**^{6,10}- Rate : The incidence rate is 411.3 with a 95% confidence interval from 381.8 to 442.5 and 158 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -12.7 to 9.4.

**Fremont County**^{6,10}- Rate : The incidence rate is 409.3 with a 95% confidence interval from 383.1 to 436.8 and 191 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.4 to 4.1.

**Sweetwater County**^{6,10}- Rate : The incidence rate is 403.5 with a 95% confidence interval from 373.9 to 434.8 and 155 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -8.8 to 13.7.

**Teton County**^{6,10}- Rate : The incidence rate is 402.7 with a 95% confidence interval from 362.6 to 445.9 and 83 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -16.6 to 4.6.

**Albany County**^{6,10}- Rate : The incidence rate is 397.6 with a 95% confidence interval from 364.4 to 433.0 and 114 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -19.4 to 23.1.

**Weston County**^{6,10}- Rate : The incidence rate is 397.1 with a 95% confidence interval from 340.1 to 461.6 and 37 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -12.5 to 15.4.

**Goshen County**^{6,10}- Rate : The incidence rate is 392.1 with a 95% confidence interval from 351.4 to 436.7 and 72 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -11.0 to 5.2.

**Lincoln County**^{6,10}- Rate : The incidence rate is 365.9 with a 95% confidence interval from 327.9 to 407.1 and 73 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -19.4 to 18.1.

**Uinta County**^{6,10}- Rate : The incidence rate is 359.3 with a 95% confidence interval from 320.0 to 402.1 and 68 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.1 with a 95% confidence interval from -24.3 to 43.1.

**Sublette County**^{6,10}- Rate : The incidence rate is 352.0 with a 95% confidence interval from 297.4 to 413.6 and 33 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -14.9 with a 95% confidence interval from -25.6 to -2.6.

**Crook County**^{6,10}- Rate : The incidence rate is 280.9 with a 95% confidence interval from 234.4 to 334.8 and 28 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -29.1 to 37.6.

**Notes:**

Created by statecancerprofiles.cancer.gov on 08/03/2015 12:36 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.

^{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.

Suppression is used to avoid misinterpretation when rates are unstable.