## Interpretation of Rate/Trend Comparison by Cancer Data

**Death Rate/Trend Comparison by Cancer, death years through 2013**

Alaska Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

Alaska Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

**United States**

- The priority index is -
- The recent trend is falling
- This death rate is - the US rate
- The average deaths per year (2009-2013) is 577,303
- The annual death rate (2009-2013) is 168.5 per 100,000 with a 95% confidence interval from 168.3 to 168.7
- The rate ratio is -0.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -1.6 to -1.5
- The recent trend period is 2009 - 2013

**Alaska**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 931
- The annual death rate (2009-2013) is 176.3 per 100,000 with a 95% confidence interval from 170.8 to 181.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.4 to -0.9
- The recent trend period is 2009 - 2013

**Bethel Census Area**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 20
- The annual death rate (2009-2013) is 218.8 per 100,000 with a 95% confidence interval from 173.9 to 270.4
- The rate ratio is 1.3
- The average annual percent change in death rates is 0.3 with a 95% confidence interval from -1.2 to 1.8
- The recent trend period is 2009 - 2013

**Nome Census Area**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 17
- The annual death rate (2009-2013) is 277.6 per 100,000 with a 95% confidence interval from 217.2 to 348.2
- The rate ratio is 1.6
- The average annual percent change in death rates is 0.9 with a 95% confidence interval from -0.9 to 2.9
- The recent trend period is 2009 - 2013

**North Slope Borough**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 12
- The annual death rate (2009-2013) is 256.9 per 100,000 with a 95% confidence interval from 182.1 to 348.5
- The rate ratio is 1.5
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -2.9 to 2.1
- The recent trend period is 2009 - 2013

**Wade Hampton Census Area**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 10
- The annual death rate (2009-2013) is 296.3 per 100,000 with a 95% confidence interval from 214.7 to 395.3
- The rate ratio is 1.8
- The average annual percent change in death rates is 0.5 with a 95% confidence interval from -1.7 to 2.8
- The recent trend period is 2009 - 2013

**Wrangell-Petersburg Census Area**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 16
- The annual death rate (2009-2013) is 232.6 per 100,000 with a 95% confidence interval from 182.5 to 292.6
- The rate ratio is 1.4
- The average annual percent change in death rates is 0.8 with a 95% confidence interval from -0.6 to 2.2
- The recent trend period is 2009 - 2013

**Dillingham Census Area(4)**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 7
- The annual death rate (2009-2013) is 216.6 per 100,000 with a 95% confidence interval from 147.0 to 305.1
- The rate ratio is 1.3
- The average annual percent change in death rates is 0.6 with a 95% confidence interval from -3.3 to 4.7
- The recent trend period is 2009 - 2013

**Ketchikan Gateway Borough**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 25
- The annual death rate (2009-2013) is 205.0 per 100,000 with a 95% confidence interval from 168.5 to 246.8
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.9 to 0.8
- The recent trend period is 2009 - 2013

**Kodiak Island Borough**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 15
- The annual death rate (2009-2013) is 181.9 per 100,000 with a 95% confidence interval from 138.1 to 233.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.7 with a 95% confidence interval from -3.6 to 0.2
- The recent trend period is 2009 - 2013

**Matanuska-Susitna Borough**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 127
- The annual death rate (2009-2013) is 184.3 per 100,000 with a 95% confidence interval from 168.8 to 200.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.9 to 0.1
- The recent trend period is 2009 - 2013

**Northwest Arctic Borough**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 9
- The annual death rate (2009-2013) is 199.3 per 100,000 with a 95% confidence interval from 142.6 to 269.1
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -2.9 to 1.6
- The recent trend period is 2009 - 2013

**Prince of Wales-Outer Ketchikan Census Area**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 9
- The annual death rate (2009-2013) is 199.2 per 100,000 with a 95% confidence interval from 136.7 to 278.3
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -3.2 to 2.6
- The recent trend period is 2009 - 2013

**Sitka City and Borough**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 13
- The annual death rate (2009-2013) is 150.1 per 100,000 with a 95% confidence interval from 115.2 to 192.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -3.1 to 0.1
- The recent trend period is 2009 - 2013

**Southeast Fairbanks Census Area**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 11
- The annual death rate (2009-2013) is 184.3 per 100,000 with a 95% confidence interval from 134.8 to 245.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -3.4 to 1.2
- The recent trend period is 2009 - 2013

**Valdez-Cordova Census Area**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 13
- The annual death rate (2009-2013) is 191.4 per 100,000 with a 95% confidence interval from 142.6 to 249.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -3.7 to 0.1
- The recent trend period is 2009 - 2013

**Yukon-Koyukuk Census Area**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 11
- The annual death rate (2009-2013) is 206.6 per 100,000 with a 95% confidence interval from 153.6 to 271.6
- The rate ratio is 1.2
- The average annual percent change in death rates is 0.5 with a 95% confidence interval from -1.8 to 3.0
- The recent trend period is 2009 - 2013

**Anchorage Municipality**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 352
- The annual death rate (2009-2013) is 167.5 per 100,000 with a 95% confidence interval from 159.2 to 176.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -1.8 to -0.8
- The recent trend period is 2009 - 2013

**Fairbanks North Borough**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 105
- The annual death rate (2009-2013) is 177.2 per 100,000 with a 95% confidence interval from 160.9 to 194.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.8 to -0.2
- The recent trend period is 2009 - 2013

**Juneau City and Borough**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 41
- The annual death rate (2009-2013) is 166.3 per 100,000 with a 95% confidence interval from 142.4 to 192.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.3 to -0.1
- The recent trend period is 2009 - 2013

**Kenai Peninsula Borough**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 96
- The annual death rate (2009-2013) is 168.1 per 100,000 with a 95% confidence interval from 152.4 to 185.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.1 to -1.2
- The recent trend period is 2009 - 2013

**Aleutians East Borough(4)**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2009-2013) is *
- The annual death rate (2009-2013) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Aleutians West Census Area(4)**

- The priority index is **
- The recent trend is **
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 3
- The annual death rate (2009-2013) is 203.3 per 100,000 with a 95% confidence interval from 86.8 to 378.7
- The rate ratio is 1.2
- The average annual percent change in death rates is **
- The recent trend period is **

**Bristol Bay Borough**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2009-2013) is *
- The annual death rate (2009-2013) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Denali Borough**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2009-2013) is *
- The annual death rate (2009-2013) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Haines Borough**

- The priority index is **
- The recent trend is **
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 4
- The annual death rate (2009-2013) is 126.3 per 100,000 with a 95% confidence interval from 74.2 to 204.0
- The rate ratio is 0.7
- The average annual percent change in death rates is **
- The recent trend period is **

**Lake and Peninsula Borough(4)**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2009-2013) is *
- The annual death rate (2009-2013) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Skagway-Hoonah-Angoon Census Area(4)**

- The priority index is **
- The recent trend is **
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 7
- The annual death rate (2009-2013) is 174.7 per 100,000 with a 95% confidence interval from 113.3 to 258.4
- The rate ratio is 1.0
- The average annual percent change in death rates is **
- The recent trend period is **

**Yakutat City and Borough(4)**

- The priority index is *
- The recent trend is **
- The comparison to US is *
- The average deaths per year (2009-2013) is *
- The annual death rate (2009-2013) is *
- The rate ratio is *
- The recent average annual percent change in death rates is **
- The recent trend period is **

**Notes:**

Created by statecancerprofiles.cancer.gov on 09/27/2016 8:20 pm.

Trend

Rate Comparison

* Data has been suppressed to ensure confidentiality and stability of rate and trendestimates.^{2}**Rising**when 95% confidence interval of average annual percent change is above 0.**Stable**when 95% confidence interval of average annual percent change includes 0.**Falling**when 95% confidence interval of average annual percent change is below 0.Rate Comparison

**Above**when 95% confident the rate is above and Rate Ratio^{3}> 1.10**Similar**when unable to conclude above or below with confidence.**Below**when 95% confident the rate is below and Rate Ratio^{3}< 0.90** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.

^{1}Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.

^{2}Recent trend in death rates is Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Regression Program (Version 4.3.0.0). Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

^{3}Rate ratio is the county rate divided by the US rate.

^{4}Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2013 US Population Data File is used with mortality data.

Note: 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.

State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).