State Cancer Profiles

Interpretation of Historical Trends Data

Historical Trends (2002-2021)

Incidence, Missouri, All Cancer Sites, AI/AN Non-Hispanic, All Ages, Both Sexes

Line graph with 20 years and 2 segments
During 2002-2017, the APC¹ in the rate of cancer was rising: 1.7 with a 95% confidence interval from 0.5 to 4.1.
During 2017-2021, the APC¹ in the rate of cancer was falling: -13.5 with a 95% confidence interval from -23.4 to -5.2.
Yearly points:
In 2002, the observed rate was 191.4. The estimated rate was 195.8.
In 2003, the observed rate was 205.1. The estimated rate was 199.2.
In 2004, the observed rate was 193.9. The estimated rate was 202.5.
In 2005, the observed rate was 234.7. The estimated rate was 206.0.
In 2006, the observed rate was 180.1. The estimated rate was 209.5.
In 2007, the observed rate was 216.0. The estimated rate was 213.0.
In 2008, the observed rate was 154.6. The estimated rate was 216.6.
In 2009, the observed rate was 206.6. The estimated rate was 220.3.
In 2010, the observed rate was 287.1. The estimated rate was 224.0.
In 2011, the observed rate was 217.6. The estimated rate was 227.8.
In 2012, the observed rate was 255.5. The estimated rate was 231.7.
In 2013, the observed rate was 230.2. The estimated rate was 235.6.
In 2014, the observed rate was 257.3. The estimated rate was 239.6.
In 2015, the observed rate was 218.2. The estimated rate was 243.7.
In 2016, the observed rate was 233.2. The estimated rate was 247.8.
In 2017, the observed rate was 247.4. The estimated rate was 252.0.
In 2018, the observed rate was 241.7. The estimated rate was 218.1.
In 2019, the observed rate was 166.4. The estimated rate was 188.8.
In 2020, the observed rate was 187.3. The estimated rate was N/A.
In 2021, the observed rate was 145.1. The estimated rate was 141.4.

Notes:

Created by statecancerprofiles.cancer.gov on 07/18/2025 7:31 pm.
Regression lines calculated using the Joinpoint Regression Program (Version 5.3.0).
¹ The APC is the Annual Percent Change over the time interval. Rates used in the calculation of the APC are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+).

Explanation of the Calculation of the Trend:
If the APC is less than -1.5, the trend is falling.
If the APC is between -1.5 and -0.5, the trend is slightly falling.
If the APC is between -0.5 and 0.5, the trend is statistically stable.
If the APC is between 0.5 and 1.5, the trend is slightly rising.
If the APC is greater than 1.5, the trend is rising.

The 2020 incidence rate is displayed but not used in the fit of the trend line(s). Impact of COVID on SEER Cancer Incidence 2020 data.
Statistics for minorities may be affected by inconsistent race identification between the cancer case reports (sources for numerator of rate) and data from the Census Bureau (source for denominator of rate); and from undercounts of some population groups in the census.

Source: Incidence data provided by the SEER Program and the National Program of Cancer Registries SEER*Stat Database United States Department of Health and Human Services, Centers for Disease Control and Prevention. Rates 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 US populations included with the data release have been adjusted for the population shifts due to hurricanes Katrina and Rita for 62 counties and parishes in Alabama, Mississippi, Louisiana, and Texas. The US Population Data File is used with SEER data. Rates and trends in this graph are computed using the same standard for malignancy. For more information see malignant.html

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 (deaths 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+). Population counts for denominators are based on Census populations as modified by NCI. The US populations included with the data release have been adjusted for the population shifts due to hurricanes Katrina and Rita for 62 counties and parishes in Alabama, Mississippi, Louisiana, and Texas. US Population Data File is used with mortality data.

Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected racial groups or counties.