Interpretation of Incidence Rates Data
Incidence Rate Report for Tennessee by County
All Cancer Sites (All Stages^), 2018-2022
Hispanic (any race), Both Sexes, All Ages
Sorted by CI*Rank
Explanation of Column HeadersIncidence 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
- Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
- Data is currently being suppressed if there are fewer than 16 counts for the time period.
Line by Line Interpretation of the Report
Tennessee2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 249.6 with a 95% confidence interval from 239.8 to 259.7 and 649 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -4.6 with a 95% confidence interval from -7.2 to -2.9.
US (SEER+NPCR) § 1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 354.7 with a 95% confidence interval from 353.9 to 355.5 and 165,518 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.5.
Cheatham County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 415.4 with a 95% confidence interval from 222.5 to 689.2 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 25)
- Recent Trend :
Montgomery County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 363.4 with a 95% confidence interval from 303.3 to 430.6 and 37 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 10)
- Recent Trend : The trend is because the trend is -9.6 with a 95% confidence interval from -21.3 to 0.9.
Sevier County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 353.2 with a 95% confidence interval from 269.0 to 453.1 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 15)
- Recent Trend :
Rutherford County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 342.8 with a 95% confidence interval from 295.0 to 395.4 and 63 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 12)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.9 to 4.4.
Hamblen County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 311.4 with a 95% confidence interval from 231.4 to 407.8 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 20)
- Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from -0.3 to 11.4.
Robertson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 304.5 with a 95% confidence interval from 203.8 to 432.1 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 23)
- Recent Trend : The trend is because the trend is 7.0 with a 95% confidence interval from 2.3 to 13.6.
Williamson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 303.0 with a 95% confidence interval from 245.0 to 369.4 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 18)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -3.4 to 5.7.
Putnam County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 295.1 with a 95% confidence interval from 204.7 to 408.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 24)
- Recent Trend :
Shelby County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 285.3 with a 95% confidence interval from 256.5 to 316.1 and 109 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (4, 16)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.3.
Warren County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 280.2 with a 95% confidence interval from 179.3 to 415.3 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 25)
- Recent Trend :
Davidson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 280.1 with a 95% confidence interval from 253.6 to 308.3 and 136 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (4, 16)
- Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -7.4 to 0.1.
Cumberland County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 276.7 with a 95% confidence interval from 173.2 to 418.1 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 26)
- Recent Trend :
Bradley County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 245.8 with a 95% confidence interval from 172.0 to 336.9 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (2, 25)
- Recent Trend :
Maury County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 242.8 with a 95% confidence interval from 166.7 to 337.9 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (2, 26)
- Recent Trend :
Sumner County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 235.4 with a 95% confidence interval from 183.6 to 296.6 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (5, 24)
- Recent Trend :
Loudon County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 224.5 with a 95% confidence interval from 145.9 to 326.9 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (2, 27)
- Recent Trend :
McMinn County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 222.0 with a 95% confidence interval from 125.0 to 362.3 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 27)
- Recent Trend :
Wilson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 217.9 with a 95% confidence interval from 151.5 to 301.1 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (5, 26)
- Recent Trend :
Hamilton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 216.2 with a 95% confidence interval from 182.0 to 254.6 and 35 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (10, 24)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -2.5 to 4.4.
Madison County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 196.7 with a 95% confidence interval from 109.6 to 318.5 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (3, 27)
- Recent Trend :
Coffee County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 191.2 with a 95% confidence interval from 100.9 to 325.6 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (3, 27)
- Recent Trend :
Washington County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 188.0 with a 95% confidence interval from 126.4 to 266.7 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (9, 27)
- Recent Trend :
Bedford County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 182.9 with a 95% confidence interval from 109.3 to 283.7 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (5, 27)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -7.4 to 10.4.
Anderson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 174.3 with a 95% confidence interval from 99.8 to 283.7 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (7, 27)
- Recent Trend :
Blount County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 166.1 with a 95% confidence interval from 104.7 to 247.3 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (10, 27)
- Recent Trend :
Knox County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 138.7 with a 95% confidence interval from 110.4 to 171.4 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (20, 27)
- Recent Trend : The trend is because the trend is -25.5 with a 95% confidence interval from -40.0 to -17.8.
Sullivan County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 116.8 with a 95% confidence interval from 65.6 to 190.8 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (18, 27)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 12:56 pm.
State Cancer Registries may provide more current or more local data.
Trend
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.
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.
† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). 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 US Population Data File is used for SEER and NPCR incidence rates.
‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.
Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.
2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
NHIA (NAACCR Hispanic Identification Algorithm) was used for Hispanic Ethnicity (see Technical Notes section of the USCS).
Data for United States does not include Puerto Rico.


