Interpretation of Incidence Rates Data
Incidence Rate Report for Missouri by County
All Cancer Sites (All Stages^), 2018-2022
Hispanic (any race), Both Sexes, All Ages
Sorted by Name
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
Missouri2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 247.7 with a 95% confidence interval from 236.9 to 258.8 and 464 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.2.
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.
Barry County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 320.3 with a 95% confidence interval from 206.8 to 469.5 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 21)
- Recent Trend :
Boone County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 239.1 with a 95% confidence interval from 169.4 to 325.1 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (2, 22)
- Recent Trend : The trend is because the trend is 4.1 with a 95% confidence interval from -0.7 to 11.4.
Buchanan County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 275.7 with a 95% confidence interval from 200.0 to 368.8 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 20)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.5 to 1.2.
Cass County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 184.4 with a 95% confidence interval from 121.9 to 266.0 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (8, 23)
- Recent Trend :
Christian County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 261.3 with a 95% confidence interval from 154.0 to 407.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 23)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -3.6 to 4.7.
Clay County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 333.0 with a 95% confidence interval from 286.4 to 384.6 and 41 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 11)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.9 to 0.8.
Cole County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 200.2 with a 95% confidence interval from 110.5 to 330.3 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (2, 23)
- Recent Trend :
Dunklin County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 308.1 with a 95% confidence interval from 169.6 to 507.0 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 23)
- Recent Trend :
Franklin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 295.9 with a 95% confidence interval from 166.2 to 475.9 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 23)
- Recent Trend :
Greene County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 165.6 with a 95% confidence interval from 126.2 to 212.7 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (14, 23)
- Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -4.8 to 0.6.
Jackson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 305.4 with a 95% confidence interval from 281.9 to 330.1 and 147 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (2, 11)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.1.
Jasper County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 312.2 with a 95% confidence interval from 238.7 to 399.4 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 16)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -2.4 to 6.7.
Jefferson County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 172.8 with a 95% confidence interval from 114.6 to 248.1 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (9, 23)
- Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -8.1 to 2.3.
Lawrence County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 163.5 with a 95% confidence interval from 88.3 to 275.7 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (7, 23)
- Recent Trend : The trend is because the trend is -22.2 with a 95% confidence interval from -38.0 to -11.9.
McDonald County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 287.9 with a 95% confidence interval from 96.0 to 609.0 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 23)
- Recent Trend :
Pettis County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 287.4 with a 95% confidence interval from 191.8 to 413.4 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 22)
- Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -8.0 to 1.9.
Platte County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 195.4 with a 95% confidence interval from 136.8 to 268.6 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (7, 23)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -5.5 to 4.5.
Pulaski County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 323.9 with a 95% confidence interval from 167.1 to 544.1 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 23)
- Recent Trend : The trend is because the trend is -5.6 with a 95% confidence interval from -11.6 to 1.6.
Saline County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 227.3 with a 95% confidence interval from 137.1 to 352.4 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (1, 23)
- Recent Trend :
St. Charles County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 219.9 with a 95% confidence interval from 176.9 to 269.3 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (7, 22)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.0 to 0.9.
St. Louis City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 217.2 with a 95% confidence interval from 171.5 to 270.3 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (7, 22)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -5.3 to 1.9.
St. Louis County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 238.0 with a 95% confidence interval from 208.8 to 269.8 and 55 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (7, 19)
- Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from -2.3 to 10.2.
Taney County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 293.7 with a 95% confidence interval from 201.1 to 411.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 20)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 11:23 am.
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.


