Interpretation of Incidence Rates Data
Incidence Rate Report for North Dakota by County
All Cancer Sites (All Stages^), 2018-2022
White Non-Hispanic, Both Sexes, All Ages
Sorted by Recentaapc
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
North Dakota2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 450.8 with a 95% confidence interval from 444.1 to 457.6 and 3,773 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.5 to 0.0.
US (SEER+NPCR) § 1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 467.1 with a 95% confidence interval from 466.7 to 467.5 and 1,354,187 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.7.
Emmons County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 338.3 with a 95% confidence interval from 267.6 to 425.8 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (14, 50)
- Recent Trend : The trend is because the trend is -22.6 with a 95% confidence interval from -37.5 to -4.1.
Stutsman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 368.4 with a 95% confidence interval from 335.8 to 403.6 and 106 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (25, 47)
- Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -8.4 to -2.0.
Oliver County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 229.5 with a 95% confidence interval from 150.9 to 340.5 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (36, 50)
- Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -7.1 to 1.3.
Adams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 318.1 with a 95% confidence interval from 236.2 to 426.0 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (14, 50)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -4.8 to 0.1.
Towner County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 397.7 with a 95% confidence interval from 292.9 to 532.7 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (1, 49)
- Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -5.3 to 0.8.
Griggs County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 411.4 with a 95% confidence interval from 322.4 to 523.6 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (1, 49)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -4.4 to 0.7.
Ransom County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 417.3 with a 95% confidence interval from 352.0 to 492.4 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (3, 46)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.3 to -0.3.
Williams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 369.2 with a 95% confidence interval from 337.6 to 402.9 and 109 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (25, 46)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -8.5 to -0.6.
Dickey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 303.4 with a 95% confidence interval from 244.7 to 373.2 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (29, 50)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -4.2 to 0.9.
Logan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 300.7 with a 95% confidence interval from 214.3 to 417.0 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (20, 50)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -4.5 to 1.2.
Bowman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 390.0 with a 95% confidence interval from 304.2 to 495.2 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (2, 49)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -4.6 to 1.6.
Golden Valley County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 396.1 with a 95% confidence interval from 286.9 to 538.8 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (1, 50)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -3.5 to 1.0.
Sargent County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 464.5 with a 95% confidence interval from 383.6 to 559.8 and 27 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (1, 42)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.3 to 1.1.
Sheridan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 419.9 with a 95% confidence interval from 283.2 to 608.8 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (1, 50)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -5.3 to 2.9.
Ward County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 429.9 with a 95% confidence interval from 407.3 to 453.4 and 288 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (13, 34)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.0.
Burke County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 407.7 with a 95% confidence interval from 303.0 to 539.8 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (1, 50)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.8 to 1.6.
Barnes County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 448.7 with a 95% confidence interval from 399.5 to 502.9 and 71 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (2, 37)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.1.
LaMoure County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 394.6 with a 95% confidence interval from 320.4 to 482.7 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (3, 48)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.9 to 0.9.
McIntosh County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 345.9 with a 95% confidence interval from 269.1 to 444.5 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (10, 50)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -3.7 to 1.8.
Pierce County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 415.3 with a 95% confidence interval from 340.7 to 504.0 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (2, 47)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -3.2 to 1.1.
Rolette County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 376.9 with a 95% confidence interval from 292.6 to 483.3 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (3, 50)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.9 to 1.2.
Divide County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 333.1 with a 95% confidence interval from 250.5 to 441.4 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (13, 50)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -3.5 to 2.3.
McKenzie County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 342.1 with a 95% confidence interval from 290.4 to 400.1 and 34 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (25, 50)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.2 to 1.2.
Bottineau County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 470.9 with a 95% confidence interval from 404.2 to 546.5 and 45 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 36)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.0 to 0.9.
Grand Forks County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 459.9 with a 95% confidence interval from 436.5 to 484.2 and 314 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (6, 28)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.2.
Kidder County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 372.6 with a 95% confidence interval from 284.7 to 483.5 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (3, 50)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -14.1 to 2.3.
Ramsey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 468.8 with a 95% confidence interval from 418.4 to 524.2 and 73 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 33)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.6.
Dunn County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 354.5 with a 95% confidence interval from 276.7 to 448.8 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (8, 50)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.6 to 1.8.
Cavalier County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 400.5 with a 95% confidence interval from 322.2 to 494.3 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (2, 49)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.8 to 1.1.
Benson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 445.7 with a 95% confidence interval from 357.1 to 554.3 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (1, 47)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -3.0 to 2.3.
Mountrail County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 439.2 with a 95% confidence interval from 369.6 to 518.7 and 31 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (1, 44)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.2 to 1.9.
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 362.1 with a 95% confidence interval from 273.0 to 476.4 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (4, 50)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.5 to 2.2.
Richland County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 469.7 with a 95% confidence interval from 426.0 to 517.0 and 97 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (2, 30)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.0.
Stark County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 420.0 with a 95% confidence interval from 387.9 to 454.1 and 136 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (12, 38)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.7.
Burleigh County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 463.6 with a 95% confidence interval from 445.4 to 482.3 and 532 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (6, 25)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.5.
McLean County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 494.5 with a 95% confidence interval from 439.6 to 555.3 and 72 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 28)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.3.
Traill County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 456.0 with a 95% confidence interval from 397.5 to 521.4 and 50 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 39)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.3 to 1.5.
Eddy County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 518.8 with a 95% confidence interval from 402.9 to 660.5 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 41)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -3.2 to 3.4.
Wells County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 387.7 with a 95% confidence interval from 319.4 to 469.3 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (6, 48)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.2 to 1.5.
Morton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 480.8 with a 95% confidence interval from 449.6 to 513.8 and 189 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (2, 24)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.3 to 1.0.
Renville County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 398.9 with a 95% confidence interval from 301.5 to 521.3 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (1, 50)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -2.4 to 3.5.
Foster County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 485.1 with a 95% confidence interval from 399.2 to 586.6 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 40)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.5 to 3.0.
McHenry County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 505.7 with a 95% confidence interval from 433.7 to 587.7 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 32)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.6 to 3.0.
Nelson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 534.5 with a 95% confidence interval from 437.2 to 650.8 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 33)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.3 to 2.6.
Mercer County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 496.9 with a 95% confidence interval from 437.3 to 563.3 and 58 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 30)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.6 to 2.4.
Walsh County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 439.3 with a 95% confidence interval from 389.0 to 495.2 and 66 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (3, 39)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.4 to 2.1.
Hettinger County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 485.7 with a 95% confidence interval from 382.0 to 612.2 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 44)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.6 to 3.5.
Pembina County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 475.5 with a 95% confidence interval from 411.8 to 547.5 and 49 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 35)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -0.2 to 2.8.
Steele County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 400.6 with a 95% confidence interval from 290.4 to 543.2 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (1, 50)
- Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from -0.8 to 5.0.
Cass County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 509.2 with a 95% confidence interval from 493.7 to 525.2 and 858 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 12)
- Recent Trend : The trend is because the trend is 3.6 with a 95% confidence interval from 1.4 to 5.2.
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 12:42 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.
Data for United States does not include Puerto Rico.


