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Incidence Rates Table

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Incidence Rate Report for Texas by County

Colon & Rectum (Late Stage^), 2018-2022

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by CI*Rank

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Percent of Cases with Late Stage
 sort by percent late descending
Texas 7 N/A 23.3 (23.0, 23.5) N/A 6,995 61.0
US (SEER+NPCR) 1 N/A 22.0 (21.9, 22.1) N/A 86,932 59.9
Kimble County 7 Rural 50.5 (26.2, 89.7) 1 (1, 177) 3 72.7
Coleman County 7 Rural 45.6 (29.9, 68.4) 2 (1, 152) 6 69.8
La Salle County 7 Rural 44.2 (25.0, 72.8) 3 (1, 177) 3 55.2
Winkler County 7 Rural 43.4 (25.0, 70.2) 4 (1, 175) 3 73.9
Zavala County 7 Rural 40.5 (25.1, 62.2) 5 (1, 177) 4 68.8
Hockley County 7 Urban 40.4 (29.7, 53.8) 6 (1, 134) 10 63.6
Brooks County 7 Rural 39.8 (22.8, 65.1) 7 (1, 177) 3 54.8
San Augustine County 7 Rural 39.8 (22.7, 65.0) 8 (1, 178) 4 57.9
Duval County 7 Rural 38.7 (24.1, 59.2) 9 (1, 175) 5 65.7
Jim Wells County 7 Rural 38.6 (30.7, 48.0) 10 (1, 102) 17 64.7
Marion County 7 Rural 38.2 (23.2, 59.8) 11 (1, 176) 5 68.4
Morris County 7 Rural 37.9 (24.7, 55.9) 12 (1, 172) 6 65.2
DeWitt County 7 Rural 38.0 (28.2, 50.4) 13 (1, 148) 11 70.7
Camp County 7 Rural 37.6 (23.7, 56.5) 14 (1, 175) 5 68.4
Wharton County 7 Rural 37.3 (30.0, 45.9) 15 (2, 95) 20 63.6
Delta County 7 Rural 37.4 (21.1, 63.7) 16 (1, 178) 3 64.0
Limestone County 7 Rural 36.8 (27.3, 48.8) 17 (1, 151) 11 64.4
Clay County 7 Urban 36.6 (23.3, 55.5) 18 (1, 175) 5 67.5
Reeves County 7 Rural 36.6 (23.1, 55.0) 19 (1, 178) 5 76.7
Palo Pinto County 7 Rural 36.3 (27.8, 46.8) 20 (1, 135) 14 65.4
Liberty County 7 Urban 35.8 (30.4, 42.0) 21 (4, 83) 33 69.2
Dawson County 7 Rural 35.5 (22.2, 53.8) 22 (1, 176) 5 62.2
Leon County 7 Rural 35.0 (24.1, 49.5) 23 (1, 171) 8 74.5
Zapata County 7 Rural 34.4 (21.7, 51.8) 24 (1, 177) 5 69.7
Polk County 7 Rural 33.7 (27.2, 41.5) 25 (3, 128) 22 58.0
Ector County 7 Urban 33.8 (29.4, 38.6) 26 (6, 82) 45 63.4
Newton County 7 Rural 32.8 (21.2, 49.0) 27 (1, 176) 6 60.4
Eastland County 7 Rural 32.9 (23.5, 45.2) 28 (1, 171) 9 69.2
Maverick County 7 Urban 32.9 (26.2, 40.7) 29 (4, 141) 17 61.4
Jasper County 7 Rural 32.7 (25.4, 41.7) 30 (3, 151) 15 63.9
Cass County 7 Rural 32.5 (24.9, 41.9) 31 (4, 162) 14 57.0
Ward County 7 Rural 32.5 (19.0, 51.6) 32 (1, 178) 4 75.0
Chambers County 7 Urban 32.2 (25.0, 40.7) 33 (4, 162) 15 67.0
San Jacinto County 7 Urban 32.1 (24.2, 42.1) 34 (3, 163) 13 70.8
Atascosa County 7 Urban 32.1 (25.7, 39.6) 35 (6, 141) 18 64.1
Kleberg County 7 Rural 32.0 (23.4, 42.6) 36 (3, 168) 10 63.2
Montague County 7 Rural 31.9 (22.6, 43.9) 37 (2, 173) 9 56.3
Uvalde County 7 Rural 31.8 (22.9, 43.1) 38 (2, 171) 9 62.0
Goliad County 7 Urban 31.6 (18.2, 52.6) 39 (1, 178) 4 70.4
Upshur County 7 Urban 31.7 (24.9, 39.7) 40 (4, 156) 17 60.1
Victoria County 7 Urban 31.5 (26.8, 36.8) 41 (9, 118) 34 72.6
Archer County 7 Urban 30.7 (17.7, 50.3) 42 (1, 178) 4 76.0
Lamar County 7 Rural 30.7 (24.7, 37.8) 43 (8, 147) 20 64.9
Walker County 7 Rural 30.7 (25.6, 36.7) 44 (9, 139) 26 61.3
Andrews County 7 Rural 30.3 (19.4, 45.1) 45 (1, 177) 5 64.1
Callahan County 7 Urban 30.1 (20.2, 43.8) 46 (2, 177) 6 68.1
Val Verde County 7 Rural 30.2 (23.6, 38.0) 47 (8, 156) 15 60.3
Shelby County 7 Rural 30.2 (21.7, 40.9) 48 (4, 173) 9 60.8
Bee County 7 Rural 30.1 (21.9, 40.4) 49 (3, 174) 9 60.0
Howard County 7 Rural 30.1 (22.6, 39.4) 50 (4, 169) 11 65.1
Hopkins County 7 Rural 30.1 (23.0, 38.6) 51 (6, 165) 13 60.9
Calhoun County 7 Rural 30.0 (20.6, 42.4) 52 (3, 175) 7 64.3
Karnes County 7 Rural 29.7 (18.8, 44.7) 53 (1, 178) 5 72.7
Colorado County 7 Rural 29.8 (21.9, 40.1) 54 (5, 170) 10 61.7
Stephens County 7 Rural 29.2 (17.0, 47.6) 55 (1, 178) 4 66.7
Pecos County 7 Rural 29.0 (18.3, 43.8) 56 (2, 178) 5 67.6
Fayette County 7 Rural 29.0 (21.1, 39.1) 57 (5, 173) 11 62.6
Fannin County 7 Rural 28.9 (22.3, 36.9) 58 (8, 167) 14 64.2
Burleson County 7 Urban 28.9 (19.8, 41.1) 59 (3, 175) 7 56.1
Lampasas County 7 Urban 28.8 (20.3, 39.8) 60 (4, 175) 8 59.2
Matagorda County 7 Rural 28.8 (22.1, 37.0) 61 (7, 169) 13 60.6
Runnels County 7 Rural 28.8 (16.1, 47.6) 62 (1, 178) 3 56.7
Young County 7 Rural 28.3 (19.1, 40.6) 63 (3, 177) 7 58.6
Dimmit County 7 Rural 28.6 (16.3, 47.2) 64 (1, 178) 3 50.0
Terry County 7 Rural 28.3 (16.5, 45.2) 65 (1, 178) 4 72.0
Hill County 7 Rural 28.1 (21.8, 35.9) 66 (10, 168) 14 63.2
Wise County 7 Urban 28.0 (22.9, 33.9) 67 (15, 159) 23 62.6
Gray County 7 Rural 28.0 (19.6, 39.0) 68 (4, 176) 7 66.1
Live Oak County 7 Rural 27.8 (17.2, 43.2) 69 (2, 178) 5 69.7
Cooke County 7 Rural 27.9 (21.5, 35.6) 70 (8, 171) 14 55.4
Aransas County 7 Urban 27.8 (20.5, 37.3) 71 (6, 175) 12 69.8
Madison County 7 Rural 27.9 (17.2, 43.1) 72 (3, 178) 4 61.8
Red River County 7 Rural 27.8 (17.8, 42.2) 73 (2, 178) 5 77.1
Van Zandt County 7 Rural 27.6 (22.4, 33.6) 74 (17, 163) 22 60.1
Bosque County 7 Urban 27.5 (19.0, 39.0) 75 (4, 176) 8 60.6
Houston County 7 Rural 27.3 (19.8, 37.2) 76 (8, 175) 9 63.9
Taylor County 7 Urban 27.3 (23.7, 31.4) 77 (27, 143) 42 63.3
Orange County 7 Urban 27.4 (22.9, 32.5) 78 (22, 157) 27 58.3
Wichita County 7 Urban 27.3 (23.5, 31.6) 79 (27, 147) 38 56.2
Gregg County 7 Urban 27.3 (23.4, 31.6) 80 (26, 148) 37 54.4
Henderson County 7 Rural 27.2 (22.9, 32.1) 81 (27, 154) 32 60.1
Caldwell County 7 Urban 27.1 (21.1, 34.3) 82 (13, 172) 15 63.5
Angelina County 7 Rural 26.8 (22.4, 31.8) 83 (22, 163) 28 56.3
Lee County 7 Rural 26.8 (18.2, 38.4) 84 (6, 177) 7 69.4
Falls County 7 Urban 26.6 (17.5, 39.0) 85 (4, 178) 6 70.7
Wood County 7 Rural 26.5 (21.0, 33.2) 86 (16, 170) 20 64.9
Wilbarger County 7 Rural 26.3 (16.3, 40.5) 87 (4, 178) 5 59.0
Anderson County 7 Rural 26.3 (21.1, 32.4) 88 (20, 169) 18 65.7
Lamb County 7 Rural 26.2 (16.2, 40.4) 89 (4, 178) 4 75.9
San Patricio County 7 Urban 26.1 (21.1, 32.0) 90 (21, 167) 20 59.6
Willacy County 7 Rural 26.2 (17.3, 38.1) 91 (5, 178) 6 53.8
Grayson County 7 Urban 26.1 (22.6, 29.9) 92 (36, 153) 44 56.9
Nacogdoches County 7 Rural 26.0 (20.7, 32.2) 93 (24, 170) 18 55.6
Kaufman County 7 Urban 26.0 (22.3, 30.1) 94 (37, 158) 37 58.6
Gonzales County 7 Rural 25.9 (17.5, 37.1) 95 (7, 178) 6 58.2
Sabine County 7 Rural 25.9 (16.0, 41.5) 96 (2, 178) 5 51.1
Lubbock County 7 Urban 25.8 (23.2, 28.5) 97 (51, 139) 79 64.6
Tom Green County 7 Urban 25.7 (21.9, 29.9) 98 (35, 161) 35 59.8
Milam County 7 Rural 25.7 (18.5, 35.0) 99 (11, 177) 9 57.0
Hood County 7 Rural 25.6 (20.7, 31.5) 100 (23, 170) 23 59.1
Galveston County 7 Urban 25.5 (23.3, 27.9) 101 (53, 140) 104 61.6
Cherokee County 7 Rural 25.5 (20.1, 31.9) 102 (23, 174) 16 64.8
McLennan County 7 Urban 25.4 (22.8, 28.4) 103 (47, 148) 69 60.0
Tyler County 7 Rural 25.3 (17.7, 35.5) 104 (8, 177) 8 57.4
Webb County 7 Urban 25.3 (22.4, 28.4) 105 (44, 158) 57 65.4
Cameron County 7 Urban 25.3 (23.2, 27.5) 106 (56, 144) 108 59.0
Rains County 7 Rural 25.0 (16.2, 38.2) 107 (6, 178) 5 65.9
Johnson County 7 Urban 25.1 (22.0, 28.5) 108 (44, 156) 50 58.4
Bastrop County 7 Urban 24.8 (20.7, 29.6) 109 (35, 168) 27 60.5
Brown County 7 Rural 24.7 (18.7, 32.2) 110 (19, 176) 13 53.4
Washington County 7 Rural 24.7 (18.5, 32.5) 111 (17, 176) 13 60.6
Hunt County 7 Urban 24.6 (20.7, 29.0) 112 (39, 166) 30 60.8
Hale County 7 Rural 24.5 (17.7, 33.1) 113 (13, 177) 9 65.7
Comanche County 7 Rural 24.3 (14.9, 37.9) 114 (6, 178) 5 52.2
Robertson County 7 Urban 24.0 (15.4, 36.0) 115 (5, 178) 5 71.1
Lavaca County 7 Rural 24.1 (16.5, 34.3) 116 (10, 178) 7 60.7
Scurry County 7 Rural 23.9 (15.2, 35.9) 117 (6, 178) 5 58.5
Hamilton County 7 Rural 23.8 (14.0, 39.8) 118 (6, 178) 4 60.0
Navarro County 7 Rural 23.6 (18.2, 30.1) 119 (28, 175) 14 57.4
Bowie County 7 Urban 23.5 (19.6, 28.0) 120 (44, 171) 27 51.9
Smith County 7 Urban 23.4 (20.9, 26.2) 121 (66, 162) 65 59.1
Hardin County 7 Urban 23.5 (18.5, 29.4) 122 (30, 175) 16 62.5
Brazoria County 7 Urban 23.4 (21.2, 25.8) 123 (72, 157) 89 61.0
Jones County 7 Urban 23.4 (15.4, 34.6) 124 (10, 178) 5 57.4
Medina County 7 Urban 23.4 (18.2, 29.6) 125 (35, 176) 15 59.7
Harris County 7 Urban 23.3 (22.7, 24.0) 126 (99, 139) 1,044 63.4
Hutchinson County 7 Rural 23.3 (15.6, 33.6) 127 (14, 178) 6 56.4
Frio County 7 Rural 23.3 (13.9, 36.5) 128 (6, 178) 4 47.5
Waller County 7 Urban 23.2 (17.5, 30.1) 129 (27, 177) 12 56.6
Parker County 7 Urban 23.1 (19.9, 26.6) 130 (58, 169) 40 55.9
Potter County 7 Urban 23.0 (19.3, 27.2) 131 (51, 173) 28 54.5
Burnet County 7 Rural 23.0 (17.8, 29.2) 132 (36, 176) 16 57.9
Dallas County 7 Urban 22.9 (22.1, 23.8) 133 (101, 146) 568 62.5
Jefferson County 7 Urban 22.9 (20.5, 25.6) 134 (70, 164) 66 58.7
Randall County 7 Urban 22.9 (19.6, 26.7) 135 (56, 170) 35 61.5
Jackson County 7 Rural 22.8 (13.9, 35.5) 136 (9, 178) 4 55.0
Montgomery County 7 Urban 22.7 (21.1, 24.5) 137 (85, 157) 152 65.5
Freestone County 7 Rural 22.6 (15.1, 33.0) 138 (13, 178) 6 54.5
Tarrant County 7 Urban 22.7 (21.7, 23.6) 139 (101, 150) 473 61.7
Midland County 7 Urban 22.4 (19.1, 26.2) 140 (60, 173) 34 59.1
Nueces County 7 Urban 22.4 (20.4, 24.7) 141 (85, 164) 90 60.4
Rusk County 7 Urban 22.4 (17.5, 28.4) 142 (39, 176) 15 52.4
Brazos County 7 Urban 22.3 (19.2, 25.7) 143 (65, 171) 39 64.8
Hidalgo County 7 Urban 22.2 (20.8, 23.8) 144 (97, 161) 173 59.2
Bexar County 7 Urban 22.2 (21.3, 23.2) 145 (108, 155) 443 59.3
Starr County 7 Rural 22.3 (17.1, 28.4) 146 (39, 176) 13 54.6
Ellis County 7 Urban 21.9 (19.0, 25.0) 147 (74, 173) 44 58.7
Travis County 7 Urban 21.8 (20.6, 23.1) 148 (106, 158) 257 63.7
Guadalupe County 7 Urban 21.6 (18.7, 24.8) 149 (71, 173) 41 56.5
Hays County 7 Urban 21.6 (18.9, 24.6) 150 (78, 171) 49 60.8
Austin County 7 Urban 21.7 (15.6, 29.5) 151 (32, 178) 9 65.7
Grimes County 7 Rural 21.4 (15.4, 29.3) 152 (32, 178) 9 59.5
Harrison County 7 Urban 21.2 (16.9, 26.2) 153 (52, 177) 18 49.7
Rockwall County 7 Urban 21.0 (17.4, 25.3) 154 (68, 176) 24 61.1
Kerr County 7 Rural 21.0 (16.4, 26.6) 155 (50, 178) 18 56.3
Erath County 7 Rural 20.9 (15.2, 28.1) 156 (36, 178) 9 52.8
Wilson County 7 Urban 20.7 (15.9, 26.7) 157 (49, 178) 13 53.7
Williamson County 7 Urban 20.7 (19.1, 22.4) 158 (115, 169) 131 61.0
Deaf Smith County 7 Rural 20.7 (12.5, 32.2) 159 (19, 178) 4 52.6
Panola County 7 Rural 20.7 (14.1, 29.6) 160 (28, 178) 7 52.4
Moore County 7 Rural 20.6 (12.5, 32.0) 161 (13, 178) 4 58.8
Franklin County 7 Rural 20.6 (11.5, 35.1) 162 (6, 178) 3 48.5
El Paso County 7 Urban 20.5 (19.1, 21.9) 163 (123, 170) 176 55.6
Gaines County 7 Rural 20.0 (11.4, 32.3) 164 (9, 178) 3 60.7
Bell County 7 Urban 20.0 (17.9, 22.3) 165 (114, 174) 68 57.0
Fort Bend County 7 Urban 19.7 (18.3, 21.2) 166 (133, 172) 164 58.1
Collin County 7 Urban 19.6 (18.4, 20.9) 167 (136, 171) 205 61.0
Titus County 7 Rural 19.4 (13.1, 27.8) 168 (38, 178) 6 52.5
Nolan County 7 Rural 19.1 (11.4, 30.4) 169 (15, 178) 4 52.8
Gillespie County 7 Rural 18.9 (12.6, 27.4) 170 (36, 178) 8 41.5
Comal County 7 Urban 18.2 (15.6, 21.0) 171 (120, 177) 40 56.5
Denton County 7 Urban 18.1 (16.8, 19.5) 172 (149, 176) 159 59.0
Kendall County 7 Urban 18.2 (13.6, 23.9) 173 (79, 178) 11 60.0
Coryell County 7 Urban 17.6 (13.5, 22.5) 174 (89, 178) 13 58.0
Bandera County 7 Urban 15.8 (10.5, 23.8) 175 (80, 178) 6 51.6
Blanco County 7 Rural 15.7 (8.9, 27.5) 176 (42, 178) 3 54.8
Trinity County 7 Rural 15.3 (8.3, 26.5) 177 (34, 178) 3 40.5
Llano County 7 Rural 15.0 (8.9, 24.3) 178 (49, 178) 5 50.0
Armstrong County 7 Urban
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Bailey County 7 Rural
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Baylor County 7 Rural
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Borden County 7 Rural
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Brewster County 7 Rural
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Briscoe County 7 Rural
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Carson County 7 Urban
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Castro County 7 Rural
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Childress County 7 Rural
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Cochran County 7 Urban
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Coke County 7 Rural
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Collingsworth County 7 Rural
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Concho County 7 Rural
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Cottle County 7 Rural
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Crane County 7 Rural
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Crockett County 7 Rural
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Crosby County 7 Urban
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Culberson County 7 Rural
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Dallam County 7 Rural
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Dickens County 7 Rural
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Donley County 7 Rural
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Edwards County 7 Rural
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Fisher County 7 Rural
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Floyd County 7 Rural
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Foard County 7 Rural
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Garza County 7 Urban
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Glasscock County 7 Rural
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Hall County 7 Rural
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Hansford County 7 Rural
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Hardeman County 7 Rural
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Hartley County 7 Rural
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Haskell County 7 Rural
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Hemphill County 7 Rural
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Hudspeth County 7 Urban
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Irion County 7 Urban
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Jack County 7 Rural
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Jeff Davis County 7 Rural
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Jim Hogg County 7 Rural
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Kenedy County 7 Rural
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Kent County 7 Rural
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King County 7 Rural
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Kinney County 7 Rural
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Knox County 7 Rural
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Lipscomb County 7 Rural
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Loving County 7 Rural
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Lynn County 7 Urban
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Martin County 7 Urban
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Mason County 7 Rural
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McCulloch County 7 Rural
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McMullen County 7 Rural
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Menard County 7 Rural
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Mills County 7 Rural
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Mitchell County 7 Rural
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Motley County 7 Rural
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Ochiltree County 7 Rural
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Oldham County 7 Urban
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Parmer County 7 Rural
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Presidio County 7 Rural
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Reagan County 7 Rural
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Real County 7 Rural
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Refugio County 7 Rural
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Roberts County 7 Rural
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San Saba County 7 Rural
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Schleicher County 7 Rural
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Shackelford County 7 Rural
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Sherman County 7 Rural
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Somervell County 7 Rural
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Sterling County 7 Rural
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Stonewall County 7 Rural
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Sutton County 7 Rural
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Swisher County 7 Rural
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Terrell County 7 Rural
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Throckmorton County 7 Rural
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Upton County 7 Rural
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Wheeler County 7 Rural
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Yoakum County 7 Rural
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Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 1:53 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.


† 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.

Rates are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html.

^ Late Stage is defined as cases determined to be regional or distant. 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.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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.

7 Source: SEER November 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.

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