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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 Percentlate

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