Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages <65
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
California7
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 197.1 with a 95% confidence interval from 196.5 to 197.8 and 77,016 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.5 to -0.3.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 223.5 with a 95% confidence interval from 223.3 to 223.8 and 753,674 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 -0.3 to -0.1.
Imperial County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 186.0 with a 95% confidence interval from 176.4 to 196.0 and 293 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (29, 54)
- Recent Trend : The trend is because the trend is -6.7 with a 95% confidence interval from -14.3 to 0.8.
Sutter County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 193.5 with a 95% confidence interval from 180.8 to 206.9 and 185 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (12, 53)
- Recent Trend : The trend is because the trend is -4.6 with a 95% confidence interval from -8.7 to -0.5.
Riverside County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 194.7 with a 95% confidence interval from 192.1 to 197.3 and 4,545 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (31, 44)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.4.
Tuolumne County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 208.4 with a 95% confidence interval from 191.0 to 227.2 and 128 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (2, 48)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.7.
Trinity County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 152.7 with a 95% confidence interval from 125.2 to 185.2 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 55 (31, 57)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.1 to 0.2.
Del Norte County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 174.3 with a 95% confidence interval from 152.5 to 198.5 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 53 (18, 57)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.3.
Modoc County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 164.5 with a 95% confidence interval from 125.9 to 212.2 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 54 (2, 57)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -3.7 to 1.3.
Sierra County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 147.1 with a 95% confidence interval from 89.1 to 232.9 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 57 (1, 57)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -4.3 to 1.9.
Siskiyou County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 183.4 with a 95% confidence interval from 165.0 to 203.5 and 90 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (12, 56)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.2.
Solano County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 205.9 with a 95% confidence interval from 199.9 to 212.1 and 962 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (10, 36)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.0 to -0.5.
Lassen County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 149.2 with a 95% confidence interval from 130.6 to 169.9 and 48 average annual cases over 2018-2022.
- CI*Rank ⋔ : 56 (49, 57)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -5.9 to 0.3.
Sacramento County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 201.8 with a 95% confidence interval from 198.5 to 205.0 and 3,149 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (20, 36)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.6.
San Luis Obispo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 211.7 with a 95% confidence interval from 203.6 to 220.1 and 584 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (4, 33)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.4.
Yuba County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 213.4 with a 95% confidence interval from 198.4 to 229.1 and 161 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (2, 41)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to 0.0.
Alameda County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 186.6 with a 95% confidence interval from 183.7 to 189.6 and 3,186 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (39, 50)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -0.7 to -0.4.
San Diego County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 204.3 with a 95% confidence interval from 202.1 to 206.6 and 6,581 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (19, 33)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.3.
Nevada County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 207.0 with a 95% confidence interval from 193.9 to 220.8 and 228 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (3, 45)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.1.
Tehama County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 215.6 with a 95% confidence interval from 199.3 to 233.0 and 147 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 43)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.2.
Mendocino County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 208.5 with a 95% confidence interval from 194.8 to 223.0 and 195 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (3, 45)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.
Placer County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 208.7 with a 95% confidence interval from 202.3 to 215.2 and 873 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (6, 33)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.6 to -0.1.
Tulare County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 176.0 with a 95% confidence interval from 170.2 to 181.9 and 722 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (45, 55)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.7 to 0.0.
Contra Costa County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 204.2 with a 95% confidence interval from 200.5 to 207.9 and 2,490 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (17, 34)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.5 to -0.2.
El Dorado County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 211.0 with a 95% confidence interval from 201.6 to 220.7 and 455 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (3, 37)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.
Inyo County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 183.2 with a 95% confidence interval from 155.5 to 214.8 and 37 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (3, 57)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.3.
Kern County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 198.2 with a 95% confidence interval from 193.8 to 202.7 and 1,603 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (24, 42)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
Kings County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 181.5 with a 95% confidence interval from 171.3 to 192.2 and 240 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (35, 55)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.
Marin County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 223.1 with a 95% confidence interval from 214.9 to 231.6 and 645 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 19)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.0.
Monterey County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 179.1 with a 95% confidence interval from 173.2 to 185.2 and 726 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (43, 55)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.5 to -0.1.
San Joaquin County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 192.4 with a 95% confidence interval from 187.9 to 197.0 and 1,414 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (31, 47)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.0.
Amador County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 199.4 with a 95% confidence interval from 180.4 to 220.0 and 96 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (3, 53)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.4.
Madera County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 186.6 with a 95% confidence interval from 176.5 to 197.1 and 269 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (29, 54)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.3.
San Bernardino County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 197.9 with a 95% confidence interval from 195.1 to 200.7 and 4,104 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (27, 41)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.0.
San Mateo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 207.0 with a 95% confidence interval from 202.4 to 211.7 and 1,626 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (11, 33)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.3 to 0.0.
Ventura County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 214.1 with a 95% confidence interval from 209.6 to 218.7 and 1,873 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (4, 23)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.2.
Yolo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 204.7 with a 95% confidence interval from 195.4 to 214.4 and 379 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (7, 42)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.3.
Fresno County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 193.8 with a 95% confidence interval from 189.7 to 198.0 and 1,726 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (30, 46)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.1.
Lake County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 219.7 with a 95% confidence interval from 203.4 to 236.9 and 163 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 39)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.4.
Los Angeles County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 187.9 with a 95% confidence interval from 186.7 to 189.1 and 18,850 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (39, 49)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.5.
Merced County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 188.6 with a 95% confidence interval from 180.9 to 196.6 and 466 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (31, 52)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.3.
Plumas County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 214.3 with a 95% confidence interval from 183.2 to 249.6 and 44 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 54)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.0.
Shasta County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 225.5 with a 95% confidence interval from 215.4 to 235.9 and 431 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 18)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.3.
Sonoma County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 216.5 with a 95% confidence interval from 210.5 to 222.5 and 1,128 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (3, 23)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.4.
Orange County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 198.2 with a 95% confidence interval from 196.0 to 200.4 and 6,482 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (27, 39)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.6 to 1.4.
Santa Barbara County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 210.4 with a 95% confidence interval from 203.9 to 217.2 and 843 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (6, 32)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.5.
Stanislaus County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 209.3 with a 95% confidence interval from 203.6 to 215.1 and 1,074 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (7, 32)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.3 to 0.4.
Glenn County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 235.9 with a 95% confidence interval from 209.8 to 264.4 and 65 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 36)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.2.
Santa Cruz County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 216.5 with a 95% confidence interval from 208.3 to 224.9 and 581 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (2, 28)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from 0.0 to 0.5.
Butte County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 239.7 with a 95% confidence interval from 229.7 to 250.1 and 477 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 6)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.7.
Calaveras County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 211.6 with a 95% confidence interval from 191.5 to 233.4 and 105 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (1, 49)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.2.
San Benito County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 210.4 with a 95% confidence interval from 194.3 to 227.4 and 133 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (2, 47)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.2.
Colusa County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 174.3 with a 95% confidence interval from 148.9 to 203.0 and 36 average annual cases over 2018-2022.
- CI*Rank ⋔ : 52 (7, 57)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.6.
Humboldt County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 216.7 with a 95% confidence interval from 205.1 to 228.7 and 288 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (2, 35)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.5 to 4.0.
Santa Clara County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 196.9 with a 95% confidence interval from 194.1 to 199.8 and 3,801 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (28, 42)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.2 to 2.6.
Mono County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 182.4 with a 95% confidence interval from 151.0 to 219.0 and 27 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (2, 57)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -1.0 to 2.8.
Napa County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 207.5 with a 95% confidence interval from 196.5 to 218.9 and 295 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (4, 42)
- Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from 0.1 to 5.3.
San Francisco County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 209.8 with a 95% confidence interval from 205.4 to 214.3 and 1,823 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (8, 30)
- Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from 0.4 to 3.6.
Mariposa County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 218.5 with a 95% confidence interval from 186.4 to 255.1 and 44 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 53)
- Recent Trend : The trend is because the trend is 12.9 with a 95% confidence interval from 6.0 to 18.3.
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 10:44 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.
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.


