Interpretation of Incidence Rates Data
Incidence Rate Report for North Dakota 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
North Dakota2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 227.2 with a 95% confidence interval from 222.1 to 232.4 and 1,661 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 -0.1 to 0.5.
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.
Emmons County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 187.1 with a 95% confidence interval from 122.0 to 277.9 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (2, 49)
- Recent Trend : The trend is because the trend is -36.6 with a 95% confidence interval from -61.8 to -0.2.
Sargent County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 246.2 with a 95% confidence interval from 178.8 to 332.7 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 44)
- Recent Trend : The trend is because the trend is -12.2 with a 95% confidence interval from -30.5 to -3.2.
Sioux County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 113.8 with a 95% confidence interval from 69.3 to 176.4 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (30, 49)
- Recent Trend : The trend is because the trend is -8.5 with a 95% confidence interval from -15.2 to -5.2.
Dickey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 143.1 with a 95% confidence interval from 98.3 to 202.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (19, 49)
- Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -8.3 to 1.1.
Towner County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 166.4 with a 95% confidence interval from 88.8 to 286.8 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (2, 49)
- Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -7.2 to 1.5.
Ransom County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 178.3 with a 95% confidence interval from 130.7 to 238.6 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (8, 49)
- Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -4.9 to -0.2.
Divide County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 131.8 with a 95% confidence interval from 73.8 to 225.0 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (11, 49)
- Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -8.8 to 3.8.
Stutsman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 187.0 with a 95% confidence interval from 161.3 to 215.9 and 44 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (15, 44)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -7.1 to -1.0.
Burke County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 205.8 with a 95% confidence interval from 122.4 to 325.9 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (1, 49)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -6.3 to 2.3.
Morton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 212.9 with a 95% confidence interval from 190.4 to 237.5 and 72 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (9, 37)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -7.6 to 0.2.
Golden Valley County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 181.4 with a 95% confidence interval from 97.2 to 313.0 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (1, 49)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -7.4 to 4.2.
Bowman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 209.0 with a 95% confidence interval from 136.1 to 308.5 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (1, 49)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -6.3 to 3.3.
McHenry County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 200.0 with a 95% confidence interval from 148.6 to 264.9 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (3, 48)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -4.6 to 2.1.
Ward County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 213.7 with a 95% confidence interval from 197.1 to 231.4 and 130 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (11, 35)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -7.3 to 0.2.
Ramsey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 204.1 with a 95% confidence interval from 166.8 to 247.6 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (5, 44)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.0 to 0.9.
Williams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 182.9 with a 95% confidence interval from 162.7 to 204.7 and 64 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (21, 44)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.5 to 1.1.
McIntosh County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 186.8 with a 95% confidence interval from 122.2 to 281.7 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (2, 49)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -4.1 to 3.9.
Renville County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 204.1 with a 95% confidence interval from 129.0 to 311.5 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (1, 49)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -4.3 to 4.5.
Bottineau County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 246.9 with a 95% confidence interval from 190.1 to 315.9 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 42)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -2.7 to 2.7.
Eddy County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 307.1 with a 95% confidence interval from 204.6 to 444.0 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 43)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -6.0 to 6.0.
Wells County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 189.2 with a 95% confidence interval from 131.8 to 266.4 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (3, 49)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -3.6 to 3.8.
Grand Forks County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 230.8 with a 95% confidence interval from 213.1 to 249.5 and 139 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (6, 30)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.1.
McKenzie County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 146.2 with a 95% confidence interval from 116.8 to 180.6 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (30, 49)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.6 to 2.5.
Barnes County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 218.9 with a 95% confidence interval from 179.0 to 265.7 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (3, 42)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.3.
Walsh County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 211.2 with a 95% confidence interval from 171.5 to 257.7 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (4, 44)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.4 to 2.0.
Stark County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 215.0 with a 95% confidence interval from 191.1 to 241.0 and 64 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (8, 37)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.0 to 1.9.
McLean County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 258.5 with a 95% confidence interval from 212.4 to 312.2 and 27 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 35)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.7 to 2.7.
Pierce County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 236.4 with a 95% confidence interval from 173.0 to 317.9 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 45)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -2.5 to 3.5.
Mountrail County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 207.4 with a 95% confidence interval from 166.5 to 255.2 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (4, 44)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -2.0 to 3.6.
Burleigh County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 236.7 with a 95% confidence interval from 222.5 to 251.5 and 227 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (6, 26)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.2 to 1.2.
LaMoure County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 223.7 with a 95% confidence interval from 158.0 to 309.1 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 47)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -2.3 to 3.7.
Foster County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 179.3 with a 95% confidence interval from 119.4 to 261.2 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (3, 49)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -2.7 to 4.6.
Rolette County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 315.4 with a 95% confidence interval from 269.0 to 367.5 and 36 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 12)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.5 to 2.5.
Benson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 225.9 with a 95% confidence interval from 168.7 to 296.1 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (1, 45)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.4 to 3.7.
Mercer County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 244.5 with a 95% confidence interval from 196.4 to 301.4 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 39)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -1.5 to 4.3.
Pembina County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 246.4 with a 95% confidence interval from 192.7 to 311.3 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 41)
- Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -0.9 to 4.0.
Traill County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 231.6 with a 95% confidence interval from 184.5 to 287.6 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (2, 42)
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from -1.0 to 4.5.
Hettinger County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 280.2 with a 95% confidence interval from 191.9 to 398.3 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 43)
- Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from -1.9 to 6.0.
Cavalier County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 213.9 with a 95% confidence interval from 145.7 to 304.4 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (1, 48)
- Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from -1.2 to 12.8.
Steele County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 217.7 with a 95% confidence interval from 123.3 to 358.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (1, 49)
- Recent Trend : The trend is because the trend is 5.0 with a 95% confidence interval from -0.6 to 11.4.
Cass County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 263.9 with a 95% confidence interval from 252.6 to 275.7 and 426 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (2, 14)
- Recent Trend : The trend is because the trend is 6.0 with a 95% confidence interval from 2.6 to 8.3.
Richland County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 240.9 with a 95% confidence interval from 205.6 to 280.7 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (2, 34)
- Recent Trend : The trend is because the trend is 9.4 with a 95% confidence interval from -0.3 to 17.8.
Dunn County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 189.8 with a 95% confidence interval from 129.6 to 268.8 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (3, 49)
- Recent Trend : The trend is because the trend is 26.4 with a 95% confidence interval from 0.3 to 48.8.
Adams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 148.9 with a 95% confidence interval from 82.5 to 253.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (4, 49)
- Recent Trend :
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 186.2 with a 95% confidence interval from 108.2 to 302.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (1, 49)
- Recent Trend :
Griggs County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 217.0 with a 95% confidence interval from 133.8 to 337.5 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (1, 49)
- Recent Trend :
Kidder County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 146.4 with a 95% confidence interval from 80.4 to 247.8 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (6, 49)
- Recent Trend :
Logan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 152.6 with a 95% confidence interval from 83.5 to 263.8 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (3, 49)
- Recent Trend :
Nelson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 237.7 with a 95% confidence interval from 159.9 to 343.1 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 47)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 3:55 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.
Data for United States does not include Puerto Rico.


