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 50+
Sorted by CI*Rank
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
Rolette County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,736.3 with a 95% confidence interval from 1,543.1 to 1,947.2 and 63 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 13)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.1 to 2.1.
Nelson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,532.8 with a 95% confidence interval from 1,272.0 to 1,832.7 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 39)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.9 to 2.6.
Benson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,530.7 with a 95% confidence interval from 1,286.3 to 1,808.3 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 35)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.5 to 1.6.
Morton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,507.4 with a 95% confidence interval from 1,407.9 to 1,612.1 and 179 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 21)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.4 to 0.9.
McHenry County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,506.2 with a 95% confidence interval from 1,292.4 to 1,745.9 and 36 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 -1.5 to 2.6.
Eddy County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,504.6 with a 95% confidence interval from 1,182.2 to 1,888.2 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 45)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.9 to 2.7.
Cass County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,503.9 with a 95% confidence interval from 1,455.5 to 1,553.6 and 766 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (2, 16)
- Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from -0.2 to 5.3.
Hettinger County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,488.4 with a 95% confidence interval from 1,184.3 to 1,848.0 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 45)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.3 to 3.8.
Ramsey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,488.3 with a 95% confidence interval from 1,336.5 to 1,652.7 and 74 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 30)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.5.
Mercer County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,479.5 with a 95% confidence interval from 1,303.2 to 1,673.0 and 54 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 34)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.4.
Foster County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,476.5 with a 95% confidence interval from 1,221.3 to 1,770.7 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 41)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.4 to 2.2.
McLean County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,470.2 with a 95% confidence interval from 1,313.4 to 1,640.6 and 70 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 31)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.3 to 0.9.
Pembina County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,467.0 with a 95% confidence interval from 1,281.7 to 1,671.7 and 49 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 35)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.1 to 2.4.
Sargent County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,426.4 with a 95% confidence interval from 1,187.0 to 1,700.6 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (1, 44)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.1 to 0.9.
Burleigh County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,406.5 with a 95% confidence interval from 1,350.5 to 1,464.2 and 497 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (7, 25)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.4.
Richland County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,404.0 with a 95% confidence interval from 1,274.2 to 1,543.5 and 92 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (2, 33)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.0.
Grand Forks County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,385.0 with a 95% confidence interval from 1,313.7 to 1,459.3 and 295 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (7, 29)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.1.
Griggs County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,382.3 with a 95% confidence interval from 1,098.1 to 1,719.5 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (1, 48)
- Recent Trend : The trend is because the trend is 6.2 with a 95% confidence interval from -1.4 to 24.1.
Traill County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,369.8 with a 95% confidence interval from 1,195.0 to 1,563.3 and 47 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (2, 40)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.4.
Walsh County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,355.1 with a 95% confidence interval from 1,208.0 to 1,515.2 and 65 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (4, 39)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.5 to 2.5.
Mountrail County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,336.9 with a 95% confidence interval from 1,143.9 to 1,553.6 and 38 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (2, 44)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.4.
Bottineau County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,335.1 with a 95% confidence interval from 1,153.3 to 1,537.7 and 42 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (2, 43)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.7 to 0.6.
Barnes County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,303.6 with a 95% confidence interval from 1,162.9 to 1,456.7 and 65 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (6, 41)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.9 to -0.3.
Ward County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,300.7 with a 95% confidence interval from 1,230.7 to 1,373.6 and 268 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (13, 35)
- Recent Trend : The trend is because the trend is -10.1 with a 95% confidence interval from -17.4 to -1.5.
Burke County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,273.0 with a 95% confidence interval from 945.0 to 1,675.4 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (1, 50)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.5 to 1.0.
Stark County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,251.3 with a 95% confidence interval from 1,151.6 to 1,357.3 and 122 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (14, 41)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.6.
Ransom County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,241.2 with a 95% confidence interval from 1,044.8 to 1,463.4 and 30 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (4, 48)
- Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.7 to -0.6.
Wells County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,236.3 with a 95% confidence interval from 1,034.2 to 1,466.8 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (4, 48)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.6.
Steele County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,235.6 with a 95% confidence interval from 911.0 to 1,637.1 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (1, 50)
- Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -1.9 to 5.1.
Bowman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,229.5 with a 95% confidence interval from 962.5 to 1,547.4 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (2, 50)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -4.7 to 1.3.
Pierce County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,226.3 with a 95% confidence interval from 1,012.1 to 1,473.4 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (3, 49)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.9 to 0.3.
Cavalier County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,190.5 with a 95% confidence interval from 976.1 to 1,438.5 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (5, 50)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.1 to 0.9.
Renville County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,186.5 with a 95% confidence interval from 905.6 to 1,528.6 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (2, 50)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -2.3 to 3.1.
Sioux County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,171.5 with a 95% confidence interval from 862.9 to 1,554.8 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (2, 51)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -3.3 to 3.3.
Kidder County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,166.5 with a 95% confidence interval from 903.5 to 1,483.5 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (2, 50)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -19.5 to 5.8.
Towner County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,158.3 with a 95% confidence interval from 889.5 to 1,483.2 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (2, 50)
- Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -6.1 to 0.5.
Divide County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,141.7 with a 95% confidence interval from 868.1 to 1,476.0 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (2, 50)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.8 to 2.2.
Golden Valley County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,138.4 with a 95% confidence interval from 823.4 to 1,534.0 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (2, 51)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -5.2 to 0.7.
McIntosh County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,136.1 with a 95% confidence interval from 905.4 to 1,410.2 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (7, 50)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.8 to 2.1.
Emmons County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,110.9 with a 95% confidence interval from 905.6 to 1,350.4 and 22 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (10, 50)
- Recent Trend : The trend is because the trend is -21.7 with a 95% confidence interval from -32.7 to -4.0.
LaMoure County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,102.2 with a 95% confidence interval from 905.7 to 1,329.4 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (12, 50)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.5 to 0.6.
Williams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,100.2 with a 95% confidence interval from 1,001.7 to 1,205.7 and 101 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (27, 49)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.2.
Stutsman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,099.1 with a 95% confidence interval from 1,001.9 to 1,203.2 and 99 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (27, 48)
- Recent Trend : The trend is because the trend is -3.9 with a 95% confidence interval from -12.3 to -1.9.
McKenzie County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,097.4 with a 95% confidence interval from 931.6 to 1,283.8 and 34 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (19, 50)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.2 to 1.7.
Sheridan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,037.1 with a 95% confidence interval from 733.1 to 1,426.6 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (4, 51)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -5.4 to 2.4.
Adams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,033.3 with a 95% confidence interval from 790.3 to 1,330.5 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (11, 51)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.9 to 0.3.
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,023.3 with a 95% confidence interval from 792.3 to 1,302.9 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (14, 51)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -3.0 to 1.9.
Dickey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 983.6 with a 95% confidence interval from 795.4 to 1,202.8 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (24, 51)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -4.0 to 1.6.
Dunn County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 950.8 with a 95% confidence interval from 740.5 to 1,202.8 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (22, 51)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.4 to 0.7.
Logan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 906.9 with a 95% confidence interval from 653.7 to 1,228.1 and 9 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (19, 51)
- Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -5.1 to 0.8.
Oliver County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 624.3 with a 95% confidence interval from 414.5 to 909.7 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (45, 51)
- Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -6.3 to 0.2.
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 10:56 am.
State Cancer Registries may provide more current or more local data.
† 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 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.
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.
Source: SEER and NPCR data. For more specific information please see the table.
* 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.


