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, All Ages
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
North Dakota2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 453.6 with a 95% confidence interval from 447.2 to 460.1 and 4,078 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 -0.5 to 0.0.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 448.6 with a 95% confidence interval from 448.3 to 448.9 and 1,821,045 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.5.
Oliver County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 245.1 with a 95% confidence interval from 163.1 to 358.2 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (32, 51)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -6.2 to 1.4.
Logan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 294.4 with a 95% confidence interval from 210.9 to 406.1 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (21, 51)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -4.7 to 1.1.
Dickey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 301.2 with a 95% confidence interval from 243.7 to 369.2 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (31, 51)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -4.3 to 0.9.
Adams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 329.7 with a 95% confidence interval from 248.2 to 434.9 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (11, 51)
- Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -4.3 to 0.1.
Divide County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 331.4 with a 95% confidence interval from 250.5 to 435.8 and 13 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (13, 51)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -3.5 to 2.5.
McKenzie County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 345.6 with a 95% confidence interval from 296.8 to 399.8 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (26, 51)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.8 to 1.7.
McIntosh County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 351.5 with a 95% confidence interval from 276.3 to 446.6 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (10, 51)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -3.4 to 2.0.
Dunn County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 353.7 with a 95% confidence interval from 279.7 to 441.9 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (12, 51)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.2 to 1.2.
Sioux County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 361.4 with a 95% confidence interval from 271.2 to 471.2 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (4, 51)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -3.5 to 2.3.
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 363.1 with a 95% confidence interval from 275.4 to 474.6 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (6, 51)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -2.4 to 2.3.
Williams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 364.1 with a 95% confidence interval from 334.4 to 395.7 and 122 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (28, 48)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -6.8 to -0.8.
Stutsman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 366.7 with a 95% confidence interval from 335.0 to 400.8 and 110 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (27, 48)
- Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -7.7 to -2.1.
Kidder County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 371.7 with a 95% confidence interval from 286.1 to 479.2 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (5, 51)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -2.1 to 3.6.
Towner County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 377.9 with a 95% confidence interval from 282.1 to 500.2 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (3, 51)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -5.4 to 0.6.
Emmons County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 381.9 with a 95% confidence interval from 306.6 to 473.5 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (6, 50)
- Recent Trend : The trend is because the trend is -23.3 with a 95% confidence interval from -34.3 to -8.3.
Golden Valley County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 387.9 with a 95% confidence interval from 282.3 to 524.9 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (2, 51)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.7 to 0.8.
Burke County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 390.3 with a 95% confidence interval from 290.8 to 515.4 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (2, 51)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -4.1 to 1.1.
Renville County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 392.3 with a 95% confidence interval from 298.0 to 510.2 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (2, 51)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -2.7 to 3.7.
LaMoure County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 394.0 with a 95% confidence interval from 321.4 to 479.8 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (5, 49)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.6 to 0.8.
Bowman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 395.6 with a 95% confidence interval from 310.6 to 498.7 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (3, 50)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -4.8 to 1.7.
Wells County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 396.1 with a 95% confidence interval from 328.1 to 476.9 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (5, 49)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.5.
Ransom County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 402.9 with a 95% confidence interval from 340.2 to 474.9 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (6, 48)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.6 to -0.3.
Cavalier County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 406.7 with a 95% confidence interval from 330.3 to 497.5 and 25 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (3, 49)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.
Pierce County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 408.6 with a 95% confidence interval from 336.3 to 493.6 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (3, 49)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.4 to 1.2.
Steele County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 410.2 with a 95% confidence interval from 300.8 to 550.4 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (1, 51)
- Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from -1.0 to 5.5.
Sheridan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 419.3 with a 95% confidence interval from 284.6 to 603.5 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (1, 51)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -5.2 to 2.9.
Stark County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 424.6 with a 95% confidence interval from 393.2 to 457.8 and 144 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (13, 38)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.7.
Ward County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 433.1 with a 95% confidence interval from 411.3 to 455.7 and 311 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (14, 34)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.1.
Griggs County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 440.2 with a 95% confidence interval from 345.1 to 558.6 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (1, 49)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -4.2 to 1.0.
Barnes County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 441.3 with a 95% confidence interval from 393.7 to 493.7 and 72 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (5, 40)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.0 to -0.1.
Mountrail County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 442.7 with a 95% confidence interval from 383.4 to 508.5 and 44 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (3, 43)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.8 to 2.0.
Walsh County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 449.0 with a 95% confidence interval from 400.2 to 502.6 and 70 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (3, 37)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.3 to 2.2.
Grand Forks County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 456.7 with a 95% confidence interval from 434.4 to 479.9 and 335 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (8, 29)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.1.
Traill County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 458.6 with a 95% confidence interval from 401.0 to 522.6 and 51 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (2, 38)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.2 to 1.6.
Bottineau County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 466.8 with a 95% confidence interval from 402.7 to 539.1 and 46 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 39)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.3 to 0.7.
Ramsey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 468.0 with a 95% confidence interval from 420.3 to 520.2 and 78 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (2, 35)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.6.
Burleigh County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 470.4 with a 95% confidence interval from 452.7 to 488.7 and 564 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (6, 24)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.6.
Richland County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 471.4 with a 95% confidence interval from 428.7 to 517.4 and 101 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (2, 32)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.1.
Sargent County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 474.9 with a 95% confidence interval from 394.5 to 568.6 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 43)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.1 to 1.0.
Foster County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 479.7 with a 95% confidence interval from 396.0 to 578.2 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 42)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.6 to 3.0.
McLean County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 487.2 with a 95% confidence interval from 434.9 to 544.6 and 76 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 33)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.4 to 1.1.
Morton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 488.6 with a 95% confidence interval from 457.8 to 521.0 and 200 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (2, 24)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.2.
Hettinger County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 490.4 with a 95% confidence interval from 389.3 to 612.4 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 44)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.4 to 3.5.
Pembina County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 496.5 with a 95% confidence interval from 433.3 to 567.2 and 54 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 32)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.0 to 2.9.
Mercer County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 500.1 with a 95% confidence interval from 441.3 to 565.2 and 60 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 31)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.7 to 2.5.
Benson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 501.9 with a 95% confidence interval from 424.4 to 589.7 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 36)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.3 to 1.8.
McHenry County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 502.3 with a 95% confidence interval from 431.8 to 582.3 and 40 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 33)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.8 to 2.9.
Cass County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 505.8 with a 95% confidence interval from 490.8 to 521.0 and 912 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (2, 14)
- Recent Trend : The trend is because the trend is 3.3 with a 95% confidence interval from 0.8 to 5.0.
Nelson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 516.2 with a 95% confidence interval from 423.9 to 626.1 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 37)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.4 to 2.5.
Eddy County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 542.5 with a 95% confidence interval from 426.3 to 682.6 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 41)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -3.1 to 3.7.
Rolette County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 575.6 with a 95% confidence interval from 515.3 to 641.1 and 72 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 12)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.1 to 2.0.
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 11:50 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.
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.


