Interpretation of Incidence Rates Data
Incidence Rate Report for Maryland by County
All Cancer Sites (All Stages^), 2018-2022
White Non-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
Maryland2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 482.8 with a 95% confidence interval from 479.8 to 485.8 and 21,511 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.6.
US (SEER+NPCR) § 1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 467.1 with a 95% confidence interval from 466.7 to 467.5 and 1,354,187 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.7.
Garrett County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 395.6 with a 95% confidence interval from 368.3 to 424.6 and 178 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (24, 24)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.4.
Montgomery County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 438.6 with a 95% confidence interval from 431.3 to 446.0 and 3,084 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (21, 23)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.3 to 3.1.
Howard County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 443.1 with a 95% confidence interval from 430.6 to 456.0 and 1,037 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (19, 23)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.
Prince Georges County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 458.2 with a 95% confidence interval from 443.2 to 473.7 and 819 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (16, 23)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.4.
Washington County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 459.0 with a 95% confidence interval from 444.4 to 474.0 and 817 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (16, 23)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.0.
Charles County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 467.4 with a 95% confidence interval from 446.7 to 488.9 and 424 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (11, 22)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.5.
Frederick County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 477.8 with a 95% confidence interval from 465.6 to 490.3 and 1,247 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (12, 20)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.0 to 3.5.
Dorchester County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 483.2 with a 95% confidence interval from 449.2 to 519.6 and 179 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (1, 23)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.1 to 0.9.
St. Marys County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 487.0 with a 95% confidence interval from 467.3 to 507.3 and 487 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (4, 20)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.6.
Anne Arundel County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 491.1 with a 95% confidence interval from 482.4 to 499.9 and 2,615 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (8, 18)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.1.
Queen Annes County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 491.3 with a 95% confidence interval from 466.1 to 517.7 and 316 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (2, 21)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.8 to 1.0.
Talbot County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 496.7 with a 95% confidence interval from 467.0 to 528.3 and 287 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 21)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.
Cecil County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 498.1 with a 95% confidence interval from 479.4 to 517.5 and 587 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (2, 18)
- Recent Trend : The trend is because the trend is -4.4 with a 95% confidence interval from -7.6 to -1.3.
Caroline County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 499.1 with a 95% confidence interval from 465.8 to 534.3 and 180 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 21)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.8.
Baltimore City2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 501.8 with a 95% confidence interval from 487.2 to 516.7 and 966 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (2, 17)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.9 to -0.3.
Harford County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 504.1 with a 95% confidence interval from 491.8 to 516.7 and 1,381 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (2, 16)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -4.4 to 0.0.
Worcester County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 504.7 with a 95% confidence interval from 479.8 to 530.7 and 407 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 18)
- Recent Trend : The trend is because the trend is -4.2 with a 95% confidence interval from -9.2 to 0.8.
Baltimore County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 506.3 with a 95% confidence interval from 498.6 to 514.2 and 3,695 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (3, 13)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.3 to 0.0.
Calvert County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 511.9 with a 95% confidence interval from 490.9 to 533.6 and 483 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 16)
- Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from 0.1 to 6.1.
Somerset County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 512.0 with a 95% confidence interval from 466.9 to 560.9 and 110 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 21)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.1.
Wicomico County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 513.4 with a 95% confidence interval from 491.3 to 536.4 and 451 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 17)
- Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -6.4 to -0.4.
Carroll County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 515.2 with a 95% confidence interval from 501.0 to 529.7 and 1,086 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 13)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.4 to 1.9.
Kent County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 519.2 with a 95% confidence interval from 476.3 to 565.7 and 140 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 20)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.2.
Allegany County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 524.9 with a 95% confidence interval from 502.9 to 547.6 and 485 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 13)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.3 to 1.0.
Notes:
Created by statecancerprofiles.cancer.gov on 03/16/2026 4:42 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.
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 for United States does not include Puerto Rico.


