Interpretation of Incidence Rates Data
Incidence Rate Report for South Dakota by County
Breast (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
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
South Dakota2
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 132.0 with a 95% confidence interval from 127.4 to 136.7 and 692 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 -0.2 to 1.0.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 131.3 with a 95% confidence interval from 131.1 to 131.6 and 270,245 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.5 to 0.8.
Turner County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 106.4 with a 95% confidence interval from 69.5 to 157.0 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (6, 41)
- Recent Trend : The trend is because the trend is -8.2 with a 95% confidence interval from -25.0 to -1.2.
Spink County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 98.3 with a 95% confidence interval from 58.2 to 157.3 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (7, 41)
- Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -6.1 to 0.9.
Walworth County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 67.2 with a 95% confidence interval from 37.9 to 116.6 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (24, 41)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -7.0 to 3.3.
Fall River County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 132.2 with a 95% confidence interval from 86.9 to 195.8 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (3, 40)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -6.8 to 4.1.
Charles Mix County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 117.5 with a 95% confidence interval from 76.6 to 172.3 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (5, 41)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -6.4 to 3.9.
Oglala Lakota County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 94.3 with a 95% confidence interval from 62.1 to 137.3 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (10, 41)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -4.5 to 2.5.
Yankton County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 105.0 with a 95% confidence interval from 82.5 to 132.4 and 17 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (12, 40)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -3.3 to 0.8.
Lake County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 94.3 with a 95% confidence interval from 60.9 to 139.9 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (9, 41)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -5.2 to 3.4.
Bon Homme County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 99.5 with a 95% confidence interval from 58.8 to 160.9 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (5, 41)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -6.6 to 5.0.
Tripp County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 117.9 with a 95% confidence interval from 69.5 to 188.7 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (4, 41)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -5.6 to 3.9.
Hughes County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 136.2 with a 95% confidence interval from 105.7 to 173.0 and 15 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (5, 36)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -3.3 to 2.4.
Pennington County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 130.6 with a 95% confidence interval from 118.2 to 144.1 and 94 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (10, 30)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.6.
Roberts County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 69.0 with a 95% confidence interval from 41.2 to 109.1 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (24, 41)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -6.9 to 7.5.
Day County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 151.4 with a 95% confidence interval from 94.9 to 231.1 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (2, 40)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -5.6 to 5.5.
Minnehaha County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 146.8 with a 95% confidence interval from 136.1 to 158.2 and 149 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (6, 22)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.3.
Brown County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 129.9 with a 95% confidence interval from 109.1 to 153.6 and 32 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (7, 34)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.7 to 2.0.
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 117.2 with a 95% confidence interval from 76.3 to 174.1 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (5, 41)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -3.2 to 3.4.
Hutchinson County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 127.0 with a 95% confidence interval from 84.6 to 184.6 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (4, 40)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -3.1 to 4.3.
Lawrence County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 109.2 with a 95% confidence interval from 87.8 to 134.9 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (12, 39)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.5 to 2.7.
Lincoln County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 131.7 with a 95% confidence interval from 114.9 to 150.2 and 46 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (8, 32)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.8 to 2.8.
Union County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 141.7 with a 95% confidence interval from 109.4 to 180.9 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (4, 35)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -3.4 to 5.2.
Moody County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 127.0 with a 95% confidence interval from 78.2 to 195.6 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (3, 41)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -4.3 to 5.8.
Codington County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 133.7 with a 95% confidence interval from 110.3 to 161.0 and 26 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (6, 35)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.7 to 4.1.
Beadle County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 106.8 with a 95% confidence interval from 80.5 to 139.3 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (11, 40)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -2.0 to 4.5.
Brookings County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 134.1 with a 95% confidence interval from 108.2 to 164.2 and 21 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (6, 35)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -1.2 to 4.3.
Deuel County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 137.4 with a 95% confidence interval from 81.0 to 221.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (2, 41)
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from -1.9 to 5.3.
Kingsbury County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 181.0 with a 95% confidence interval from 118.3 to 266.9 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 37)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -2.1 to 6.2.
Davison County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 123.8 with a 95% confidence interval from 95.7 to 157.6 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (7, 39)
- Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from -2.0 to 15.3.
Meade County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 141.7 with a 95% confidence interval from 115.7 to 171.9 and 23 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (5, 33)
- Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from -0.1 to 4.5.
Butte County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 160.6 with a 95% confidence interval from 119.4 to 212.5 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (3, 33)
- Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from -0.8 to 6.4.
Hamlin County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 138.8 with a 95% confidence interval from 84.9 to 214.2 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (2, 41)
- Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from -1.8 to 8.2.
Aurora County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 288.8 with a 95% confidence interval from 176.1 to 447.8 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 27)
- Recent Trend : The trend is because the trend is 2.9 with a 95% confidence interval from -2.4 to 8.3.
Clay County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 174.6 with a 95% confidence interval from 126.9 to 233.7 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (2, 34)
- Recent Trend : The trend is because the trend is 3.4 with a 95% confidence interval from -0.6 to 8.2.
Marshall County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 99.9 with a 95% confidence interval from 56.1 to 171.2 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (6, 41)
- Recent Trend : The trend is because the trend is 3.6 with a 95% confidence interval from 0.4 to 7.4.
Custer County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 138.7 with a 95% confidence interval from 99.6 to 192.6 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (3, 38)
- Recent Trend : The trend is because the trend is 6.4 with a 95% confidence interval from 1.4 to 26.4.
McCook County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 230.2 with a 95% confidence interval from 159.2 to 322.5 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 24)
- Recent Trend : The trend is because the trend is 7.9 with a 95% confidence interval from 3.1 to 28.0.
Brule County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 96.5 with a 95% confidence interval from 56.6 to 157.8 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (6, 41)
- Recent Trend :
Dewey County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 205.6 with a 95% confidence interval from 129.4 to 308.9 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 35)
- Recent Trend :
Haakon County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 236.6 with a 95% confidence interval from 122.7 to 418.7 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 39)
- Recent Trend :
Stanley County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 235.8 with a 95% confidence interval from 135.6 to 380.6 and 4 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 36)
- Recent Trend :
Todd County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 94.2 with a 95% confidence interval from 53.3 to 153.4 and 3 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (7, 41)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 4:56 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 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.


