Interpretation of Incidence Rates Data
Incidence Rate Report by State
All Cancer Sites (All Stages^), 2015-2019
All Races (includes Hispanic), Both Sexes, Ages <65
Sorted by Rate
Explanation of Column HeadersObjective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.
Incidence 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
US (SEER+NPCR)1
- Rate : The incidence rate is 228.3 with a 95% confidence interval from 228.1 to 228.5 and 750,680 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.0.
Kentucky7
- Rate : The incidence rate is 272.3 with a 95% confidence interval from 270.1 to 274.5 and 12,628 average annual cases over 2015-2019.
- CI*Rank⋔ : 1 (1, 1)
- Recent Trend : The trend is rising
because the trend is 0.4 with a 95% confidence interval from 0.2 to 0.5.
West Virginia6
- Rate : The incidence rate is 265.4 with a 95% confidence interval from 262.0 to 268.8 and 5,207 average annual cases over 2015-2019.
- CI*Rank⋔ : 2 (2, 2)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.4 to 0.7.
Louisiana7
- Rate : The incidence rate is 255.2 with a 95% confidence interval from 253.1 to 257.3 and 12,190 average annual cases over 2015-2019.
- CI*Rank⋔ : 3 (3, 4)
- Recent Trend : The trend is stable
because the trend is 1.1 with a 95% confidence interval from -0.1 to 2.3.
Arkansas6
- Rate : The incidence rate is 251.5 with a 95% confidence interval from 248.8 to 254.1 and 7,609 average annual cases over 2015-2019.
- CI*Rank⋔ : 4 (3, 7)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.2.
New York7
- Rate : The incidence rate is 249.7 with a 95% confidence interval from 248.7 to 250.7 and 50,695 average annual cases over 2015-2019.
- CI*Rank⋔ : 5 (4, 7)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.1.
Mississippi6
- Rate : The incidence rate is 249.5 with a 95% confidence interval from 246.9 to 252.2 and 7,606 average annual cases over 2015-2019.
- CI*Rank⋔ : 6 (4, 8)
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Iowa7
- Rate : The incidence rate is 247.5 with a 95% confidence interval from 244.9 to 250.1 and 7,878 average annual cases over 2015-2019.
- CI*Rank⋔ : 7 (4, 11)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.4 to 0.6.
Pennsylvania6
- Rate : The incidence rate is 245.5 with a 95% confidence interval from 244.3 to 246.7 and 33,619 average annual cases over 2015-2019.
- CI*Rank⋔ : 8 (7, 11)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.6 to -0.5.
Ohio6
- Rate : The incidence rate is 245.0 with a 95% confidence interval from 243.7 to 246.3 and 30,155 average annual cases over 2015-2019.
- CI*Rank⋔ : 9 (7, 12)
- Recent Trend : The trend is rising
because the trend is 0.4 with a 95% confidence interval from 0.3 to 0.5.
Delaware6
- Rate : The incidence rate is 244.2 with a 95% confidence interval from 239.6 to 248.8 and 2,466 average annual cases over 2015-2019.
- CI*Rank⋔ : 10 (5, 19)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.5.
Tennessee6
- Rate : The incidence rate is 243.3 with a 95% confidence interval from 241.6 to 245.0 and 16,991 average annual cases over 2015-2019.
- CI*Rank⋔ : 11 (8, 15)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.1.
New Jersey7
- Rate : The incidence rate is 242.9 with a 95% confidence interval from 241.4 to 244.3 and 23,099 average annual cases over 2015-2019.
- CI*Rank⋔ : 12 (9, 15)
- Recent Trend : The trend is falling
because the trend is -0.3 with a 95% confidence interval from -0.5 to -0.2.
Alabama6
- Rate : The incidence rate is 241.1 with a 95% confidence interval from 239.1 to 243.1 and 12,240 average annual cases over 2015-2019.
- CI*Rank⋔ : 13 (10, 19)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.1 to 0.4.
North Carolina6
- Rate : The incidence rate is 240.8 with a 95% confidence interval from 239.5 to 242.2 and 25,554 average annual cases over 2015-2019.
- CI*Rank⋔ : 14 (11, 19)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.2.
New Hampshire6
- Rate : The incidence rate is 239.9 with a 95% confidence interval from 236.3 to 243.7 and 3,724 average annual cases over 2015-2019.
- CI*Rank⋔ : 15 (8, 24)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.3.
Maine6
- Rate : The incidence rate is 239.6 with a 95% confidence interval from 235.9 to 243.4 and 3,668 average annual cases over 2015-2019.
- CI*Rank⋔ : 16 (9, 24)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.2.
Rhode Island6
- Rate : The incidence rate is 239.3 with a 95% confidence interval from 235.1 to 243.6 and 2,726 average annual cases over 2015-2019.
- CI*Rank⋔ : 17 (8, 27)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.4.
Florida6
- Rate : The incidence rate is 239.2 with a 95% confidence interval from 238.3 to 240.2 and 51,680 average annual cases over 2015-2019.
- CI*Rank⋔ : 18 (14, 20)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -3.6 to -1.0.
Nebraska6
- Rate : The incidence rate is 238.8 with a 95% confidence interval from 235.6 to 242.1 and 4,485 average annual cases over 2015-2019.
- CI*Rank⋔ : 19 (10, 25)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -1.6 to 1.8.
Kansas6
- Rate : The incidence rate is 236.5 with a 95% confidence interval from 233.9 to 239.2 and 6,819 average annual cases over 2015-2019.
- CI*Rank⋔ : 20 (15, 27)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.1.
Georgia7
- Rate : The incidence rate is 236.4 with a 95% confidence interval from 235.1 to 237.8 and 24,828 average annual cases over 2015-2019.
- CI*Rank⋔ : 21 (17, 25)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.2 to 0.1.
Connecticut7
- Rate : The incidence rate is 235.4 with a 95% confidence interval from 233.1 to 237.7 and 9,180 average annual cases over 2015-2019.
- CI*Rank⋔ : 22 (17, 28)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.6 to -0.3.
Missouri6
- Rate : The incidence rate is 235.3 with a 95% confidence interval from 233.6 to 237.1 and 14,892 average annual cases over 2015-2019.
- CI*Rank⋔ : 23 (18, 27)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.1 to 0.1.
Minnesota6
- Rate : The incidence rate is 234.0 with a 95% confidence interval from 232.2 to 235.9 and 13,462 average annual cases over 2015-2019.
- CI*Rank⋔ : 24 (20, 30)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.3.
Vermont6
- Rate : The incidence rate is 233.9 with a 95% confidence interval from 228.4 to 239.4 and 1,627 average annual cases over 2015-2019.
- CI*Rank⋔ : 25 (12, 36)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.3.
Illinois7
- Rate : The incidence rate is 233.8 with a 95% confidence interval from 232.6 to 235.0 and 30,834 average annual cases over 2015-2019.
- CI*Rank⋔ : 26 (21, 29)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.5 to 0.0.
Wisconsin6
- Rate : The incidence rate is 233.5 with a 95% confidence interval from 231.7 to 235.3 and 14,458 average annual cases over 2015-2019.
- CI*Rank⋔ : 27 (21, 31)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from 0.0 to 0.2.
Indiana6
- Rate : The incidence rate is 231.5 with a 95% confidence interval from 229.9 to 233.2 and 15,806 average annual cases over 2015-2019.
- CI*Rank⋔ : 28 (24, 34)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.8 to -0.6.
Maryland6
- Rate : The incidence rate is 231.3 with a 95% confidence interval from 229.6 to 233.0 and 14,842 average annual cases over 2015-2019.
- CI*Rank⋔ : 29 (25, 34)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.1.
Oklahoma6
- Rate : The incidence rate is 230.9 with a 95% confidence interval from 228.7 to 233.1 and 8,952 average annual cases over 2015-2019.
- CI*Rank⋔ : 30 (24, 35)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.3.
South Carolina6
- Rate : The incidence rate is 230.6 with a 95% confidence interval from 228.7 to 232.5 and 12,052 average annual cases over 2015-2019.
- CI*Rank⋔ : 31 (26, 35)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -3.2 to -0.3.
Montana6
- Rate : The incidence rate is 229.4 with a 95% confidence interval from 225.2 to 233.7 and 2,542 average annual cases over 2015-2019.
- CI*Rank⋔ : 32 (22, 37)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.
Massachusetts7
- Rate : The incidence rate is 229.1 with a 95% confidence interval from 227.5 to 230.7 and 16,695 average annual cases over 2015-2019.
- CI*Rank⋔ : 33 (29, 36)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -4.1 to -0.4.
Michigan6
- Rate : The incidence rate is 228.7 with a 95% confidence interval from 227.4 to 230.1 and 24,374 average annual cases over 2015-2019.
- CI*Rank⋔ : 34 (30, 36)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.4.
District of Columbia6
- Rate : The incidence rate is 227.7 with a 95% confidence interval from 222.3 to 233.2 and 1,427 average annual cases over 2015-2019.
- CI*Rank⋔ : 35 (21, 38)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.1.
North Dakota6
- Rate : The incidence rate is 226.2 with a 95% confidence interval from 221.1 to 231.4 and 1,647 average annual cases over 2015-2019.
- CI*Rank⋔ : 36 (25, 38)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.1 to 0.4.
Hawaii7
- Rate : The incidence rate is 221.7 with a 95% confidence interval from 218.1 to 225.4 and 3,135 average annual cases over 2015-2019.
- CI*Rank⋔ : 37 (35, 38)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.2.
South Dakota6
- Rate : The incidence rate is 221.3 with a 95% confidence interval from 216.6 to 226.0 and 1,925 average annual cases over 2015-2019.
- CI*Rank⋔ : 38 (34, 40)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.
Washington1
- Rate : The incidence rate is 216.0 with a 95% confidence interval from 214.5 to 217.5 and 16,344 average annual cases over 2015-2019.
- CI*Rank⋔ : 39 (38, 41)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -0.8 to -0.5.
Oregon6
- Rate : The incidence rate is 214.1 with a 95% confidence interval from 212.1 to 216.1 and 9,141 average annual cases over 2015-2019.
- CI*Rank⋔ : 40 (39, 42)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.6 to -0.2.
Idaho7
- Rate : The incidence rate is 212.9 with a 95% confidence interval from 209.6 to 216.2 and 3,541 average annual cases over 2015-2019.
- CI*Rank⋔ : 41 (39, 44)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.0.
Puerto Rico6
- Rate : The incidence rate is 211.4 with a 95% confidence interval from 209.0 to 213.8 and 6,296 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.7 to 0.9.
Utah7
- Rate : The incidence rate is 209.0 with a 95% confidence interval from 206.5 to 211.6 and 5,389 average annual cases over 2015-2019.
- CI*Rank⋔ : 42 (41, 46)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.0.
Virginia6
- Rate : The incidence rate is 208.5 with a 95% confidence interval from 207.1 to 209.9 and 18,365 average annual cases over 2015-2019.
- CI*Rank⋔ : 43 (41, 46)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -0.9 to 0.0.
Texas7
- Rate : The incidence rate is 208.0 with a 95% confidence interval from 207.2 to 208.8 and 55,734 average annual cases over 2015-2019.
- CI*Rank⋔ : 44 (42, 46)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.6 to -0.4.
Alaska6
- Rate : The incidence rate is 206.7 with a 95% confidence interval from 202.0 to 211.6 and 1,542 average annual cases over 2015-2019.
- CI*Rank⋔ : 45 (40, 47)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.5.
Wyoming6
- Rate : The incidence rate is 206.7 with a 95% confidence interval from 201.3 to 212.2 and 1,239 average annual cases over 2015-2019.
- CI*Rank⋔ : 46 (40, 47)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
California7
- Rate : The incidence rate is 199.3 with a 95% confidence interval from 198.7 to 200.0 and 77,309 average annual cases over 2015-2019.
- CI*Rank⋔ : 47 (46, 49)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.6 to -0.4.
New Mexico7
- Rate : The incidence rate is 198.0 with a 95% confidence interval from 195.2 to 200.9 and 4,121 average annual cases over 2015-2019.
- CI*Rank⋔ : 48 (46, 50)
- Recent Trend : The trend is stable
because the trend is 0.6 with a 95% confidence interval from -0.3 to 1.4.
Colorado6
- Rate : The incidence rate is 197.7 with a 95% confidence interval from 196.0 to 199.4 and 11,188 average annual cases over 2015-2019.
- CI*Rank⋔ : 49 (47, 49)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.7 to -0.4.
Arizona6
- Rate : The incidence rate is 194.0 with a 95% confidence interval from 192.4 to 195.5 and 13,111 average annual cases over 2015-2019.
- CI*Rank⋔ : 50 (49, 50)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.3.
- Rate : Data not available for this combination of data selections.
- CI*Rank⋔ : N/A
- Recent Trend : Data not available for this combination of data selections.
Notes:
Created by statecancerprofiles.cancer.gov on 06/09/2023 10:16 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.
⋔ 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. More information about methodology can be found on the CI*Rank website.
† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) summary stage.
* 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Data not available for this combination of data selections.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2021 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2021 submission).
7 Source: SEER November 2021 submission.
8 Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modifed by NCI. The US Population Data File is used with SEER November 2021 data.
Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data not available for this combination of geography, cancer site, age, and race/ethnicity.
Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.