State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Colon & Rectum (All Stages^), 2016-2020

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Name

Explanation of Column Headers

Objective - 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 36.5 with a 95% confidence interval from 36.4 to 36.6 and 138,021 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.8.

Alabama⁶

• Rate : The incidence rate is 41.1 with a 95% confidence interval from 40.4 to 41.9 and 2,487 average annual cases over 2016-2020.
• CI*Rank⋔ : 7 (5, 11)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.3 to -0.6.

Alaska⁶

• Rate : The incidence rate is 41.3 with a 95% confidence interval from 39.1 to 43.5 and 298 average annual cases over 2016-2020.
• CI*Rank⋔ : 6 (3, 21)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.5 to -1.2.

Arizona⁶

• Rate : The incidence rate is 30.8 with a 95% confidence interval from 30.3 to 31.3 and 2,715 average annual cases over 2016-2020.
• CI*Rank⋔ : 48 (46, 48)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.5 to -1.9.

Arkansas⁶

• Rate : The incidence rate is 42.2 with a 95% confidence interval from 41.2 to 43.2 and 1,561 average annual cases over 2016-2020.
• CI*Rank⋔ : 5 (4, 8)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 3.1.

California⁷

• Rate : The incidence rate is 33.5 with a 95% confidence interval from 33.2 to 33.7 and 14,651 average annual cases over 2016-2020.
• CI*Rank⋔ : 41 (37, 44)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.5.

Colorado⁶

• Rate : The incidence rate is 31.0 with a 95% confidence interval from 30.4 to 31.6 and 1,916 average annual cases over 2016-2020.
• CI*Rank⋔ : 47 (46, 48)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -0.7.

Connecticut⁷

• Rate : The incidence rate is 33.6 with a 95% confidence interval from 32.9 to 34.4 and 1,542 average annual cases over 2016-2020.
• CI*Rank⋔ : 40 (34, 45)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.2 to 0.4.

Delaware⁶

• Rate : The incidence rate is 34.6 with a 95% confidence interval from 33.2 to 36.2 and 438 average annual cases over 2016-2020.
• CI*Rank⋔ : 36 (23, 45)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -5.1 to -2.8.

District of Columbia⁶

• Rate : The incidence rate is 34.9 with a 95% confidence interval from 32.9 to 37.0 and 236 average annual cases over 2016-2020.
• CI*Rank⋔ : 34 (21, 46)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.8 to -2.1.

Florida⁶

• Rate : The incidence rate is 35.1 with a 95% confidence interval from 34.8 to 35.5 and 10,462 average annual cases over 2016-2020.
• CI*Rank⋔ : 31 (26, 36)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.2.

Georgia⁷

• Rate : The incidence rate is 39.3 with a 95% confidence interval from 38.8 to 39.8 and 4,546 average annual cases over 2016-2020.
• CI*Rank⋔ : 13 (9, 20)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.1 to 1.4.

Hawaii⁷

• Rate : The incidence rate is 38.8 with a 95% confidence interval from 37.5 to 40.1 and 699 average annual cases over 2016-2020.
• CI*Rank⋔ : 17 (8, 23)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.8 to -1.7.

Idaho⁷

• Rate : The incidence rate is 34.6 with a 95% confidence interval from 33.4 to 35.8 and 690 average annual cases over 2016-2020.
• CI*Rank⋔ : 37 (24, 44)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.8.

Illinois⁷

• Rate : The incidence rate is 39.8 with a 95% confidence interval from 39.4 to 40.3 and 6,027 average annual cases over 2016-2020.
• CI*Rank⋔ : 10 (7, 16)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.3 to 0.1.

Iowa⁷

• Rate : The incidence rate is 40.7 with a 95% confidence interval from 39.7 to 41.6 and 1,578 average annual cases over 2016-2020.
• CI*Rank⋔ : 8 (5, 14)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -2.3 to 0.5.

Kansas⁶

• Rate : The incidence rate is 39.1 with a 95% confidence interval from 38.2 to 40.1 and 1,322 average annual cases over 2016-2020.
• CI*Rank⋔ : 15 (8, 21)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.0 to 2.7.

Kentucky⁷

• Rate : The incidence rate is 45.9 with a 95% confidence interval from 45.1 to 46.7 and 2,491 average annual cases over 2016-2020.
• CI*Rank⋔ : 2 (1, 3)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -1.7 to 0.1.

Louisiana⁷

• Rate : The incidence rate is 44.3 with a 95% confidence interval from 43.5 to 45.1 and 2,415 average annual cases over 2016-2020.
• CI*Rank⋔ : 3 (2, 5)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.3 to 1.7.

Maine⁶

• Rate : The incidence rate is 35.6 with a 95% confidence interval from 34.3 to 36.9 and 670 average annual cases over 2016-2020.
• CI*Rank⋔ : 27 (22, 40)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.5 to 2.5.

Maryland⁶

• Rate : The incidence rate is 35.2 with a 95% confidence interval from 34.6 to 35.8 and 2,518 average annual cases over 2016-2020.
• CI*Rank⋔ : 29 (25, 37)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.5 to 1.4.

Massachusetts⁷

• Rate : The incidence rate is 32.4 with a 95% confidence interval from 31.8 to 32.9 and 2,733 average annual cases over 2016-2020.
• CI*Rank⋔ : 46 (42, 46)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.8 to -1.1.

Michigan⁶

• Rate : The incidence rate is 35.6 with a 95% confidence interval from 35.2 to 36.1 and 4,438 average annual cases over 2016-2020.
• CI*Rank⋔ : 26 (24, 34)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.7.

Minnesota⁶

• Rate : The incidence rate is 36.1 with a 95% confidence interval from 35.5 to 36.8 and 2,390 average annual cases over 2016-2020.
• CI*Rank⋔ : 25 (22, 32)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.0 to 1.2.

Mississippi⁶

• Rate : The incidence rate is 46.5 with a 95% confidence interval from 45.4 to 47.5 and 1,656 average annual cases over 2016-2020.
• CI*Rank⋔ : 1 (1, 3)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.0 to 1.9.

Missouri⁶

• Rate : The incidence rate is 38.7 with a 95% confidence interval from 38.0 to 39.3 and 2,924 average annual cases over 2016-2020.
• CI*Rank⋔ : 20 (11, 21)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.4 to 0.4.

Montana⁶

• Rate : The incidence rate is 36.3 with a 95% confidence interval from 34.8 to 37.8 and 495 average annual cases over 2016-2020.
• CI*Rank⋔ : 24 (19, 38)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.4.

Nebraska⁶

• Rate : The incidence rate is 40.5 with a 95% confidence interval from 39.3 to 41.7 and 901 average annual cases over 2016-2020.
• CI*Rank⋔ : 9 (5, 18)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -1.9 to 0.4.

New Hampshire⁶

• Rate : The incidence rate is 35.2 with a 95% confidence interval from 33.9 to 36.5 and 623 average annual cases over 2016-2020.
• CI*Rank⋔ : 30 (22, 42)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 1.9.

New Jersey⁷

• Rate : The incidence rate is 38.7 with a 95% confidence interval from 38.2 to 39.3 and 4,270 average annual cases over 2016-2020.
• CI*Rank⋔ : 19 (12, 21)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -0.8.

New Mexico⁷

• Rate : The incidence rate is 33.0 with a 95% confidence interval from 32.0 to 34.1 and 843 average annual cases over 2016-2020.
• CI*Rank⋔ : 43 (35, 46)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 2.1.

New York⁷

• Rate : The incidence rate is 36.6 with a 95% confidence interval from 36.3 to 37.0 and 8,793 average annual cases over 2016-2020.
• CI*Rank⋔ : 23 (22, 27)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.7.

North Carolina⁶

• Rate : The incidence rate is 34.9 with a 95% confidence interval from 34.4 to 35.4 and 4,346 average annual cases over 2016-2020.
• CI*Rank⋔ : 33 (27, 38)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.1 to -1.1.

North Dakota⁶

• Rate : The incidence rate is 38.8 with a 95% confidence interval from 36.9 to 40.7 and 333 average annual cases over 2016-2020.
• CI*Rank⋔ : 18 (6, 26)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.0 to -1.5.

Ohio⁶

• Rate : The incidence rate is 39.1 with a 95% confidence interval from 38.6 to 39.6 and 5,715 average annual cases over 2016-2020.
• CI*Rank⋔ : 16 (10, 20)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 1.4.

Oklahoma⁶

• Rate : The incidence rate is 39.7 with a 95% confidence interval from 38.9 to 40.5 and 1,820 average annual cases over 2016-2020.
• CI*Rank⋔ : 12 (7, 20)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.7 to 1.1.

Oregon⁶

• Rate : The incidence rate is 32.8 with a 95% confidence interval from 32.1 to 33.5 and 1,690 average annual cases over 2016-2020.
• CI*Rank⋔ : 44 (38, 46)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.3 to 0.6.

Pennsylvania⁶

• Rate : The incidence rate is 38.2 with a 95% confidence interval from 37.8 to 38.7 and 6,463 average annual cases over 2016-2020.
• CI*Rank⋔ : 21 (16, 22)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.2 to -0.3.

Puerto Rico⁶

• Rate : The incidence rate is 38.1 with a 95% confidence interval from 37.3 to 39.0 and 1,579 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -3.9 to 0.2.

Rhode Island⁶

• Rate : The incidence rate is 32.5 with a 95% confidence interval from 31.1 to 34.0 and 440 average annual cases over 2016-2020.
• CI*Rank⋔ : 45 (35, 48)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -2.7 to 3.1.

South Carolina⁶

• Rate : The incidence rate is 35.5 with a 95% confidence interval from 34.9 to 36.2 and 2,267 average annual cases over 2016-2020.
• CI*Rank⋔ : 28 (24, 36)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.1 to 0.6.

South Dakota⁶

• Rate : The incidence rate is 39.8 with a 95% confidence interval from 38.0 to 41.6 and 419 average annual cases over 2016-2020.
• CI*Rank⋔ : 11 (5, 22)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -2.6 to 1.1.

Tennessee⁶

• Rate : The incidence rate is 39.2 with a 95% confidence interval from 38.6 to 39.8 and 3,208 average annual cases over 2016-2020.
• CI*Rank⋔ : 14 (9, 20)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.8.

Texas⁷

• Rate : The incidence rate is 37.1 with a 95% confidence interval from 36.7 to 37.4 and 10,790 average annual cases over 2016-2020.
• CI*Rank⋔ : 22 (21, 24)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.6.

Utah⁷

• Rate : The incidence rate is 28.8 with a 95% confidence interval from 27.9 to 29.7 and 797 average annual cases over 2016-2020.
• CI*Rank⋔ : 49 (49, 49)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -5.4 to -1.8.

Vermont⁶

• Rate : The incidence rate is 33.2 with a 95% confidence interval from 31.4 to 35.1 and 281 average annual cases over 2016-2020.
• CI*Rank⋔ : 42 (26, 48)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -5.9 to 3.4.

Virginia⁶

• Rate : The incidence rate is 33.7 with a 95% confidence interval from 33.2 to 34.2 and 3,349 average annual cases over 2016-2020.
• CI*Rank⋔ : 39 (35, 44)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.4.

Washington⁵

• Rate : The incidence rate is 34.1 with a 95% confidence interval from 33.5 to 34.7 and 2,916 average annual cases over 2016-2020.
• CI*Rank⋔ : 38 (33, 42)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.7.

West Virginia⁶

• Rate : The incidence rate is 44.2 with a 95% confidence interval from 43.0 to 45.4 and 1,103 average annual cases over 2016-2020.
• CI*Rank⋔ : 4 (2, 5)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.7.

Wisconsin⁶

• Rate : The incidence rate is 35.1 with a 95% confidence interval from 34.5 to 35.7 and 2,527 average annual cases over 2016-2020.
• CI*Rank⋔ : 32 (25, 38)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.8.

Wyoming⁶

• Rate : The incidence rate is 34.8 with a 95% confidence interval from 32.8 to 36.9 and 239 average annual cases over 2016-2020.
• CI*Rank⋔ : 35 (21, 46)
• Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -1.5 to 7.2.

Indiana⁶

• 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.

Nevada⁶

• 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 12/11/2023 5:10 pm.

State Cancer Registries may provide more current or more local data.

Data cannot be shown for the following areas. For more information on what areas are suppressed or not available, please refer to the table.
Indiana, Nevada

† 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.
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 not available for this combination of data selections.

Source: SEER and NPCR data. For more specific information please see the table.

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.