State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Colon & Rectum (All Stages^), 2014-2018

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

Sorted by Name

Explanation of Column Headers

Objective - The objective of 39.9 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

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 38.0 with a 95% confidence interval from 37.9 to 38.1 and 143,200 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.2.

Alabama⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 42.8 with a 95% confidence interval from 42.1 to 43.6 and 2,522 average annual cases over 2014-2018.
• CI*Rank⋔ : 8 (5, 12)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.3 to -0.4.

Alaska⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 42.3 with a 95% confidence interval from 40.0 to 44.7 and 292 average annual cases over 2014-2018.
• CI*Rank⋔ : 9 (3, 23)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.7 to -1.3.

Arizona⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 32.3 with a 95% confidence interval from 31.7 to 32.9 and 2,680 average annual cases over 2014-2018.
• CI*Rank⋔ : 50 (47, 50)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.6 to -2.1.

Arkansas⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 44.0 with a 95% confidence interval from 43.0 to 45.0 and 1,587 average annual cases over 2014-2018.
• CI*Rank⋔ : 5 (3, 9)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.9 to 1.3.

California⁷

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.8 with a 95% confidence interval from 34.6 to 35.1 and 14,763 average annual cases over 2014-2018.
• CI*Rank⋔ : 43 (38, 45)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.2.

Colorado⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 32.5 with a 95% confidence interval from 31.9 to 33.2 and 1,912 average annual cases over 2014-2018.
• CI*Rank⋔ : 49 (46, 50)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.9.

Connecticut⁷

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.0 with a 95% confidence interval from 34.2 to 35.8 and 1,580 average annual cases over 2014-2018.
• CI*Rank⋔ : 40 (34, 46)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.1 to 2.0.

Delaware⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.8 with a 95% confidence interval from 36.3 to 39.5 and 455 average annual cases over 2014-2018.
• CI*Rank⋔ : 25 (18, 38)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.8 to 2.1.

District of Columbia⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.9 with a 95% confidence interval from 35.8 to 40.1 and 251 average annual cases over 2014-2018.
• CI*Rank⋔ : 24 (13, 42)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.0 to -1.6.

Florida⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 36.2 with a 95% confidence interval from 35.9 to 36.5 and 10,299 average annual cases over 2014-2018.
• CI*Rank⋔ : 36 (30, 38)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.1.

Georgia⁷

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.9 with a 95% confidence interval from 40.4 to 41.5 and 4,499 average annual cases over 2014-2018.
• CI*Rank⋔ : 16 (10, 20)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.2 to 0.2.

Hawaii⁷

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.1 with a 95% confidence interval from 38.8 to 41.5 and 710 average annual cases over 2014-2018.
• CI*Rank⋔ : 18 (9, 25)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.4.

Idaho⁷

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.3 with a 95% confidence interval from 34.1 to 36.6 and 666 average annual cases over 2014-2018.
• CI*Rank⋔ : 38 (28, 47)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.1 to -1.5.

Illinois⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 42.1 with a 95% confidence interval from 41.6 to 42.5 and 6,243 average annual cases over 2014-2018.
• CI*Rank⋔ : 10 (7, 14)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.2.

Indiana⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 41.7 with a 95% confidence interval from 41.1 to 42.4 and 3,207 average annual cases over 2014-2018.
• CI*Rank⋔ : 11 (7, 16)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.9 to -0.7.

Iowa⁷

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 43.2 with a 95% confidence interval from 42.3 to 44.2 and 1,653 average annual cases over 2014-2018.
• CI*Rank⋔ : 6 (4, 11)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.7.

Kansas⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 39.8 with a 95% confidence interval from 38.8 to 40.8 and 1,318 average annual cases over 2014-2018.
• CI*Rank⋔ : 22 (13, 24)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.5 to -1.7.

Kentucky⁷

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 48.0 with a 95% confidence interval from 47.2 to 48.9 and 2,540 average annual cases over 2014-2018.
• CI*Rank⋔ : 2 (1, 3)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -1.9 to -1.6.

Louisiana⁷

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 44.9 with a 95% confidence interval from 44.1 to 45.8 and 2,390 average annual cases over 2014-2018.
• CI*Rank⋔ : 4 (3, 6)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.1 to -1.7.

Maine⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 36.2 with a 95% confidence interval from 35.0 to 37.5 and 673 average annual cases over 2014-2018.
• CI*Rank⋔ : 35 (24, 44)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -3.0 to -0.1.

Maryland⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 36.4 with a 95% confidence interval from 35.8 to 37.1 and 2,518 average annual cases over 2014-2018.
• CI*Rank⋔ : 33 (27, 39)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.0.

Massachusetts⁷

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.5 with a 95% confidence interval from 33.9 to 35.1 and 2,843 average annual cases over 2014-2018.
• CI*Rank⋔ : 44 (38, 47)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -6.1 to -1.3.

Michigan⁵

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.2 with a 95% confidence interval from 36.7 to 37.7 and 4,547 average annual cases over 2014-2018.
• CI*Rank⋔ : 30 (24, 34)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.2.

Minnesota⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.5 with a 95% confidence interval from 36.8 to 38.2 and 2,401 average annual cases over 2014-2018.
• CI*Rank⋔ : 28 (23, 34)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.4.

Mississippi⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 48.2 with a 95% confidence interval from 47.1 to 49.2 and 1,679 average annual cases over 2014-2018.
• CI*Rank⋔ : 1 (1, 3)
• 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).

Missouri⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.1 with a 95% confidence interval from 39.5 to 40.8 and 2,960 average annual cases over 2014-2018.
• CI*Rank⋔ : 19 (13, 23)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.6 to -2.1.

Montana⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.4 with a 95% confidence interval from 35.9 to 38.9 and 498 average annual cases over 2014-2018.
• CI*Rank⋔ : 29 (22, 40)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.7.

Nebraska⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 42.9 with a 95% confidence interval from 41.6 to 44.1 and 937 average annual cases over 2014-2018.
• CI*Rank⋔ : 7 (4, 15)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.0.

Nevada⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.6 with a 95% confidence interval from 34.6 to 36.7 and 938 average annual cases over 2014-2018.
• CI*Rank⋔ : 37 (29, 45)
• 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).

New Hampshire⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 36.2 with a 95% confidence interval from 34.9 to 37.6 and 620 average annual cases over 2014-2018.
• CI*Rank⋔ : 34 (24, 44)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -3.8 to -2.4.

New Jersey⁷

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.1 with a 95% confidence interval from 39.5 to 40.6 and 4,325 average annual cases over 2014-2018.
• CI*Rank⋔ : 21 (14, 23)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.1.

New Mexico⁷

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 33.4 with a 95% confidence interval from 32.3 to 34.4 and 838 average annual cases over 2014-2018.
• CI*Rank⋔ : 47 (41, 50)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.6.

New York⁷

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 38.1 with a 95% confidence interval from 37.8 to 38.5 and 8,979 average annual cases over 2014-2018.
• CI*Rank⋔ : 23 (22, 28)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.9.

North Carolina⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 36.8 with a 95% confidence interval from 36.3 to 37.3 and 4,391 average annual cases over 2014-2018.
• CI*Rank⋔ : 31 (27, 37)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.4.

North Dakota⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 41.0 with a 95% confidence interval from 39.1 to 43.1 and 346 average annual cases over 2014-2018.
• CI*Rank⋔ : 15 (5, 24)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.0 to -1.7.

Ohio⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 41.3 with a 95% confidence interval from 40.8 to 41.8 and 5,914 average annual cases over 2014-2018.
• CI*Rank⋔ : 13 (9, 17)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.0 to 0.9.

Oklahoma⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 41.2 with a 95% confidence interval from 40.3 to 42.0 and 1,839 average annual cases over 2014-2018.
• CI*Rank⋔ : 14 (8, 21)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.1 to -1.5.

Oregon⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.0 with a 95% confidence interval from 33.3 to 34.8 and 1,695 average annual cases over 2014-2018.
• CI*Rank⋔ : 45 (39, 48)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -2.9 to -2.4.

Pennsylvania⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.1 with a 95% confidence interval from 39.7 to 40.5 and 6,676 average annual cases over 2014-2018.
• CI*Rank⋔ : 20 (15, 23)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.3 to -0.5.

Puerto Rico⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.6 with a 95% confidence interval from 39.7 to 41.4 and 1,848 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -5.6 to 0.4.

Rhode Island⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 33.7 with a 95% confidence interval from 32.2 to 35.1 and 447 average annual cases over 2014-2018.
• CI*Rank⋔ : 46 (37, 50)
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -4.5 to -3.5.

South Carolina⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.6 with a 95% confidence interval from 36.8 to 38.3 and 2,275 average annual cases over 2014-2018.
• CI*Rank⋔ : 27 (23, 33)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.8 to 0.1.

South Dakota⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 41.3 with a 95% confidence interval from 39.5 to 43.2 and 423 average annual cases over 2014-2018.
• CI*Rank⋔ : 12 (5, 23)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.2 to -1.7.

Tennessee⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.4 with a 95% confidence interval from 39.8 to 41.1 and 3,198 average annual cases over 2014-2018.
• CI*Rank⋔ : 17 (12, 22)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.6.

Texas⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.8 with a 95% confidence interval from 37.5 to 38.2 and 10,461 average annual cases over 2014-2018.
• CI*Rank⋔ : 26 (23, 29)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.3.

Utah⁷

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 29.3 with a 95% confidence interval from 28.3 to 30.2 and 764 average annual cases over 2014-2018.
• CI*Rank⋔ : 51 (51, 51)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.0 to -2.0.

Vermont⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.9 with a 95% confidence interval from 33.0 to 36.8 and 289 average annual cases over 2014-2018.
• CI*Rank⋔ : 42 (26, 50)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.3 to -2.2.

Virginia⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.0 with a 95% confidence interval from 34.4 to 35.5 and 3,357 average annual cases over 2014-2018.
• CI*Rank⋔ : 41 (36, 46)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.7.

Washington⁵

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.1 with a 95% confidence interval from 34.5 to 35.7 and 2,885 average annual cases over 2014-2018.
• CI*Rank⋔ : 39 (35, 46)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.7 to -2.0.

West Virginia⁶

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 46.1 with a 95% confidence interval from 44.9 to 47.4 and 1,135 average annual cases over 2014-2018.
• CI*Rank⋔ : 3 (1, 5)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Wisconsin⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 36.5 with a 95% confidence interval from 35.8 to 37.1 and 2,563 average annual cases over 2014-2018.
• CI*Rank⋔ : 32 (27, 38)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.6 to -1.8.

Wyoming⁶

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 32.9 with a 95% confidence interval from 30.9 to 34.9 and 219 average annual cases over 2014-2018.
• CI*Rank⋔ : 48 (36, 50)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.5 to -1.8.

Notes:
Created by statecancerprofiles.cancer.gov on 05/22/2022 7:39 pm.

State Cancer Registries may provide more current or more local data.
† 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 1969-2018 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 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).

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 for United States does not include Puerto Rico.