State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Colon & Rectum (All Stages^), 2017

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

Sorted by Rate

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)^1,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 36.8 with a 95% confidence interval from 36.7 to 37.0 and 141,421 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.0.

Mississippi^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 47.0 with a 95% confidence interval from 44.7 to 49.4 and 1,662 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.5.

West Virginia^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 45.8 with a 95% confidence interval from 43.1 to 48.7 and 1,136 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.6 to 0.6.

Kentucky^7,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 45.0 with a 95% confidence interval from 43.2 to 46.8 and 2,424 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.0 to -1.7.

Louisiana^7,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 44.5 with a 95% confidence interval from 42.7 to 46.4 and 2,394 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.1 to -1.8.

Alaska^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 43.5 with a 95% confidence interval from 38.5 to 48.9 and 307 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.9 to -1.3.

Arkansas^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 43.0 with a 95% confidence interval from 40.8 to 45.2 and 1,579 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.3 to 1.9.

Alabama^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 42.1 with a 95% confidence interval from 40.5 to 43.8 and 2,527 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.7 to 0.9.

North Dakota^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 42.0 with a 95% confidence interval from 37.6 to 46.8 and 356 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.5.

Nebraska^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 41.3 with a 95% confidence interval from 38.6 to 44.1 and 912 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.7.

Iowa^7,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.7 with a 95% confidence interval from 38.6 to 42.8 and 1,574 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.4.

Indiana^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.5 with a 95% confidence interval from 39.0 to 42.0 and 3,142 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.4.

Oklahoma^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.4 with a 95% confidence interval from 38.6 to 42.4 and 1,828 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.2 to -1.5.

Illinois^2,8

• Met Healthy People Objective of 39.9? : No
• Rate : The incidence rate is 40.4 with a 95% confidence interval from 39.4 to 41.5 and 6,073 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -2.9 to -2.3.

South Dakota^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 39.8 with a 95% confidence interval from 36.0 to 44.0 and 419 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.3 to -1.7.

Hawaii^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 39.8 with a 95% confidence interval from 36.8 to 42.9 and 706 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.7 to -1.3.

Ohio^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 39.5 with a 95% confidence interval from 38.5 to 40.6 and 5,742 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.4 to 1.6.

Missouri^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 39.5 with a 95% confidence interval from 38.1 to 41.0 and 2,952 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -2.7 to -2.2.

New Jersey^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 39.3 with a 95% confidence interval from 38.1 to 40.5 and 4,271 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.3 to -0.9.

Pennsylvania^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 39.2 with a 95% confidence interval from 38.2 to 40.2 and 6,579 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.5 to -1.1.

Georgia^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 38.9 with a 95% confidence interval from 37.7 to 40.1 and 4,401 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.4 to 1.1.

Kansas^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 38.8 with a 95% confidence interval from 36.7 to 41.1 and 1,298 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.7 to -1.9.

Tennessee^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 38.6 with a 95% confidence interval from 37.2 to 40.0 and 3,102 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.9.

New York^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.8 with a 95% confidence interval from 37.0 to 38.6 and 8,987 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.6.

Puerto Rico^2,10

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.6 with a 95% confidence interval from 35.8 to 39.5 and 1,700 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -5.8 to 0.3.

Montana^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.5 with a 95% confidence interval from 34.2 to 41.1 and 500 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.6.

Michigan^4,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.4 # with a 95% confidence interval from 36.3 to 38.6 and average annual cases over .
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.8 to 1.9.

Delaware^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.3 with a 95% confidence interval from 33.8 to 41.1 and 449 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.0 to 4.5.

Minnesota^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.2 with a 95% confidence interval from 35.7 to 38.8 and 2,398 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.1 to 0.9.

Texas^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 37.2 with a 95% confidence interval from 36.5 to 37.9 and 10,587 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.0.

District of Columbia^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.9 with a 95% confidence interval from 31.4 to 40.8 and 240 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -4.4 to -1.6.

Maryland^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.6 with a 95% confidence interval from 34.2 to 37.1 and 2,519 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.0.

Maine^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.3 with a 95% confidence interval from 32.5 to 38.2 and 659 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.2 to 1.7.

North Carolina^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.2 with a 95% confidence interval from 34.1 to 36.3 and 4,291 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.6.

Washington^4,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 35.0 with a 95% confidence interval from 33.7 to 36.3 and 2,938 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.8 to 1.1.

Vermont^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.7 with a 95% confidence interval from 30.7 to 39.1 and 294 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.6 to -2.4.

South Carolina^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.7 with a 95% confidence interval from 33.2 to 36.2 and 2,169 average annual cases over 2017.
• Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -6.7 to 2.0.

Wisconsin^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.6 with a 95% confidence interval from 33.2 to 36.1 and 2,460 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.1 to -2.4.

Wyoming^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.2 with a 95% confidence interval from 29.8 to 39.1 and 233 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.8 to -2.0.

Virginia^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 34.2 with a 95% confidence interval from 33.0 to 35.4 and 3,337 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.6.

Florida^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 33.9 with a 95% confidence interval from 33.2 to 34.6 and 9,869 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.8 to -1.2.

Nevada^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 33.9 with a 95% confidence interval from 32.0 to 36.0 and 1,167 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.2 to -2.5.

California^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 33.6 with a 95% confidence interval from 33.0 to 34.2 and 14,520 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.7 to -1.1.

Idaho^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 33.5 with a 95% confidence interval from 30.9 to 36.2 and 648 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.3 to -1.7.

Connecticut^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 33.4 with a 95% confidence interval from 31.6 to 35.2 and 1,507 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -4.0 to -3.3.

Oregon^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 33.3 with a 95% confidence interval from 31.7 to 34.9 and 1,697 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.0 to -2.5.

New Hampshire^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 32.7 with a 95% confidence interval from 30.0 to 35.6 and 577 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -4.0 to -2.6.

New Mexico^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 32.3 with a 95% confidence interval from 30.1 to 34.7 and 816 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.9 to -1.8.

Colorado^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 32.3 with a 95% confidence interval from 30.8 to 33.8 and 1,958 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.8.

Massachusetts^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 31.8 with a 95% confidence interval from 30.6 to 33.1 and 2,675 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -3.6 to -1.6.

Arizona^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 31.3 with a 95% confidence interval from 30.1 to 32.6 and 2,674 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -2.7 to -2.1.

Rhode Island^2,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 30.7 with a 95% confidence interval from 27.7 to 33.9 and 419 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -4.4 with a 95% confidence interval from -4.8 to -3.9.

Utah^7,8

• Met Healthy People Objective of 39.9? : Yes
• Rate : The incidence rate is 29.9 with a 95% confidence interval from 27.9 to 32.1 and 798 average annual cases over 2017.
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.4 to -2.1.

Notes:
Created by statecancerprofiles.cancer.gov on 08/12/2020 3:10 am.

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 1969-2017 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.
Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.

Health Service Areas are a single county or cluster of contiguous counties which are relatively self-contained with respect to hospital care. For more detailed information, please see Health Service Area information page.
# Data do not include cases diagnosed in other states for those states in which the data exchange agreement specifically prohibits the release of data to third parties.

¹ Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2017) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2019 submission.
² Source: National Program of Cancer Registries SEER*Stat Database (2001-2017) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2019 submission).
⁴ Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2017) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2019 submission.
⁷ Source: SEER November 2019 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 1969-2017 US Population Data File is used with SEER November 2019 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

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.