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, Ages 65+

Sorted by Rate

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 156.6 with a 95% confidence interval from 156.1 to 157.1 and 77,629 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.1 to -2.5.

Kentucky⁷

• Rate : The incidence rate is 194.4 with a 95% confidence interval from 189.8 to 199.1 and 1,374 average annual cases over 2016-2020.
• CI*Rank⋔ : 1 (1, 4)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.2 to -2.8.

Mississippi⁶

• Rate : The incidence rate is 192.8 with a 95% confidence interval from 187.1 to 198.5 and 899 average annual cases over 2016-2020.
• CI*Rank⋔ : 2 (1, 5)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.7.

South Dakota⁶

• Rate : The incidence rate is 185.8 with a 95% confidence interval from 175.7 to 196.3 and 264 average annual cases over 2016-2020.
• CI*Rank⋔ : 3 (1, 14)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.6 to -0.4.

Iowa⁷

• Rate : The incidence rate is 184.9 with a 95% confidence interval from 179.7 to 190.2 and 980 average annual cases over 2016-2020.
• CI*Rank⋔ : 4 (2, 10)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -3.8 to -3.4.

Nebraska⁶

• Rate : The incidence rate is 184.3 with a 95% confidence interval from 177.4 to 191.5 and 542 average annual cases over 2016-2020.
• CI*Rank⋔ : 5 (1, 12)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -3.4 to 0.7.

West Virginia⁶

• Rate : The incidence rate is 183.8 with a 95% confidence interval from 177.4 to 190.3 and 644 average annual cases over 2016-2020.
• CI*Rank⋔ : 6 (1, 12)
• Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -4.0 to -3.1.

Louisiana⁷

• Rate : The incidence rate is 180.7 with a 95% confidence interval from 176.2 to 185.2 and 1,279 average annual cases over 2016-2020.
• CI*Rank⋔ : 7 (3, 12)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -3.4 to -2.8.

Alaska⁶

• Rate : The incidence rate is 179.0 with a 95% confidence interval from 165.4 to 193.4 and 143 average annual cases over 2016-2020.
• CI*Rank⋔ : 8 (1, 23)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -4.4 to -2.8.

Illinois⁷

• Rate : The incidence rate is 178.3 with a 95% confidence interval from 175.6 to 181.0 and 3,468 average annual cases over 2016-2020.
• CI*Rank⋔ : 9 (5, 12)
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -4.9 to -3.6.

Arkansas⁶

• Rate : The incidence rate is 177.9 with a 95% confidence interval from 172.6 to 183.2 and 892 average annual cases over 2016-2020.
• CI*Rank⋔ : 10 (4, 15)
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -1.5 to 4.1.

North Dakota⁶

• Rate : The incidence rate is 176.0 with a 95% confidence interval from 165.0 to 187.4 and 201 average annual cases over 2016-2020.
• CI*Rank⋔ : 11 (2, 21)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -4.5 to -2.8.

New Jersey⁷

• Rate : The incidence rate is 174.6 with a 95% confidence interval from 171.5 to 177.7 and 2,474 average annual cases over 2016-2020.
• CI*Rank⋔ : 12 (7, 15)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.6 to -1.8.

Ohio⁶

• Rate : The incidence rate is 171.4 with a 95% confidence interval from 168.8 to 174.0 and 3,324 average annual cases over 2016-2020.
• CI*Rank⋔ : 13 (10, 18)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -5.3 to -2.3.

Pennsylvania⁶

• Rate : The incidence rate is 170.6 with a 95% confidence interval from 168.2 to 173.0 and 3,922 average annual cases over 2016-2020.
• CI*Rank⋔ : 14 (11, 18)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -4.2 to -3.7.

Kansas⁶

• Rate : The incidence rate is 169.0 with a 95% confidence interval from 163.6 to 174.5 and 760 average annual cases over 2016-2020.
• CI*Rank⋔ : 15 (9, 21)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -3.5 to -2.8.

Oklahoma⁶

• Rate : The incidence rate is 168.3 with a 95% confidence interval from 163.7 to 173.0 and 1,026 average annual cases over 2016-2020.
• CI*Rank⋔ : 16 (11, 21)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.3 to -2.7.

Missouri⁶

• Rate : The incidence rate is 167.8 with a 95% confidence interval from 164.2 to 171.4 and 1,697 average annual cases over 2016-2020.
• CI*Rank⋔ : 17 (11, 20)
• Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -3.9 to -3.2.

Alabama⁶

• Rate : The incidence rate is 167.6 with a 95% confidence interval from 163.6 to 171.7 and 1,352 average annual cases over 2016-2020.
• CI*Rank⋔ : 18 (11, 20)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -2.9 to -2.2.

Georgia⁷

• Rate : The incidence rate is 165.2 with a 95% confidence interval from 162.2 to 168.3 and 2,340 average annual cases over 2016-2020.
• CI*Rank⋔ : 19 (14, 21)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.1 to -2.3.

Tennessee⁶

• Rate : The incidence rate is 161.8 with a 95% confidence interval from 158.4 to 165.3 and 1,743 average annual cases over 2016-2020.
• CI*Rank⋔ : 20 (17, 25)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -6.1 to -2.9.

New York⁷

• Rate : The incidence rate is 160.3 with a 95% confidence interval from 158.4 to 162.3 and 5,082 average annual cases over 2016-2020.
• CI*Rank⋔ : 21 (19, 25)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.6 to -2.0.

Texas⁷

• Rate : The incidence rate is 159.0 with a 95% confidence interval from 157.1 to 160.9 and 5,563 average annual cases over 2016-2020.
• CI*Rank⋔ : 22 (20, 26)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -0.7.

Minnesota⁶

• Rate : The incidence rate is 158.9 with a 95% confidence interval from 155.1 to 162.8 and 1,376 average annual cases over 2016-2020.
• CI*Rank⋔ : 23 (19, 27)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -3.7 to -3.1.

Puerto Rico⁶

• Rate : The incidence rate is 156.7 with a 95% confidence interval from 152.3 to 161.2 and 949 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -5.1 to -2.4.

Montana⁶

• Rate : The incidence rate is 155.3 with a 95% confidence interval from 147.3 to 163.6 and 295 average annual cases over 2016-2020.
• CI*Rank⋔ : 24 (16, 39)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -4.3 to -3.1.

Wisconsin⁶

• Rate : The incidence rate is 155.1 with a 95% confidence interval from 151.5 to 158.7 and 1,475 average annual cases over 2016-2020.
• CI*Rank⋔ : 25 (21, 31)
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -4.3 to -3.7.

Michigan⁶

• Rate : The incidence rate is 152.7 with a 95% confidence interval from 150.0 to 155.4 and 2,524 average annual cases over 2016-2020.
• CI*Rank⋔ : 26 (24, 33)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.3 to -2.2.

Idaho⁷

• Rate : The incidence rate is 151.8 with a 95% confidence interval from 145.1 to 158.7 and 400 average annual cases over 2016-2020.
• CI*Rank⋔ : 27 (20, 42)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -3.6 to -2.6.

Wyoming⁶

• Rate : The incidence rate is 151.6 with a 95% confidence interval from 140.3 to 163.6 and 138 average annual cases over 2016-2020.
• CI*Rank⋔ : 28 (16, 46)
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -2.9 to 6.9.

Maine⁶

• Rate : The incidence rate is 151.4 with a 95% confidence interval from 144.8 to 158.3 and 402 average annual cases over 2016-2020.
• CI*Rank⋔ : 29 (20, 42)
• Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -5.4 to 0.9.

Maryland⁶

• Rate : The incidence rate is 149.6 with a 95% confidence interval from 146.0 to 153.2 and 1,349 average annual cases over 2016-2020.
• CI*Rank⋔ : 30 (25, 39)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.2 to -0.1.

Delaware⁶

• Rate : The incidence rate is 148.1 with a 95% confidence interval from 140.0 to 156.5 and 258 average annual cases over 2016-2020.
• CI*Rank⋔ : 31 (21, 45)
• Recent Trend : The trend is falling because the trend is -5.2 with a 95% confidence interval from -7.5 to -2.6.

Vermont⁶

• Rate : The incidence rate is 147.5 with a 95% confidence interval from 137.6 to 158.0 and 169 average annual cases over 2016-2020.
• CI*Rank⋔ : 32 (20, 47)
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -5.1 to -3.0.

New Hampshire⁶

• Rate : The incidence rate is 147.0 with a 95% confidence interval from 140.0 to 154.2 and 345 average annual cases over 2016-2020.
• CI*Rank⋔ : 33 (23, 45)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -5.5 to -3.7.

Florida⁶

• Rate : The incidence rate is 146.0 with a 95% confidence interval from 144.4 to 147.6 and 6,308 average annual cases over 2016-2020.
• CI*Rank⋔ : 34 (30, 40)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -3.9 to -1.9.

Virginia⁶

• Rate : The incidence rate is 145.5 with a 95% confidence interval from 142.5 to 148.5 and 1,847 average annual cases over 2016-2020.
• CI*Rank⋔ : 35 (29, 44)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.4 to -0.8.

Hawaii⁷

• Rate : The incidence rate is 145.4 with a 95% confidence interval from 138.8 to 152.3 and 376 average annual cases over 2016-2020.
• CI*Rank⋔ : 36 (25, 46)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -4.7 to -3.4.

North Carolina⁶

• Rate : The incidence rate is 145.3 with a 95% confidence interval from 142.7 to 148.0 and 2,378 average annual cases over 2016-2020.
• CI*Rank⋔ : 37 (29, 43)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.0 to -0.9.

Rhode Island⁶

• Rate : The incidence rate is 143.7 with a 95% confidence interval from 135.8 to 151.9 and 258 average annual cases over 2016-2020.
• CI*Rank⋔ : 38 (25, 47)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -4.6 to 3.2.

California⁷

• Rate : The incidence rate is 143.5 with a 95% confidence interval from 142.1 to 145.0 and 7,932 average annual cases over 2016-2020.
• CI*Rank⋔ : 39 (33, 44)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -3.6 to -2.6.

Connecticut⁷

• Rate : The incidence rate is 143.4 with a 95% confidence interval from 139.2 to 147.8 and 874 average annual cases over 2016-2020.
• CI*Rank⋔ : 40 (29, 45)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -5.1 to -4.5.

District of Columbia⁶

• Rate : The incidence rate is 143.1 with a 95% confidence interval from 131.7 to 155.3 and 120 average annual cases over 2016-2020.
• CI*Rank⋔ : 41 (21, 48)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -5.1 to -2.7.

Washington⁵

• Rate : The incidence rate is 142.8 with a 95% confidence interval from 139.6 to 146.0 and 1,567 average annual cases over 2016-2020.
• CI*Rank⋔ : 42 (31, 45)
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -4.3 to -3.7.

South Carolina⁶

• Rate : The incidence rate is 142.7 with a 95% confidence interval from 139.1 to 146.3 and 1,240 average annual cases over 2016-2020.
• CI*Rank⋔ : 43 (31, 45)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.1 to -0.3.

Massachusetts⁷

• Rate : The incidence rate is 140.8 with a 95% confidence interval from 137.7 to 144.0 and 1,563 average annual cases over 2016-2020.
• CI*Rank⋔ : 44 (35, 46)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -4.7 to -2.1.

Oregon⁶

• Rate : The incidence rate is 140.5 with a 95% confidence interval from 136.5 to 144.6 and 978 average annual cases over 2016-2020.
• CI*Rank⋔ : 45 (33, 46)
• Recent Trend : The trend is falling because the trend is -4.2 with a 95% confidence interval from -7.3 to -3.2.

Colorado⁶

• Rate : The incidence rate is 134.5 with a 95% confidence interval from 130.8 to 138.3 and 1,025 average annual cases over 2016-2020.
• CI*Rank⋔ : 46 (43, 48)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -4.4 to -3.8.

Arizona⁶

• Rate : The incidence rate is 131.1 with a 95% confidence interval from 128.3 to 134.0 and 1,613 average annual cases over 2016-2020.
• CI*Rank⋔ : 47 (45, 48)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -3.9 to -3.5.

New Mexico⁷

• Rate : The incidence rate is 130.9 with a 95% confidence interval from 125.5 to 136.4 and 461 average annual cases over 2016-2020.
• CI*Rank⋔ : 48 (44, 48)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -4.5 to -3.5.

Utah⁷

• Rate : The incidence rate is 115.3 with a 95% confidence interval from 110.1 to 120.6 and 388 average annual cases over 2016-2020.
• CI*Rank⋔ : 49 (49, 49)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -5.0 to -3.6.

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 05/18/2024 3:46 am.

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.
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.