Interpretation of Incidence Rates Data
Incidence Rate Report by State
Colon & Rectum (All Stages^), 2015-2019
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Name
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 37.7 with a 95% confidence interval from 37.6 to 37.7 and 143,166 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.0 to -1.3.
Alabama6
- Rate : The incidence rate is 42.4 with a 95% confidence interval from 41.6 to 43.1 and 2,533 average annual cases over 2015-2019.
- CI*Rank⋔ : 6 (6, 11)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -3.0 to -0.4.
Alaska6
- Rate : The incidence rate is 41.3 with a 95% confidence interval from 39.1 to 43.6 and 294 average annual cases over 2015-2019.
- CI*Rank⋔ : 9 (5, 23)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -2.6 to -1.4.
Arizona6
- Rate : The incidence rate is 31.5 with a 95% confidence interval from 31.0 to 32.1 and 2,697 average annual cases over 2015-2019.
- CI*Rank⋔ : 49 (47, 49)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -2.6 to -2.0.
Arkansas6
- Rate : The incidence rate is 44.3 with a 95% confidence interval from 43.4 to 45.3 and 1,620 average annual cases over 2015-2019.
- CI*Rank⋔ : 5 (3, 6)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -0.5 to 1.5.
California7
- Rate : The incidence rate is 34.5 with a 95% confidence interval from 34.2 to 34.7 and 14,858 average annual cases over 2015-2019.
- CI*Rank⋔ : 41 (36, 44)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.9.
Colorado6
- Rate : The incidence rate is 32.3 with a 95% confidence interval from 31.6 to 32.9 and 1,947 average annual cases over 2015-2019.
- CI*Rank⋔ : 48 (45, 49)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.0.
Connecticut7
- Rate : The incidence rate is 34.5 with a 95% confidence interval from 33.8 to 35.3 and 1,577 average annual cases over 2015-2019.
- CI*Rank⋔ : 39 (34, 46)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -3.2 to -1.4.
Delaware6
- Rate : The incidence rate is 37.1 with a 95% confidence interval from 35.6 to 38.7 and 457 average annual cases over 2015-2019.
- CI*Rank⋔ : 26 (20, 38)
- Recent Trend : The trend is falling
because the trend is -3.8 with a 95% confidence interval from -6.3 to -1.2.
District of Columbia6
- Rate : The incidence rate is 35.4 with a 95% confidence interval from 33.3 to 37.5 and 238 average annual cases over 2015-2019.
- CI*Rank⋔ : 36 (23, 48)
- Recent Trend : The trend is falling
because the trend is -2.9 with a 95% confidence interval from -4.0 to -1.8.
Florida6
- Rate : The incidence rate is 36.0 with a 95% confidence interval from 35.7 to 36.4 and 10,488 average annual cases over 2015-2019.
- CI*Rank⋔ : 34 (29, 37)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.
Georgia7
- Rate : The incidence rate is 40.4 with a 95% confidence interval from 39.9 to 40.9 and 4,565 average annual cases over 2015-2019.
- CI*Rank⋔ : 14 (10, 20)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -4.2 to -0.1.
Hawaii7
- Rate : The incidence rate is 39.4 with a 95% confidence interval from 38.0 to 40.7 and 705 average annual cases over 2015-2019.
- CI*Rank⋔ : 22 (10, 27)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.7.
Idaho7
- Rate : The incidence rate is 35.2 with a 95% confidence interval from 34.0 to 36.4 and 683 average annual cases over 2015-2019.
- CI*Rank⋔ : 37 (27, 45)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.1 to -1.4.
Illinois7
- Rate : The incidence rate is 41.3 with a 95% confidence interval from 40.8 to 41.8 and 6,189 average annual cases over 2015-2019.
- CI*Rank⋔ : 10 (7, 14)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.3.
Indiana6
- Rate : The incidence rate is 41.1 with a 95% confidence interval from 40.4 to 41.8 and 3,196 average annual cases over 2015-2019.
- CI*Rank⋔ : 12 (7, 16)
- Recent Trend : The trend is falling
because the trend is -3.8 with a 95% confidence interval from -5.7 to -1.9.
Iowa7
- Rate : The incidence rate is 42.4 with a 95% confidence interval from 41.4 to 43.3 and 1,633 average annual cases over 2015-2019.
- CI*Rank⋔ : 7 (5, 12)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.
Kansas6
- Rate : The incidence rate is 39.7 with a 95% confidence interval from 38.7 to 40.6 and 1,328 average annual cases over 2015-2019.
- CI*Rank⋔ : 20 (11, 23)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.4.
Kentucky7
- Rate : The incidence rate is 47.4 with a 95% confidence interval from 46.6 to 48.3 and 2,542 average annual cases over 2015-2019.
- CI*Rank⋔ : 2 (1, 3)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -1.9 to -1.5.
Louisiana7
- Rate : The incidence rate is 45.1 with a 95% confidence interval from 44.3 to 45.9 and 2,429 average annual cases over 2015-2019.
- CI*Rank⋔ : 4 (3, 5)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -1.6 to 2.5.
Maine6
- Rate : The incidence rate is 36.1 with a 95% confidence interval from 34.9 to 37.4 and 678 average annual cases over 2015-2019.
- CI*Rank⋔ : 33 (23, 42)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.6.
Maryland6
- Rate : The incidence rate is 36.0 with a 95% confidence interval from 35.4 to 36.6 and 2,539 average annual cases over 2015-2019.
- CI*Rank⋔ : 35 (27, 38)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.
Massachusetts7
- Rate : The incidence rate is 33.5 with a 95% confidence interval from 32.9 to 34.1 and 2,799 average annual cases over 2015-2019.
- CI*Rank⋔ : 45 (41, 47)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -3.0 to -2.0.
Michigan6
- Rate : The incidence rate is 36.9 with a 95% confidence interval from 36.4 to 37.4 and 4,550 average annual cases over 2015-2019.
- CI*Rank⋔ : 29 (25, 33)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.1.
Minnesota6
- Rate : The incidence rate is 37.1 with a 95% confidence interval from 36.4 to 37.7 and 2,410 average annual cases over 2015-2019.
- CI*Rank⋔ : 27 (23, 34)
- Recent Trend : The trend is stable
because the trend is -2.9 with a 95% confidence interval from -6.2 to 0.5.
Mississippi6
- Rate : The incidence rate is 48.3 with a 95% confidence interval from 47.2 to 49.3 and 1,700 average annual cases over 2015-2019.
- CI*Rank⋔ : 1 (1, 2)
- 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
- Rate : The incidence rate is 39.6 with a 95% confidence interval from 39.0 to 40.3 and 2,964 average annual cases over 2015-2019.
- CI*Rank⋔ : 21 (13, 22)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.2.
Montana6
- Rate : The incidence rate is 37.0 with a 95% confidence interval from 35.5 to 38.6 and 498 average annual cases over 2015-2019.
- CI*Rank⋔ : 28 (21, 39)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -2.5 to -1.7.
Nebraska6
- Rate : The incidence rate is 41.9 with a 95% confidence interval from 40.7 to 43.2 and 924 average annual cases over 2015-2019.
- CI*Rank⋔ : 8 (6, 16)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -2.5 to -0.1.
New Hampshire6
- Rate : The incidence rate is 36.2 with a 95% confidence interval from 34.9 to 37.5 and 629 average annual cases over 2015-2019.
- CI*Rank⋔ : 31 (23, 42)
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.1.
New Jersey7
- Rate : The incidence rate is 39.8 with a 95% confidence interval from 39.3 to 40.4 and 4,345 average annual cases over 2015-2019.
- CI*Rank⋔ : 18 (12, 22)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.0 to -1.0.
New Mexico7
- Rate : The incidence rate is 33.2 with a 95% confidence interval from 32.2 to 34.2 and 842 average annual cases over 2015-2019.
- CI*Rank⋔ : 46 (38, 49)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.6.
New York7
- Rate : The incidence rate is 37.7 with a 95% confidence interval from 37.4 to 38.1 and 8,974 average annual cases over 2015-2019.
- CI*Rank⋔ : 24 (22, 28)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -1.8 to -0.9.
North Carolina6
- Rate : The incidence rate is 36.2 with a 95% confidence interval from 35.7 to 36.7 and 4,415 average annual cases over 2015-2019.
- CI*Rank⋔ : 32 (27, 37)
- Recent Trend : The trend is falling
because the trend is -2.7 with a 95% confidence interval from -4.1 to -1.3.
North Dakota6
- Rate : The incidence rate is 40.2 with a 95% confidence interval from 38.2 to 42.2 and 342 average annual cases over 2015-2019.
- CI*Rank⋔ : 15 (6, 27)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -2.9 to -1.7.
Ohio6
- Rate : The incidence rate is 40.5 with a 95% confidence interval from 40.0 to 41.0 and 5,869 average annual cases over 2015-2019.
- CI*Rank⋔ : 13 (10, 19)
- Recent Trend : The trend is stable
because the trend is -2.6 with a 95% confidence interval from -5.1 to 0.0.
Oklahoma6
- Rate : The incidence rate is 41.1 with a 95% confidence interval from 40.3 to 42.0 and 1,862 average annual cases over 2015-2019.
- CI*Rank⋔ : 11 (6, 18)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.0 to -1.4.
Oregon6
- Rate : The incidence rate is 33.7 with a 95% confidence interval from 32.9 to 34.4 and 1,706 average annual cases over 2015-2019.
- CI*Rank⋔ : 44 (38, 47)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -2.8 to -2.3.
Pennsylvania6
- Rate : The incidence rate is 39.7 with a 95% confidence interval from 39.3 to 40.2 and 6,659 average annual cases over 2015-2019.
- CI*Rank⋔ : 19 (14, 22)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.5 to -1.0.
Puerto Rico6
- Rate : The incidence rate is 40.6 with a 95% confidence interval from 39.7 to 41.5 and 1,668 average annual cases over 2015-2019.
- 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 0.1.
Rhode Island6
- Rate : The incidence rate is 33.1 with a 95% confidence interval from 31.7 to 34.5 and 444 average annual cases over 2015-2019.
- CI*Rank⋔ : 47 (36, 49)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -4.4 to 5.4.
South Carolina6
- Rate : The incidence rate is 37.4 with a 95% confidence interval from 36.7 to 38.1 and 2,320 average annual cases over 2015-2019.
- CI*Rank⋔ : 25 (22, 32)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.4 to -0.1.
South Dakota6
- Rate : The incidence rate is 40.2 with a 95% confidence interval from 38.4 to 42.0 and 417 average annual cases over 2015-2019.
- CI*Rank⋔ : 16 (6, 25)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -3.0 to -1.7.
Tennessee6
- Rate : The incidence rate is 40.0 with a 95% confidence interval from 39.3 to 40.6 and 3,220 average annual cases over 2015-2019.
- CI*Rank⋔ : 17 (11, 22)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.3.
Texas7
- Rate : The incidence rate is 38.0 with a 95% confidence interval from 37.6 to 38.3 and 10,783 average annual cases over 2015-2019.
- CI*Rank⋔ : 23 (22, 27)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.4.
Utah7
- Rate : The incidence rate is 29.0 with a 95% confidence interval from 28.1 to 29.9 and 779 average annual cases over 2015-2019.
- CI*Rank⋔ : 50 (50, 50)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -2.8 to -1.9.
Vermont6
- Rate : The incidence rate is 34.4 with a 95% confidence interval from 32.5 to 36.3 and 287 average annual cases over 2015-2019.
- CI*Rank⋔ : 42 (27, 49)
- Recent Trend : The trend is falling
because the trend is -2.7 with a 95% confidence interval from -3.2 to -2.2.
Virginia6
- Rate : The incidence rate is 34.5 with a 95% confidence interval from 34.0 to 35.1 and 3,380 average annual cases over 2015-2019.
- CI*Rank⋔ : 40 (36, 45)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.7.
Washington1
- Rate : The incidence rate is 34.7 with a 95% confidence interval from 34.1 to 35.3 and 2,910 average annual cases over 2015-2019.
- CI*Rank⋔ : 38 (35, 44)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.1.
West Virginia6
- Rate : The incidence rate is 45.5 with a 95% confidence interval from 44.3 to 46.7 and 1,129 average annual cases over 2015-2019.
- CI*Rank⋔ : 3 (2, 5)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.
Wisconsin6
- Rate : The incidence rate is 36.3 with a 95% confidence interval from 35.6 to 36.9 and 2,578 average annual cases over 2015-2019.
- CI*Rank⋔ : 30 (26, 37)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.1.
Wyoming6
- Rate : The incidence rate is 34.2 with a 95% confidence interval from 32.2 to 36.3 and 232 average annual cases over 2015-2019.
- CI*Rank⋔ : 43 (26, 49)
- Recent Trend : The trend is stable
because the trend is 3.4 with a 95% confidence interval from -3.1 to 10.4.
- 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 06/10/2023 3:12 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.