Interpretation of Incidence Rates Data
Incidence Rate Report by State
Colon & Rectum (All Stages^), 2017-2021
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
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 36.4 with a 95% confidence interval from 36.3 to 36.4 and 140,088 average annual cases over 2017-2021.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.3 to -0.9.
Mississippi6
- Rate : The incidence rate is 46.4 with a 95% confidence interval from 45.4 to 47.4 and 1,651 average annual cases over 2017-2021.
- CI*Rank ⋔ : 1 (1, 3)
- Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.2 to -0.7.
Kentucky7
- Rate : The incidence rate is 45.9 with a 95% confidence interval from 45.0 to 46.7 and 2,500 average annual cases over 2017-2021.
- 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 0.3.
Louisiana7
- Rate : The incidence rate is 44.5 with a 95% confidence interval from 43.7 to 45.3 and 2,419 average annual cases over 2017-2021.
- CI*Rank ⋔ : 3 (2, 5)
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.8.
West Virginia6
- Rate : The incidence rate is 44.3 with a 95% confidence interval from 43.1 to 45.5 and 1,100 average annual cases over 2017-2021.
- CI*Rank ⋔ : 4 (1, 5)
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.7.
Alaska6
- Rate : The incidence rate is 41.6 with a 95% confidence interval from 39.4 to 43.9 and 302 average annual cases over 2017-2021.
- CI*Rank ⋔ : 5 (3, 18)
- Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.2.
Arkansas6
- Rate : The incidence rate is 41.1 with a 95% confidence interval from 40.2 to 42.1 and 1,515 average annual cases over 2017-2021.
- CI*Rank ⋔ : 6 (5, 10)
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.2 to 2.6.
Oklahoma6
- Rate : The incidence rate is 40.3 with a 95% confidence interval from 39.4 to 41.1 and 1,835 average annual cases over 2017-2021.
- CI*Rank ⋔ : 7 (5, 14)
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.5 to 2.1.
Alabama6
- Rate : The incidence rate is 40.1 with a 95% confidence interval from 39.4 to 40.8 and 2,483 average annual cases over 2017-2021.
- CI*Rank ⋔ : 8 (5, 14)
- Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -1.3.
Iowa7
- Rate : The incidence rate is 39.9 with a 95% confidence interval from 39.0 to 40.8 and 1,561 average annual cases over 2017-2021.
- CI*Rank ⋔ : 9 (5, 18)
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -2.2 to 0.2.
South Dakota6
- Rate : The incidence rate is 39.5 with a 95% confidence interval from 37.7 to 41.3 and 417 average annual cases over 2017-2021.
- CI*Rank ⋔ : 10 (5, 23)
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -2.4 to 0.3.
Georgia7
- Rate : The incidence rate is 39.4 with a 95% confidence interval from 38.9 to 39.9 and 4,621 average annual cases over 2017-2021.
- CI*Rank ⋔ : 11 (7, 18)
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.1 to 0.7.
Nebraska6
- Rate : The incidence rate is 39.2 with a 95% confidence interval from 38.0 to 40.4 and 880 average annual cases over 2017-2021.
- CI*Rank ⋔ : 12 (6, 22)
- Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -5.5 to -2.5.
Kansas6
- Rate : The incidence rate is 39.0 with a 95% confidence interval from 38.0 to 39.9 and 1,325 average annual cases over 2017-2021.
- CI*Rank ⋔ : 13 (7, 21)
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 2.1.
Missouri6
- Rate : The incidence rate is 38.9 with a 95% confidence interval from 38.3 to 39.6 and 2,938 average annual cases over 2017-2021.
- CI*Rank ⋔ : 14 (9, 20)
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 1.6.
Ohio6
- Rate : The incidence rate is 38.9 with a 95% confidence interval from 38.4 to 39.3 and 5,707 average annual cases over 2017-2021.
- CI*Rank ⋔ : 15 (10, 19)
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.2 to -1.3.
Illinois7
- Rate : The incidence rate is 38.8 with a 95% confidence interval from 38.4 to 39.3 and 5,928 average annual cases over 2017-2021.
- CI*Rank ⋔ : 16 (10, 20)
- Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -0.5.
Tennessee6
- Rate : The incidence rate is 38.7 with a 95% confidence interval from 38.1 to 39.4 and 3,201 average annual cases over 2017-2021.
- CI*Rank ⋔ : 17 (9, 21)
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.6.
North Dakota6
- Rate : The incidence rate is 38.7 with a 95% confidence interval from 36.8 to 40.7 and 337 average annual cases over 2017-2021.
- CI*Rank ⋔ : 18 (5, 26)
- Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.0 to -1.4.
Hawaii7
- Rate : The incidence rate is 38.1 with a 95% confidence interval from 36.8 to 39.5 and 707 average annual cases over 2017-2021.
- CI*Rank ⋔ : 19 (8, 25)
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.9 to 3.0.
Texas7
- Rate : The incidence rate is 37.9 with a 95% confidence interval from 37.6 to 38.3 and 11,132 average annual cases over 2017-2021.
- CI*Rank ⋔ : 20 (16, 23)
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.2.
New Jersey7
- Rate : The incidence rate is 37.9 with a 95% confidence interval from 37.4 to 38.4 and 4,322 average annual cases over 2017-2021.
- CI*Rank ⋔ : 21 (16, 23)
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.3 to 1.6.
Pennsylvania6
- Rate : The incidence rate is 37.2 with a 95% confidence interval from 36.8 to 37.6 and 6,343 average annual cases over 2017-2021.
- CI*Rank ⋔ : 22 (20, 25)
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.5 to -0.5.
Puerto Rico6
- Rate : The incidence rate is 37.2 with a 95% confidence interval from 36.4 to 38.1 and 1,559 average annual cases over 2017-2021.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -4.6 to -1.3.
Montana6
- Rate : The incidence rate is 36.7 with a 95% confidence interval from 35.2 to 38.2 and 507 average annual cases over 2017-2021.
- CI*Rank ⋔ : 23 (14, 36)
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.5 to -1.3.
Minnesota6
- Rate : The incidence rate is 36.1 with a 95% confidence interval from 35.4 to 36.7 and 2,414 average annual cases over 2017-2021.
- CI*Rank ⋔ : 24 (22, 33)
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 1.1.
District of Columbia6
- Rate : The incidence rate is 36.1 with a 95% confidence interval from 34.0 to 38.2 and 237 average annual cases over 2017-2021.
- CI*Rank ⋔ : 25 (12, 43)
- Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -3.4 to -1.9.
Florida6
- Rate : The incidence rate is 35.7 with a 95% confidence interval from 35.4 to 36.0 and 10,682 average annual cases over 2017-2021.
- CI*Rank ⋔ : 26 (23, 33)
- Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.6.
New York7
- Rate : The incidence rate is 35.7 with a 95% confidence interval from 35.3 to 36.0 and 8,808 average annual cases over 2017-2021.
- CI*Rank ⋔ : 27 (23, 33)
- Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.5.
South Carolina6
- Rate : The incidence rate is 35.6 with a 95% confidence interval from 34.9 to 36.3 and 2,268 average annual cases over 2017-2021.
- CI*Rank ⋔ : 28 (23, 35)
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.3 to 1.3.
Michigan6
- Rate : The incidence rate is 35.4 with a 95% confidence interval from 34.9 to 35.9 and 4,433 average annual cases over 2017-2021.
- CI*Rank ⋔ : 29 (24, 35)
- Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.9 to -1.3.
North Carolina6
- Rate : The incidence rate is 35.4 with a 95% confidence interval from 34.9 to 35.9 and 4,394 average annual cases over 2017-2021.
- CI*Rank ⋔ : 30 (24, 35)
- Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.9.
Idaho7
- Rate : The incidence rate is 35.3 with a 95% confidence interval from 34.1 to 36.5 and 726 average annual cases over 2017-2021.
- CI*Rank ⋔ : 31 (23, 41)
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.5 to 3.8.
Wyoming6
- Rate : The incidence rate is 35.2 with a 95% confidence interval from 33.2 to 37.4 and 244 average annual cases over 2017-2021.
- CI*Rank ⋔ : 32 (19, 45)
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -2.1 to 7.3.
Maryland6
- Rate : The incidence rate is 35.2 with a 95% confidence interval from 34.5 to 35.8 and 2,566 average annual cases over 2017-2021.
- CI*Rank ⋔ : 33 (24, 38)
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 1.2.
Maine6
- Rate : The incidence rate is 35.0 with a 95% confidence interval from 33.8 to 36.3 and 672 average annual cases over 2017-2021.
- CI*Rank ⋔ : 34 (23, 43)
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 2.0.
Wisconsin6
- Rate : The incidence rate is 34.6 with a 95% confidence interval from 34.0 to 35.2 and 2,511 average annual cases over 2017-2021.
- CI*Rank ⋔ : 35 (28, 41)
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -1.8 to 0.3.
Washington5
- Rate : The incidence rate is 34.2 with a 95% confidence interval from 33.7 to 34.8 and 2,964 average annual cases over 2017-2021.
- CI*Rank ⋔ : 36 (32, 43)
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.3 to 0.3.
New Hampshire6
- Rate : The incidence rate is 34.2 with a 95% confidence interval from 32.9 to 35.5 and 614 average annual cases over 2017-2021.
- CI*Rank ⋔ : 37 (25, 45)
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.5 to 2.0.
Nevada6
- Rate : The incidence rate is 34.0 with a 95% confidence interval from 33.2 to 34.9 and 1,218 average annual cases over 2017-2021.
- CI*Rank ⋔ : 38 (30, 44)
- Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -2.8 to -2.2.
Connecticut7
- Rate : The incidence rate is 33.9 with a 95% confidence interval from 33.1 to 34.7 and 1,542 average annual cases over 2017-2021.
- CI*Rank ⋔ : 39 (31, 44)
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 1.4.
Virginia6
- Rate : The incidence rate is 33.8 with a 95% confidence interval from 33.3 to 34.3 and 3,401 average annual cases over 2017-2021.
- CI*Rank ⋔ : 40 (34, 44)
- Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.5.
Delaware6
- Rate : The incidence rate is 33.7 with a 95% confidence interval from 32.2 to 35.2 and 432 average annual cases over 2017-2021.
- CI*Rank ⋔ : 41 (26, 48)
- Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -6.6 to -3.8.
California7
- Rate : The incidence rate is 33.5 with a 95% confidence interval from 33.2 to 33.7 and 14,745 average annual cases over 2017-2021.
- CI*Rank ⋔ : 42 (38, 44)
- Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.5.
New Mexico7
- Rate : The incidence rate is 32.9 with a 95% confidence interval from 31.9 to 34.0 and 846 average annual cases over 2017-2021.
- CI*Rank ⋔ : 43 (35, 48)
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 2.0.
Vermont6
- Rate : The incidence rate is 32.7 with a 95% confidence interval from 30.9 to 34.5 and 281 average annual cases over 2017-2021.
- CI*Rank ⋔ : 44 (29, 49)
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.9 to 3.0.
Oregon6
- Rate : The incidence rate is 32.5 with a 95% confidence interval from 31.8 to 33.3 and 1,688 average annual cases over 2017-2021.
- CI*Rank ⋔ : 45 (40, 48)
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -2.3 to 0.0.
Rhode Island6
- Rate : The incidence rate is 32.1 with a 95% confidence interval from 30.7 to 33.5 and 449 average annual cases over 2017-2021.
- CI*Rank ⋔ : 46 (37, 49)
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -3.5 to 3.6.
Arizona6
- Rate : The incidence rate is 31.8 with a 95% confidence interval from 31.3 to 32.4 and 2,772 average annual cases over 2017-2021.
- CI*Rank ⋔ : 47 (43, 49)
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.3 to -1.6.
Colorado6
- Rate : The incidence rate is 31.3 with a 95% confidence interval from 30.7 to 32.0 and 1,955 average annual cases over 2017-2021.
- CI*Rank ⋔ : 48 (45, 49)
- Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.7.
Massachusetts7
- Rate : The incidence rate is 31.3 with a 95% confidence interval from 30.8 to 31.9 and 2,687 average annual cases over 2017-2021.
- CI*Rank ⋔ : 49 (45, 49)
- Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.0 to -1.7.
Utah7
- Rate : The incidence rate is 29.3 with a 95% confidence interval from 28.4 to 30.2 and 829 average annual cases over 2017-2021.
- CI*Rank ⋔ : 50 (50, 50)
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.1 to 3.5.
- 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 12/04/2024 5:44 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.
† 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. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
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/Historic Combined Summary Stage (2004+).
⋔ 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.
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 - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2023 submission.
5 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2023 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2023 submission).
7 Source: SEER November 2023 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 modified by NCI. The US Population Data File is used with SEER November 2023 data.
Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.