Interpretation of Incidence Rates Data
Incidence Rate Report by State
Liver & Bile Duct (All Stages^), 2014-2018
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
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.6 with a 95% confidence interval from 8.5 to 8.6 and 34,507 average annual cases over 2014-2018.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.3.
North Dakota6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 5.3 with a 95% confidence interval from 4.6 to 6.1 and 46 average annual cases over 2014-2018.
- CI*Rank⋔ : 51 (45, 51)
- Recent Trend : The trend is rising
because the trend is 4.3 with a 95% confidence interval from 2.0 to 6.6.
Vermont6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 5.4 with a 95% confidence interval from 4.7 to 6.2 and 48 average annual cases over 2014-2018.
- CI*Rank⋔ : 50 (45, 51)
- Recent Trend : The trend is stable
because the trend is -2.2 with a 95% confidence interval from -6.0 to 1.6.
Nebraska6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 5.6 with a 95% confidence interval from 5.1 to 6.0 and 130 average annual cases over 2014-2018.
- CI*Rank⋔ : 49 (46, 51)
- Recent Trend : The trend is rising
because the trend is 2.5 with a 95% confidence interval from 1.3 to 3.6.
Maine6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 5.9 with a 95% confidence interval from 5.4 to 6.4 and 121 average annual cases over 2014-2018.
- CI*Rank⋔ : 48 (44, 51)
- Recent Trend : The trend is rising
because the trend is 2.6 with a 95% confidence interval from 1.6 to 3.5.
Wyoming6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 6.0 with a 95% confidence interval from 5.2 to 6.9 and 46 average annual cases over 2014-2018.
- CI*Rank⋔ : 47 (38, 51)
- Recent Trend : The trend is rising
because the trend is 3.3 with a 95% confidence interval from 0.7 to 6.0.
New Hampshire6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 6.3 with a 95% confidence interval from 5.8 to 6.9 and 118 average annual cases over 2014-2018.
- CI*Rank⋔ : 46 (40, 50)
- Recent Trend : The trend is rising
because the trend is 3.1 with a 95% confidence interval from 1.5 to 4.7.
Utah7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 6.5 with a 95% confidence interval from 6.1 to 6.9 and 178 average annual cases over 2014-2018.
- CI*Rank⋔ : 45 (39, 48)
- Recent Trend : The trend is stable
because the trend is 1.4 with a 95% confidence interval from -1.6 to 4.5.
Montana6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 6.7 with a 95% confidence interval from 6.1 to 7.3 and 98 average annual cases over 2014-2018.
- CI*Rank⋔ : 44 (31, 48)
- Recent Trend : The trend is rising
because the trend is 4.7 with a 95% confidence interval from 3.4 to 6.0.
South Dakota6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 6.8 with a 95% confidence interval from 6.1 to 7.6 and 72 average annual cases over 2014-2018.
- CI*Rank⋔ : 43 (28, 48)
- Recent Trend : The trend is rising
because the trend is 6.0 with a 95% confidence interval from 3.7 to 8.4.
Iowa7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 6.9 with a 95% confidence interval from 6.5 to 7.3 and 278 average annual cases over 2014-2018.
- CI*Rank⋔ : 42 (34, 46)
- Recent Trend : The trend is rising
because the trend is 4.0 with a 95% confidence interval from 3.5 to 4.5.
Nevada6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.1 with a 95% confidence interval from 6.6 to 7.5 and 197 average annual cases over 2014-2018.
- CI*Rank⋔ : 41 (30, 46)
- 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).
Kansas6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.1 with a 95% confidence interval from 6.7 to 7.5 and 254 average annual cases over 2014-2018.
- CI*Rank⋔ : 40 (31, 46)
- Recent Trend : The trend is rising
because the trend is 5.4 with a 95% confidence interval from 4.3 to 6.6.
Michigan5
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.2 with a 95% confidence interval from 7.0 to 7.4 and 953 average annual cases over 2014-2018.
- CI*Rank⋔ : 39 (34, 44)
- Recent Trend : The trend is rising
because the trend is 2.1 with a 95% confidence interval from 1.7 to 2.6.
Ohio6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.3 with a 95% confidence interval from 7.1 to 7.5 and 1,127 average annual cases over 2014-2018.
- CI*Rank⋔ : 38 (31, 42)
- Recent Trend : The trend is stable
because the trend is 0.9 with a 95% confidence interval from -2.1 to 4.0.
Wisconsin6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.4 with a 95% confidence interval from 7.1 to 7.7 and 554 average annual cases over 2014-2018.
- CI*Rank⋔ : 37 (29, 42)
- Recent Trend : The trend is rising
because the trend is 3.0 with a 95% confidence interval from 2.3 to 3.6.
Indiana6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.4 with a 95% confidence interval from 7.1 to 7.7 and 610 average annual cases over 2014-2018.
- CI*Rank⋔ : 36 (29, 42)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -3.6 to 2.3.
Minnesota6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.5 with a 95% confidence interval from 7.2 to 7.8 and 508 average annual cases over 2014-2018.
- CI*Rank⋔ : 35 (26, 41)
- Recent Trend : The trend is rising
because the trend is 5.7 with a 95% confidence interval from 4.5 to 6.9.
Virginia6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.5 with a 95% confidence interval from 7.3 to 7.8 and 780 average annual cases over 2014-2018.
- CI*Rank⋔ : 34 (28, 40)
- Recent Trend : The trend is rising
because the trend is 3.4 with a 95% confidence interval from 2.2 to 4.5.
Colorado6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.6 with a 95% confidence interval from 7.2 to 7.9 and 486 average annual cases over 2014-2018.
- CI*Rank⋔ : 33 (24, 41)
- Recent Trend : The trend is stable
because the trend is 0.7 with a 95% confidence interval from -1.2 to 2.7.
West Virginia6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.6 with a 95% confidence interval from 7.1 to 8.1 and 203 average annual cases over 2014-2018.
- CI*Rank⋔ : 32 (20, 43)
- Recent Trend : The trend is rising
because the trend is 4.5 with a 95% confidence interval from 3.3 to 5.7.
Idaho7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.7 with a 95% confidence interval from 7.1 to 8.2 and 157 average annual cases over 2014-2018.
- CI*Rank⋔ : 31 (17, 43)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -10.5 to 9.2.
Missouri6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.9 with a 95% confidence interval from 7.6 to 8.1 and 628 average annual cases over 2014-2018.
- CI*Rank⋔ : 30 (20, 36)
- Recent Trend : The trend is stable
because the trend is 1.1 with a 95% confidence interval from -0.8 to 2.9.
Connecticut7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 7.9 with a 95% confidence interval from 7.5 to 8.2 and 379 average annual cases over 2014-2018.
- CI*Rank⋔ : 29 (18, 38)
- Recent Trend : The trend is stable
because the trend is -3.6 with a 95% confidence interval from -7.8 to 0.8.
Illinois6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.0 with a 95% confidence interval from 7.8 to 8.2 and 1,244 average annual cases over 2014-2018.
- CI*Rank⋔ : 28 (20, 33)
- Recent Trend : The trend is rising
because the trend is 2.8 with a 95% confidence interval from 2.3 to 3.3.
Florida6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.0 with a 95% confidence interval from 7.8 to 8.1 and 2,400 average annual cases over 2014-2018.
- CI*Rank⋔ : 27 (21, 31)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.5 to 1.2.
Alabama6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.0 with a 95% confidence interval from 7.7 to 8.3 and 508 average annual cases over 2014-2018.
- CI*Rank⋔ : 26 (17, 34)
- Recent Trend : The trend is rising
because the trend is 4.2 with a 95% confidence interval from 3.6 to 4.9.
Arizona6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.0 with a 95% confidence interval from 7.8 to 8.3 and 706 average annual cases over 2014-2018.
- CI*Rank⋔ : 25 (18, 33)
- Recent Trend : The trend is stable
because the trend is -1.5 with a 95% confidence interval from -4.5 to 1.5.
New Jersey7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.0 with a 95% confidence interval from 7.8 to 8.3 and 910 average annual cases over 2014-2018.
- CI*Rank⋔ : 24 (19, 32)
- Recent Trend : The trend is rising
because the trend is 2.2 with a 95% confidence interval from 2.0 to 2.4.
South Carolina6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.2 with a 95% confidence interval from 7.9 to 8.5 and 544 average annual cases over 2014-2018.
- CI*Rank⋔ : 23 (13, 32)
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -8.9 to 7.5.
Puerto Rico6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.2 with a 95% confidence interval from 7.8 to 8.6 and 392 average annual cases over 2014-2018.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -10.2 to 9.1.
Arkansas6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.3 with a 95% confidence interval from 7.8 to 8.7 and 315 average annual cases over 2014-2018.
- CI*Rank⋔ : 22 (10, 32)
- Recent Trend : The trend is rising
because the trend is 5.5 with a 95% confidence interval from 4.6 to 6.5.
Delaware6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.3 with a 95% confidence interval from 7.6 to 9.1 and 110 average annual cases over 2014-2018.
- CI*Rank⋔ : 21 (7, 38)
- Recent Trend : The trend is stable
because the trend is -4.5 with a 95% confidence interval from -12.1 to 3.7.
Georgia7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.3 with a 95% confidence interval from 8.1 to 8.6 and 976 average annual cases over 2014-2018.
- CI*Rank⋔ : 20 (13, 28)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -3.6 to 3.1.
Massachusetts7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.5 with a 95% confidence interval from 8.2 to 8.7 and 739 average annual cases over 2014-2018.
- CI*Rank⋔ : 19 (11, 26)
- Recent Trend : The trend is stable
because the trend is 1.0 with a 95% confidence interval from 0.0 to 2.1.
Rhode Island6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.5 with a 95% confidence interval from 7.8 to 9.2 and 118 average annual cases over 2014-2018.
- CI*Rank⋔ : 18 (7, 35)
- Recent Trend : The trend is rising
because the trend is 1.7 with a 95% confidence interval from 0.4 to 3.0.
Kentucky7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.5 with a 95% confidence interval from 8.2 to 8.9 and 482 average annual cases over 2014-2018.
- CI*Rank⋔ : 17 (8, 26)
- Recent Trend : The trend is stable
because the trend is -1.4 with a 95% confidence interval from -5.0 to 2.3.
North Carolina6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.6 with a 95% confidence interval from 8.3 to 8.8 and 1,098 average annual cases over 2014-2018.
- CI*Rank⋔ : 16 (10, 23)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -2.2 to 2.4.
Pennsylvania6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.6 with a 95% confidence interval from 8.4 to 8.8 and 1,516 average annual cases over 2014-2018.
- CI*Rank⋔ : 15 (10, 22)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -3.7 to 2.2.
Oklahoma6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.6 with a 95% confidence interval from 8.2 to 9.0 and 415 average annual cases over 2014-2018.
- CI*Rank⋔ : 14 (8, 25)
- Recent Trend : The trend is rising
because the trend is 3.7 with a 95% confidence interval from 2.8 to 4.7.
Tennessee6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.6 with a 95% confidence interval from 8.3 to 8.9 and 737 average annual cases over 2014-2018.
- CI*Rank⋔ : 13 (8, 22)
- Recent Trend : The trend is rising
because the trend is 3.3 with a 95% confidence interval from 1.9 to 4.7.
Maryland6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 8.8 with a 95% confidence interval from 8.5 to 9.1 and 658 average annual cases over 2014-2018.
- CI*Rank⋔ : 12 (7, 21)
- Recent Trend : The trend is stable
because the trend is 0.8 with a 95% confidence interval from -2.8 to 4.6.
Mississippi6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 9.0 with a 95% confidence interval from 8.5 to 9.4 and 333 average annual cases over 2014-2018.
- CI*Rank⋔ : 11 (7, 21)
- 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).
Alaska6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 9.0 with a 95% confidence interval from 8.0 to 10.1 and 69 average annual cases over 2014-2018.
- CI*Rank⋔ : 10 (3, 36)
- Recent Trend : The trend is stable
because the trend is 1.6 with a 95% confidence interval from -0.1 to 3.2.
New York7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 9.0 with a 95% confidence interval from 8.8 to 9.2 and 2,235 average annual cases over 2014-2018.
- CI*Rank⋔ : 9 (7, 14)
- Recent Trend : The trend is stable
because the trend is -1.9 with a 95% confidence interval from -4.4 to 0.7.
Washington5
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 9.0 with a 95% confidence interval from 8.7 to 9.3 and 817 average annual cases over 2014-2018.
- CI*Rank⋔ : 8 (7, 16)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -2.3 to 1.4.
Oregon6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 9.2 with a 95% confidence interval from 8.9 to 9.6 and 514 average annual cases over 2014-2018.
- CI*Rank⋔ : 7 (6, 14)
- Recent Trend : The trend is stable
because the trend is -4.0 with a 95% confidence interval from -8.3 to 0.5.
California7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 9.9 with a 95% confidence interval from 9.7 to 10.0 and 4,404 average annual cases over 2014-2018.
- CI*Rank⋔ : 6 (4, 7)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -4.4 to -0.6.
New Mexico7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 10.0 with a 95% confidence interval from 9.5 to 10.6 and 268 average annual cases over 2014-2018.
- CI*Rank⋔ : 5 (3, 8)
- Recent Trend : The trend is stable
because the trend is -6.5 with a 95% confidence interval from -15.5 to 3.3.
Louisiana7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 10.3 with a 95% confidence interval from 10.0 to 10.7 and 606 average annual cases over 2014-2018.
- CI*Rank⋔ : 4 (3, 6)
- Recent Trend : The trend is rising
because the trend is 3.7 with a 95% confidence interval from 3.1 to 4.3.
Hawaii7
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 10.6 with a 95% confidence interval from 10.0 to 11.3 and 200 average annual cases over 2014-2018.
- CI*Rank⋔ : 3 (2, 6)
- Recent Trend : The trend is falling
because the trend is -6.5 with a 95% confidence interval from -11.9 to -0.7.
Texas6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 12.0 with a 95% confidence interval from 11.8 to 12.2 and 3,526 average annual cases over 2014-2018.
- CI*Rank⋔ : 2 (1, 2)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -2.0 to 1.8.
District of Columbia6
- Met Healthy People Objective of ***? : ***
- Rate : The incidence rate is 12.4 with a 95% confidence interval from 11.2 to 13.6 and 88 average annual cases over 2014-2018.
- CI*Rank⋔ : 1 (1, 3)
- Recent Trend : The trend is stable
because the trend is -2.2 with a 95% confidence interval from -5.4 to 1.0.
Notes:
Created by statecancerprofiles.cancer.gov on 05/19/2022 12:34 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 1969-2018 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.
*** No Healthy People 2020 Objective for this cancer.
Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.
* 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).
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2020 submission.
5 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2020 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2020 submission).
7 Source: SEER November 2020 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 1969-2018 US Population Data File is used with SEER November 2020 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 for United States does not include Puerto Rico.