State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Lung & Bronchus (All Stages^), 2014-2018

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

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

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 57.3 with a 95% confidence interval from 57.1 to 57.4 and 222,811 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -3.4 to -1.8.

Kentucky⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 88.8 with a 95% confidence interval from 87.7 to 90.0 and 4,913 average annual cases over 2014-2018.
• CI*Rank⋔ : 1 (1, 1)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.5 to -1.5.

West Virginia⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 79.0 with a 95% confidence interval from 77.4 to 80.5 and 2,090 average annual cases over 2014-2018.
• CI*Rank⋔ : 2 (2, 3)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.7.

Arkansas⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 76.5 with a 95% confidence interval from 75.3 to 77.8 and 2,916 average annual cases over 2014-2018.
• CI*Rank⋔ : 3 (2, 4)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.3.

Mississippi⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 74.0 with a 95% confidence interval from 72.7 to 75.3 and 2,669 average annual cases over 2014-2018.
• CI*Rank⋔ : 4 (3, 6)
• 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).

Tennessee⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 74.0 with a 95% confidence interval from 73.2 to 74.8 and 6,147 average annual cases over 2014-2018.
• CI*Rank⋔ : 5 (4, 5)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.8.

Maine⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 71.3 with a 95% confidence interval from 69.6 to 73.0 and 1,411 average annual cases over 2014-2018.
• CI*Rank⋔ : 6 (5, 9)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.

Missouri⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 70.7 with a 95% confidence interval from 69.9 to 71.6 and 5,479 average annual cases over 2014-2018.
• CI*Rank⋔ : 7 (6, 9)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.4 to -0.9.

Indiana⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 69.9 with a 95% confidence interval from 69.1 to 70.7 and 5,556 average annual cases over 2014-2018.
• CI*Rank⋔ : 8 (6, 9)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -7.6 to -2.0.

Rhode Island⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 68.8 with a 95% confidence interval from 66.8 to 70.9 and 941 average annual cases over 2014-2018.
• CI*Rank⋔ : 9 (6, 12)
• Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -8.9 to 0.9.

Ohio⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 67.3 with a 95% confidence interval from 66.7 to 67.9 and 10,058 average annual cases over 2014-2018.
• CI*Rank⋔ : 10 (9, 12)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.2.

Oklahoma⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 66.7 with a 95% confidence interval from 65.6 to 67.7 and 3,122 average annual cases over 2014-2018.
• CI*Rank⋔ : 11 (9, 13)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.2 to -1.5.

North Carolina⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 66.3 with a 95% confidence interval from 65.7 to 67.0 and 8,252 average annual cases over 2014-2018.
• CI*Rank⋔ : 12 (10, 13)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.8 to -2.1.

Delaware⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 64.7 with a 95% confidence interval from 62.7 to 66.7 and 832 average annual cases over 2014-2018.
• CI*Rank⋔ : 13 (10, 21)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.3.

Louisiana⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 64.6 with a 95% confidence interval from 63.6 to 65.6 and 3,537 average annual cases over 2014-2018.
• CI*Rank⋔ : 14 (12, 17)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.6 to -1.8.

Alabama⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 63.7 with a 95% confidence interval from 62.8 to 64.6 and 3,971 average annual cases over 2014-2018.
• CI*Rank⋔ : 15 (13, 20)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.6 to -2.0.

Illinois⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 63.0 with a 95% confidence interval from 62.5 to 63.6 and 9,538 average annual cases over 2014-2018.
• CI*Rank⋔ : 16 (14, 21)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.2 to -1.4.

Michigan⁵

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 62.9 with a 95% confidence interval from 62.2 to 63.5 and 8,073 average annual cases over 2014-2018.
• CI*Rank⋔ : 17 (14, 21)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.3.

South Carolina⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 62.8 with a 95% confidence interval from 62.0 to 63.7 and 4,066 average annual cases over 2014-2018.
• CI*Rank⋔ : 18 (14, 22)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.2 to -1.3.

Iowa⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 62.6 with a 95% confidence interval from 61.5 to 63.8 and 2,503 average annual cases over 2014-2018.
• CI*Rank⋔ : 19 (14, 23)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.7.

Pennsylvania⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 62.6 with a 95% confidence interval from 62.1 to 63.2 and 10,903 average annual cases over 2014-2018.
• CI*Rank⋔ : 20 (15, 22)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.6 to -1.1.

New Hampshire⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 62.5 with a 95% confidence interval from 60.8 to 64.2 and 1,136 average annual cases over 2014-2018.
• CI*Rank⋔ : 21 (13, 24)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.0 to -1.2.

Georgia⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 61.3 with a 95% confidence interval from 60.6 to 62.0 and 6,811 average annual cases over 2014-2018.
• CI*Rank⋔ : 22 (20, 24)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.6.

Massachusetts⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 60.7 with a 95% confidence interval from 60.0 to 61.5 and 5,175 average annual cases over 2014-2018.
• CI*Rank⋔ : 23 (21, 25)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.5.

Vermont⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 60.4 with a 95% confidence interval from 58.0 to 62.8 and 528 average annual cases over 2014-2018.
• CI*Rank⋔ : 24 (15, 29)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.1 to -1.7.

Wisconsin⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 58.8 with a 95% confidence interval from 58.0 to 59.6 and 4,325 average annual cases over 2014-2018.
• CI*Rank⋔ : 25 (24, 29)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.6.

New York⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 58.0 with a 95% confidence interval from 57.6 to 58.4 and 14,069 average annual cases over 2014-2018.
• CI*Rank⋔ : 26 (25, 29)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.0.

North Dakota⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 58.0 with a 95% confidence interval from 55.7 to 60.4 and 499 average annual cases over 2014-2018.
• CI*Rank⋔ : 27 (22, 36)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.4.

Connecticut⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 57.7 with a 95% confidence interval from 56.7 to 58.7 and 2,690 average annual cases over 2014-2018.
• CI*Rank⋔ : 28 (25, 31)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.3.

South Dakota⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 57.5 with a 95% confidence interval from 55.4 to 59.6 and 612 average annual cases over 2014-2018.
• CI*Rank⋔ : 29 (24, 36)
• Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -6.0 to 0.0.

Florida⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 56.9 with a 95% confidence interval from 56.6 to 57.3 and 17,343 average annual cases over 2014-2018.
• CI*Rank⋔ : 30 (27, 32)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -2.8 to -2.2.

Nebraska⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 55.9 with a 95% confidence interval from 54.5 to 57.3 and 1,259 average annual cases over 2014-2018.
• CI*Rank⋔ : 31 (27, 37)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.8.

Kansas⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 55.5 with a 95% confidence interval from 54.4 to 56.7 and 1,917 average annual cases over 2014-2018.
• CI*Rank⋔ : 32 (29, 37)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.4.

Minnesota⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 55.3 with a 95% confidence interval from 54.5 to 56.1 and 3,665 average annual cases over 2014-2018.
• CI*Rank⋔ : 33 (30, 37)
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.8 to -0.1.

Alaska⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 55.1 with a 95% confidence interval from 52.5 to 57.9 and 366 average annual cases over 2014-2018.
• CI*Rank⋔ : 34 (25, 40)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.4 to -2.2.

Maryland⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 55.1 with a 95% confidence interval from 54.3 to 55.9 and 3,897 average annual cases over 2014-2018.
• CI*Rank⋔ : 35 (30, 37)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.2 to -1.7.

Virginia⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 54.8 with a 95% confidence interval from 54.1 to 55.4 and 5,422 average annual cases over 2014-2018.
• CI*Rank⋔ : 36 (31, 37)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.7 to -1.9.

New Jersey⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 54.5 with a 95% confidence interval from 53.9 to 55.1 and 5,979 average annual cases over 2014-2018.
• CI*Rank⋔ : 37 (32, 37)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.4.

Washington⁵

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 52.7 with a 95% confidence interval from 52.0 to 53.4 and 4,444 average annual cases over 2014-2018.
• CI*Rank⋔ : 38 (37, 41)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -4.6 to -2.2.

Oregon⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 52.6 with a 95% confidence interval from 51.7 to 53.5 and 2,751 average annual cases over 2014-2018.
• CI*Rank⋔ : 39 (37, 41)
• Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -6.7 to -2.2.

Nevada⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 51.9 with a 95% confidence interval from 50.6 to 53.1 and 1,386 average annual cases over 2014-2018.
• CI*Rank⋔ : 40 (37, 41)
• 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).

Montana⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 51.2 with a 95% confidence interval from 49.5 to 52.9 and 726 average annual cases over 2014-2018.
• CI*Rank⋔ : 41 (38, 43)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.7 to -1.6.

Texas⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 49.5 with a 95% confidence interval from 49.1 to 49.9 and 13,456 average annual cases over 2014-2018.
• CI*Rank⋔ : 42 (41, 43)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -2.8 to -2.5.

Idaho⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 49.1 with a 95% confidence interval from 47.7 to 50.6 and 960 average annual cases over 2014-2018.
• CI*Rank⋔ : 43 (41, 43)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.9.

Arizona⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 45.1 with a 95% confidence interval from 44.4 to 45.7 and 3,973 average annual cases over 2014-2018.
• CI*Rank⋔ : 44 (44, 46)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -5.4 to -2.7.

District of Columbia⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 44.9 with a 95% confidence interval from 42.6 to 47.3 and 301 average annual cases over 2014-2018.
• CI*Rank⋔ : 45 (44, 47)
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -7.9 to 2.5.

Hawaii⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 44.1 with a 95% confidence interval from 42.7 to 45.5 and 826 average annual cases over 2014-2018.
• CI*Rank⋔ : 46 (44, 47)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.7.

Wyoming⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 42.0 with a 95% confidence interval from 39.8 to 44.3 and 293 average annual cases over 2014-2018.
• CI*Rank⋔ : 47 (45, 49)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.5.

Colorado⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 40.4 with a 95% confidence interval from 39.6 to 41.1 and 2,377 average annual cases over 2014-2018.
• CI*Rank⋔ : 48 (47, 49)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.1 to -2.5.

California⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 40.3 with a 95% confidence interval from 40.0 to 40.6 and 17,009 average annual cases over 2014-2018.
• CI*Rank⋔ : 49 (47, 49)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -3.6 to -2.9.

New Mexico⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 37.1 with a 95% confidence interval from 36.1 to 38.2 and 974 average annual cases over 2014-2018.
• CI*Rank⋔ : 50 (50, 50)
• Recent Trend : The trend is falling because the trend is -5.8 with a 95% confidence interval from -9.2 to -2.4.

Utah⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 26.1 with a 95% confidence interval from 25.2 to 27.0 and 674 average annual cases over 2014-2018.
• CI*Rank⋔ : 51 (51, 51)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.1 to -0.6.

Puerto Rico⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 16.1 with a 95% confidence interval from 15.6 to 16.6 and 771 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -8.4 to 1.0.

Notes:
Created by statecancerprofiles.cancer.gov on 08/08/2022 3:25 pm.

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 1969-2018 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 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).

Source: SEER and NPCR data. For more specific information please see the table.

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.