State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Lung & Bronchus (All Stages^), 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 53.6 with a 95% confidence interval from 53.4 to 53.9 and 218,520 average annual cases over 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 82.8 with a 95% confidence interval from 80.4 to 85.2 and 4,803 average annual cases over 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.

Arkansas²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 75.3 with a 95% confidence interval from 72.6 to 78.1 and 2,999 average annual cases over 2018.
• CI*Rank⋔ : 2 (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.

West Virginia²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 74.8 with a 95% confidence interval from 71.5 to 78.3 and 2,028 average annual cases over 2018.
• CI*Rank⋔ : 3 (2, 5)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.7.

Mississippi²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 71.1 with a 95% confidence interval from 68.4 to 73.9 and 2,674 average annual cases over 2018.
• CI*Rank⋔ : 4 (2, 7)
• 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).

Tennessee²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 69.8 with a 95% confidence interval from 68.0 to 71.6 and 6,124 average annual cases over 2018.
• CI*Rank⋔ : 5 (3, 7)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.8.

Maine²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 69.2 with a 95% confidence interval from 65.6 to 73.0 and 1,438 average annual cases over 2018.
• CI*Rank⋔ : 6 (3, 9)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.

Missouri²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 66.9 with a 95% confidence interval from 65.1 to 68.7 and 5,408 average annual cases over 2018.
• CI*Rank⋔ : 7 (5, 9)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.4 to -0.9.

Oklahoma²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 65.0 with a 95% confidence interval from 62.8 to 67.4 and 3,159 average annual cases over 2018.
• CI*Rank⋔ : 8 (6, 11)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.2 to -1.5.

Ohio²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 64.6 with a 95% confidence interval from 63.3 to 65.9 and 10,024 average annual cases over 2018.
• CI*Rank⋔ : 9 (7, 11)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.2.

North Carolina²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 61.9 with a 95% confidence interval from 60.5 to 63.3 and 8,186 average annual cases over 2018.
• CI*Rank⋔ : 10 (9, 16)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.8 to -2.1.

Rhode Island²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 61.2 with a 95% confidence interval from 57.2 to 65.5 and 875 average annual cases over 2018.
• CI*Rank⋔ : 11 (7, 27)
• Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -8.9 to 0.9.

Alabama²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 61.1 with a 95% confidence interval from 59.2 to 63.1 and 3,959 average annual cases over 2018.
• CI*Rank⋔ : 12 (9, 21)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.6 to -2.0.

Louisiana⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 60.2 with a 95% confidence interval from 58.2 to 62.3 and 3,450 average annual cases over 2018.
• CI*Rank⋔ : 13 (10, 22)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.6 to -1.8.

Indiana²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 60.1 with a 95% confidence interval from 58.4 to 61.8 and 5,032 average annual cases over 2018.
• CI*Rank⋔ : 14 (10, 22)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -7.6 to -2.0.

Pennsylvania²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 60.0 with a 95% confidence interval from 58.8 to 61.1 and 10,805 average annual cases over 2018.
• CI*Rank⋔ : 15 (10, 21)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.6 to -1.1.

Illinois²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 59.4 with a 95% confidence interval from 58.1 to 60.6 and 9,356 average annual cases over 2018.
• CI*Rank⋔ : 16 (11, 22)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.2 to -1.4.

Michigan⁴

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 59.2 with a 95% confidence interval from 57.9 to 60.6 and 7,984 average annual cases over 2018.
• CI*Rank⋔ : 17 (11, 23)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.3.

Iowa⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 58.7 with a 95% confidence interval from 56.4 to 61.2 and 2,434 average annual cases over 2018.
• CI*Rank⋔ : 18 (10, 26)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.7.

South Carolina²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 58.5 with a 95% confidence interval from 56.6 to 60.3 and 4,066 average annual cases over 2018.
• CI*Rank⋔ : 19 (11, 26)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.2 to -1.3.

New Hampshire²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 58.2 with a 95% confidence interval from 54.7 to 61.8 and 1,113 average annual cases over 2018.
• CI*Rank⋔ : 20 (10, 31)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.0 to -1.2.

Delaware²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 57.7 with a 95% confidence interval from 53.7 to 62.0 and 802 average annual cases over 2018.
• CI*Rank⋔ : 21 (10, 33)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.3.

North Dakota²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 57.6 with a 95% confidence interval from 52.7 to 63.0 and 516 average annual cases over 2018.
• CI*Rank⋔ : 22 (8, 36)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.4.

Georgia⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 56.5 with a 95% confidence interval from 55.1 to 57.9 and 6,714 average annual cases over 2018.
• CI*Rank⋔ : 23 (18, 28)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.6.

Wisconsin²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 56.5 with a 95% confidence interval from 54.8 to 58.2 and 4,389 average annual cases over 2018.
• CI*Rank⋔ : 24 (17, 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 56.1 with a 95% confidence interval from 55.1 to 57.0 and 14,099 average annual cases over 2018.
• CI*Rank⋔ : 25 (20, 28)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.0.

Vermont²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 55.2 with a 95% confidence interval from 50.3 to 60.5 and 507 average annual cases over 2018.
• CI*Rank⋔ : 26 (10, 38)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.1 to -1.7.

Massachusetts⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 54.6 with a 95% confidence interval from 53.0 to 56.2 and 4,893 average annual cases over 2018.
• CI*Rank⋔ : 27 (22, 33)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.5.

Nebraska²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 54.3 with a 95% confidence interval from 51.4 to 57.5 and 1,291 average annual cases over 2018.
• CI*Rank⋔ : 28 (18, 36)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.8.

Florida²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 53.6 with a 95% confidence interval from 52.8 to 54.4 and 17,455 average annual cases over 2018.
• CI*Rank⋔ : 29 (25, 33)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -2.8 to -2.2.

Connecticut⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 52.9 with a 95% confidence interval from 50.8 to 55.0 and 2,560 average annual cases over 2018.
• CI*Rank⋔ : 30 (24, 37)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.3.

New Jersey⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 52.5 with a 95% confidence interval from 51.2 to 53.9 and 6,004 average annual cases over 2018.
• CI*Rank⋔ : 31 (26, 36)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.4.

Kansas²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 52.4 with a 95% confidence interval from 50.1 to 54.9 and 1,898 average annual cases over 2018.
• CI*Rank⋔ : 32 (24, 37)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.4.

South Dakota²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 52.2 with a 95% confidence interval from 48.0 to 56.7 and 598 average annual cases over 2018.
• CI*Rank⋔ : 33 (18, 41)
• Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -6.0 to 0.0.

Minnesota²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 51.4 with a 95% confidence interval from 49.7 to 53.2 and 3,587 average annual cases over 2018.
• CI*Rank⋔ : 34 (28, 38)
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.8 to -0.1.

Virginia²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 50.5 with a 95% confidence interval from 49.2 to 51.9 and 5,283 average annual cases over 2018.
• CI*Rank⋔ : 35 (30, 38)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.7 to -1.9.

Maryland²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 50.5 with a 95% confidence interval from 48.9 to 52.2 and 3,795 average annual cases over 2018.
• CI*Rank⋔ : 36 (30, 39)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.2 to -1.7.

Washington⁴

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 48.8 with a 95% confidence interval from 47.4 to 50.3 and 4,418 average annual cases over 2018.
• CI*Rank⋔ : 37 (34, 40)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -4.6 to -2.2.

Alaska²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 47.9 with a 95% confidence interval from 42.6 to 53.6 and 344 average annual cases over 2018.
• CI*Rank⋔ : 38 (25, 45)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.4 to -2.2.

Oregon²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 47.4 with a 95% confidence interval from 45.6 to 49.3 and 2,632 average annual cases over 2018.
• CI*Rank⋔ : 39 (35, 43)
• Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -6.7 to -2.2.

Texas²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 46.7 with a 95% confidence interval from 45.9 to 47.5 and 13,530 average annual cases over 2018.
• CI*Rank⋔ : 40 (37, 43)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -2.8 to -2.5.

Montana²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 45.2 with a 95% confidence interval from 41.8 to 48.8 and 689 average annual cases over 2018.
• CI*Rank⋔ : 41 (35, 45)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.7 to -1.6.

Idaho⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 45.0 with a 95% confidence interval from 42.1 to 48.0 and 950 average annual cases over 2018.
• CI*Rank⋔ : 42 (37, 45)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.9.

District of Columbia²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 44.2 with a 95% confidence interval from 39.3 to 49.6 and 304 average annual cases over 2018.
• CI*Rank⋔ : 43 (31, 47)
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -7.9 to 2.5.

Arizona²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 41.0 with a 95% confidence interval from 39.7 to 42.3 and 3,896 average annual cases over 2018.
• CI*Rank⋔ : 44 (42, 46)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -5.4 to -2.7.

Hawaii⁷

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 40.9 with a 95% confidence interval from 38.1 to 44.0 and 809 average annual cases over 2018.
• CI*Rank⋔ : 45 (41, 48)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.7.

Wyoming²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 37.7 with a 95% confidence interval from 33.3 to 42.6 and 278 average annual cases over 2018.
• CI*Rank⋔ : 46 (42, 49)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.5.

Colorado²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 37.5 with a 95% confidence interval from 36.0 to 39.1 and 2,371 average annual cases over 2018.
• CI*Rank⋔ : 47 (45, 48)
• 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 36.9 with a 95% confidence interval from 36.3 to 37.5 and 16,402 average annual cases over 2018.
• CI*Rank⋔ : 48 (46, 48)
• 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 31.7 with a 95% confidence interval from 29.6 to 33.9 and 891 average annual cases over 2018.
• CI*Rank⋔ : 49 (48, 49)
• 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 26.4 with a 95% confidence interval from 24.5 to 28.5 and 739 average annual cases over 2018.
• CI*Rank⋔ : 50 (50, 50)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.1 to -0.6.

Puerto Rico²

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 15.5 with a 95% confidence interval from 14.4 to 16.7 and 759 average annual cases over 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.

Nevada²

• Met Healthy People Objective of ***? : ***
• Rate : * 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).
• CI*Rank⋔ : *
• 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).

Notes:
Created by statecancerprofiles.cancer.gov on 07/02/2022 10:25 pm.

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.
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 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.