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 CI*Rank
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 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.
- 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 08/10/2022 6:58 am.
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.
2 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).
4 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.
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.