## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

All Cancer Sites, 2009-2013

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

Sorted by Rate

**Explanation of Column Headers**

**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**

**Line by Line Interpretation of the Report**

#### Colorado^{6,10}

- Rate : The incidence rate is 412.8 with a 95% confidence interval from 410.2 to 415.3 and 21,350 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.4 to -2.2.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 448.4 with a 95% confidence interval from 448.1 to 448.7 and 1,540,559 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.2.

#### Fremont County^{6,10}

- Rate : The incidence rate is 455.1 with a 95% confidence interval from 431.5 to 479.7 and 292 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -7.6 to 5.9.

#### Huerfano County^{6,10}

- Rate : The incidence rate is 447.0 with a 95% confidence interval from 387.3 to 514.9 and 51 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.1 with a 95% confidence interval from -23.8 to 6.1.

#### Custer County^{6,10}

- Rate : The incidence rate is 445.3 with a 95% confidence interval from 372.1 to 532.7 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -6.5 to 3.3.

#### El Paso County^{6,10}

- Rate : The incidence rate is 443.5 with a 95% confidence interval from 435.8 to 451.4 and 2,638 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -4.7 to -1.5.

#### Yuma County^{6,10}

- Rate : The incidence rate is 436.0 with a 95% confidence interval from 385.1 to 492.2 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.2 with a 95% confidence interval from -27.7 to 6.5.

#### Teller County^{6,10}

- Rate : The incidence rate is 435.1 with a 95% confidence interval from 397.1 to 475.9 and 127 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -19.4 to 17.7.

#### Denver County^{6,10}

- Rate : The incidence rate is 432.8 with a 95% confidence interval from 425.1 to 440.7 and 2,483 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.5 to -0.2.

#### Pueblo County^{6,10}

- Rate : The incidence rate is 429.4 with a 95% confidence interval from 416.1 to 443.0 and 830 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -5.6 to -0.4.

#### Jefferson County^{6,10}

- Rate : The incidence rate is 425.2 with a 95% confidence interval from 417.7 to 432.7 and 2,640 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.9 to 2.1.

#### Rio Blanco County^{6,10}

- Rate : The incidence rate is 424.9 with a 95% confidence interval from 358.9 to 499.6 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -19.1 to 23.1.

#### Arapahoe County^{6,10}

- Rate : The incidence rate is 419.9 with a 95% confidence interval from 412.2 to 427.8 and 2,398 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -5.1 to -1.8.

#### Douglas County^{6,10}

- Rate : The incidence rate is 418.3 with a 95% confidence interval from 405.9 to 430.9 and 1,034 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -8.2 to 0.2.

#### Montezuma County^{6,10}

- Rate : The incidence rate is 415.2 with a 95% confidence interval from 384.1 to 448.3 and 143 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -14.5 to 5.7.

#### Kiowa County^{6,10}

- Rate : The incidence rate is 414.6 with a 95% confidence interval from 286.2 to 584.9 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.8 with a 95% confidence interval from -24.3 to 56.3.

#### Adams County^{6,10}

- Rate : The incidence rate is 412.3 with a 95% confidence interval from 402.9 to 421.9 and 1,549 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -4.9 to 0.1.

#### Broomfield County^{6,10}

- Rate : The incidence rate is 403.8 with a 95% confidence interval from 379.8 to 428.8 and 223 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -6.3 to 7.0.

#### La Plata County^{6,10}

- Rate : The incidence rate is 403.5 with a 95% confidence interval from 379.7 to 428.5 and 236 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -8.3 to 0.5.

#### Otero County^{6,10}

- Rate : The incidence rate is 402.5 with a 95% confidence interval from 367.0 to 440.9 and 101 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -14.8 to 10.0.

#### Clear Creek County^{6,10}

- Rate : The incidence rate is 402.1 with a 95% confidence interval from 348.4 to 462.5 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.6 with a 95% confidence interval from -10.9 to -4.2.

#### Alamosa County^{6,10}

- Rate : The incidence rate is 401.1 with a 95% confidence interval from 356.4 to 449.8 and 62 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.0 with a 95% confidence interval from -23.3 to 10.2.

#### Hinsdale County^{6,10}

- Rate : The incidence rate is 400.4 with a 95% confidence interval from 240.7 to 637.7 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -20.3 with a 95% confidence interval from -56.9 to 47.3.

#### Cheyenne County^{6,10}

- Rate : The incidence rate is 399.9 with a 95% confidence interval from 296.2 to 531.8 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.5 with a 95% confidence interval from -27.4 to 65.1.

#### Boulder County^{6,10}

- Rate : The incidence rate is 399.4 with a 95% confidence interval from 388.9 to 410.2 and 1,169 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -6.4 to 0.8.

#### Phillips County^{6,10}

- Rate : The incidence rate is 399.1 with a 95% confidence interval from 329.6 to 480.4 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -26.4 to 16.5.

#### Mesa County^{6,10}

- Rate : The incidence rate is 398.6 with a 95% confidence interval from 385.3 to 412.3 and 708 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -7.2 to -2.2.

#### San Juan County^{6,10}

- Rate : The incidence rate is 395.3 with a 95% confidence interval from 202.7 to 701.4 and 3 average annual cases over 2009-2013.
- 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).

#### Elbert County^{6,10}

- Rate : The incidence rate is 392.5 with a 95% confidence interval from 355.1 to 432.9 and 102 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -12.9 to 11.1.

#### Park County^{6,10}

- Rate : The incidence rate is 390.1 with a 95% confidence interval from 344.3 to 440.5 and 77 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -8.0 with a 95% confidence interval from -14.4 to -1.1.

#### Moffat County^{6,10}

- Rate : The incidence rate is 388.9 with a 95% confidence interval from 341.7 to 440.8 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -13.3 to 19.7.

#### Prowers County^{6,10}

- Rate : The incidence rate is 388.0 with a 95% confidence interval from 342.8 to 437.7 and 56 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -4.4 to 6.1.

#### Larimer County^{6,10}

- Rate : The incidence rate is 386.8 with a 95% confidence interval from 377.0 to 396.8 and 1,246 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.9 to 1.4.

#### Chaffee County^{6,10}

- Rate : The incidence rate is 386.6 with a 95% confidence interval from 352.7 to 423.3 and 106 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -8.4 to 5.9.

#### Weld County^{6,10}

- Rate : The incidence rate is 385.1 with a 95% confidence interval from 373.6 to 396.7 and 909 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -7.0 to 3.9.

#### Morgan County^{6,10}

- Rate : The incidence rate is 384.8 with a 95% confidence interval from 354.3 to 417.2 and 121 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -8.6 with a 95% confidence interval from -15.6 to -1.0.

#### Logan County^{6,10}

- Rate : The incidence rate is 383.6 with a 95% confidence interval from 350.4 to 419.2 and 102 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -15.5 to 4.3.

#### Garfield County^{6,10}

- Rate : The incidence rate is 382.1 with a 95% confidence interval from 357.1 to 408.3 and 192 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -11.6 to 12.4.

#### Gilpin County^{6,10}

- Rate : The incidence rate is 379.8 with a 95% confidence interval from 301.5 to 472.8 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 7.5 with a 95% confidence interval from 2.0 to 13.2.

#### Baca County^{6,10}

- Rate : The incidence rate is 379.2 with a 95% confidence interval from 307.5 to 464.7 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.7 with a 95% confidence interval from -30.0 to 24.4.

#### Archuleta County^{6,10}

- Rate : The incidence rate is 378.7 with a 95% confidence interval from 335.2 to 426.9 and 66 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -18.8 to 11.7.

#### Washington County^{6,10}

- Rate : The incidence rate is 375.7 with a 95% confidence interval from 309.8 to 452.7 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -21.9 to 28.2.

#### Delta County^{6,10}

- Rate : The incidence rate is 373.0 with a 95% confidence interval from 346.7 to 401.0 and 169 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.2 with a 95% confidence interval from -16.8 to 1.4.

#### Routt County^{6,10}

- Rate : The incidence rate is 368.5 with a 95% confidence interval from 329.8 to 410.4 and 85 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -3.0 to 8.9.

#### Montrose County^{6,10}

- Rate : The incidence rate is 367.4 with a 95% confidence interval from 344.3 to 391.7 and 204 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -7.8 to 1.0.

#### Lake County^{6,10}

- Rate : The incidence rate is 362.7 with a 95% confidence interval from 296.5 to 438.8 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -16.5 to 26.5.

#### Las Animas County^{6,10}

- Rate : The incidence rate is 362.5 with a 95% confidence interval from 325.9 to 402.5 and 78 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -12.6 to 1.9.

#### Lincoln County^{6,10}

- Rate : The incidence rate is 358.9 with a 95% confidence interval from 297.8 to 429.6 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.9 with a 95% confidence interval from -26.5 to 17.8.

#### Rio Grande County^{6,10}

- Rate : The incidence rate is 357.9 with a 95% confidence interval from 315.6 to 404.5 and 56 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.7 with a 95% confidence interval from -21.0 to 12.6.

#### Kit Carson County^{6,10}

- Rate : The incidence rate is 352.8 with a 95% confidence interval from 302.5 to 409.5 and 36 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.7 with a 95% confidence interval from -25.2 to 16.3.

#### Sedgwick County^{6,10}

- Rate : The incidence rate is 351.8 with a 95% confidence interval from 268.8 to 456.7 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -19.0 to 31.3.

#### Eagle County^{6,10}

- Rate : The incidence rate is 348.7 with a 95% confidence interval from 317.4 to 382.1 and 141 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -3.9 to 5.8.

#### Crowley County^{6,10}

- Rate : The incidence rate is 333.6 with a 95% confidence interval from 269.1 to 409.8 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.0 with a 95% confidence interval from -42.9 to 29.7.

#### Conejos County^{6,10}

- Rate : The incidence rate is 330.0 with a 95% confidence interval from 280.8 to 385.8 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.1 with a 95% confidence interval from -26.0 to 2.1.

#### Ouray County^{6,10}

- Rate : The incidence rate is 330.0 with a 95% confidence interval from 264.0 to 410.1 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.5 with a 95% confidence interval from -11.7 to 26.1.

#### Saguache County^{6,10}

- Rate : The incidence rate is 328.6 with a 95% confidence interval from 269.5 to 397.4 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.3 with a 95% confidence interval from -19.1 to 4.1.

#### Bent County^{6,10}

- Rate : The incidence rate is 325.3 with a 95% confidence interval from 269.8 to 389.8 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -9.0 to 14.9.

#### San Miguel County^{6,10}

- Rate : The incidence rate is 323.0 with a 95% confidence interval from 254.7 to 403.7 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.3 with a 95% confidence interval from -26.3 to 9.2.

#### Costilla County^{6,10}

- Rate : The incidence rate is 308.9 with a 95% confidence interval from 244.2 to 388.5 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.1 with a 95% confidence interval from -18.9 to 38.9.

#### Pitkin County^{6,10}

- Rate : The incidence rate is 306.8 with a 95% confidence interval from 271.1 to 346.1 and 64 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -9.5 to 11.8.

#### Grand County^{6,10}

- Rate : The incidence rate is 301.5 with a 95% confidence interval from 260.5 to 347.3 and 47 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -8.4 to 10.5.

#### Gunnison County^{6,10}

- Rate : The incidence rate is 299.4 with a 95% confidence interval from 257.8 to 345.8 and 43 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -11.5 to 4.0.

#### Mineral County^{6,10}

- Rate : The incidence rate is 281.5 with a 95% confidence interval from 170.9 to 480.0 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.3 with a 95% confidence interval from -40.7 to 83.5.

#### Jackson County^{6,10}

- Rate : The incidence rate is 261.1 with a 95% confidence interval from 170.5 to 393.0 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -33.8 to 35.2.

#### Summit County^{6,10}

- Rate : The incidence rate is 257.0 with a 95% confidence interval from 224.5 to 292.9 and 67 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -11.1 to 19.0.

#### Dolores County^{6,10}

- Rate : The incidence rate is 236.6 with a 95% confidence interval from 159.1 to 342.1 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 21.8 with a 95% confidence interval from -25.4 to 99.1.

**Notes:**

Created by statecancerprofiles.cancer.gov on 08/28/2016 4:43 pm.

Data for the United States does not include data from Nevada

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 1969-2014 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.

* 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: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission and SEER November 2015 submission as published in

*United States Cancer Statistics*.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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 1969-2014 US Population Data File is used with NPCR November 2015 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

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.