## Interpretation of Incidence Rates Data

### Incidence Rate Report for Delaware by County

Colon & Rectum, 2010-2014

All Races (includes Hispanic), Female, All Ages

Sorted by Rate

**Explanation of Column Headers**

**Objective** - The objective of 39.9 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**

**Line by Line Interpretation of the Report**

#### Delaware^{6,10}

- Met Healthy People Objective of 39.9? : Yes
- Rate : The incidence rate is 32.9 with a 95% confidence interval from 30.8 to 35.0 and 197 average annual cases over 2010-2014.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -11.4 to 5.0.

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

- Met Healthy People Objective of 39.9? : Yes
- Rate : The incidence rate is 34.8 with a 95% confidence interval from 34.7 to 34.9 and 66,668 average annual cases over 2010-2014.
- Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.9 to -1.3.

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

- Met Healthy People Objective of 39.9? : Yes
- Rate : The incidence rate is 31.3 with a 95% confidence interval from 27.6 to 35.5 and 55 average annual cases over 2010-2014.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -17.8 to 5.6.

#### New Castle County^{6,10}

- Met Healthy People Objective of 39.9? : Yes
- Rate : The incidence rate is 31.9 with a 95% confidence interval from 29.2 to 34.8 and 105 average annual cases over 2010-2014.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -11.7 to 6.7.

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

- Met Healthy People Objective of 39.9? : Yes
- Rate : The incidence rate is 37.5 with a 95% confidence interval from 32.3 to 43.3 and 38 average annual cases over 2010-2014.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -23.0 to 21.8.

**Notes:**

Created by statecancerprofiles.cancer.gov on 01/19/2018 8:14 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 1969-2015 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.

Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2016 data submission and SEER November 2016 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 2016 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 1969-2015 US Population Data File is used with NPCR November 2016 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.

Data for United States does not include Puerto Rico.