## 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**

#### Idaho^{6,10}

- Rate : The incidence rate is 439.0 with a 95% confidence interval from 434.5 to 443.6 and 7,313 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.9 to -0.9.

#### 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.

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

- Rate : The incidence rate is 530.9 with a 95% confidence interval from 488.2 to 576.8 and 123 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.1 with a 95% confidence interval from -12.2 to -1.7.

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

- Rate : The incidence rate is 494.3 with a 95% confidence interval from 448.8 to 543.7 and 94 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -8.7 to 10.1.

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

- Rate : The incidence rate is 487.3 with a 95% confidence interval from 447.8 to 529.3 and 116 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -8.7 to 9.2.

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

- Rate : The incidence rate is 477.1 with a 95% confidence interval from 400.8 to 566.4 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.3 with a 95% confidence interval from -29.2 to 21.4.

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

- Rate : The incidence rate is 469.3 with a 95% confidence interval from 454.5 to 484.6 and 789 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.9 to 1.9.

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

- Rate : The incidence rate is 468.1 with a 95% confidence interval from 418.3 to 523.0 and 71 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -17.2 to 13.4.

#### Nez Perce County^{6,10}

- Rate : The incidence rate is 465.9 with a 95% confidence interval from 439.5 to 493.5 and 248 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -5.7 to 2.9.

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

- Rate : The incidence rate is 465.4 with a 95% confidence interval from 383.9 to 559.0 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -2.0 to 10.2.

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

- Rate : The incidence rate is 464.4 with a 95% confidence interval from 419.8 to 512.5 and 82 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -11.7 to 11.5.

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

- Rate : The incidence rate is 460.1 with a 95% confidence interval from 423.8 to 498.7 and 123 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -9.5 to 13.9.

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

- Rate : The incidence rate is 459.7 with a 95% confidence interval from 450.0 to 469.5 and 1,794 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -5.9 to -0.4.

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

- Rate : The incidence rate is 457.0 with a 95% confidence interval from 390.6 to 532.6 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.7 with a 95% confidence interval from -37.2 to 13.2.

#### Twin Falls County^{6,10}

- Rate : The incidence rate is 453.5 with a 95% confidence interval from 433.3 to 474.4 and 390 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -12.9 to 4.8.

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

- Rate : The incidence rate is 448.7 with a 95% confidence interval from 434.7 to 463.0 and 803 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -6.1 to 2.9.

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

- Rate : The incidence rate is 447.2 with a 95% confidence interval from 392.2 to 508.8 and 58 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -10.7 to 7.8.

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

- Rate : The incidence rate is 444.9 with a 95% confidence interval from 392.4 to 503.0 and 58 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -16.9 to 20.2.

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

- Rate : The incidence rate is 437.8 with a 95% confidence interval from 365.2 to 522.8 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -23.5 to 25.8.

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

- Rate : The incidence rate is 434.5 with a 95% confidence interval from 409.5 to 460.8 and 254 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -12.7 to 7.0.

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

- Rate : The incidence rate is 431.5 with a 95% confidence interval from 369.0 to 502.1 and 36 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -20.2 to 14.9.

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

- Rate : The incidence rate is 427.7 with a 95% confidence interval from 377.6 to 483.7 and 61 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.8 with a 95% confidence interval from -4.5 to 21.6.

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

- Rate : The incidence rate is 425.1 with a 95% confidence interval from 372.7 to 483.4 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -12.4 with a 95% confidence interval from -21.3 to -2.4.

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

- Rate : The incidence rate is 421.0 with a 95% confidence interval from 402.9 to 439.8 and 418 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -7.7 to 1.9.

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

- Rate : The incidence rate is 419.1 with a 95% confidence interval from 381.8 to 459.0 and 97 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -3.8 to 8.5.

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

- Rate : The incidence rate is 418.8 with a 95% confidence interval from 380.4 to 460.0 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -10.9 to 1.8.

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

- Rate : The incidence rate is 417.6 with a 95% confidence interval from 344.9 to 504.0 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -27.1 to 43.6.

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

- Rate : The incidence rate is 414.0 with a 95% confidence interval from 383.1 to 446.6 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 -7.4 to 9.7.

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

- Rate : The incidence rate is 413.7 with a 95% confidence interval from 364.2 to 468.0 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -21.8 to 9.6.

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

- Rate : The incidence rate is 411.9 with a 95% confidence interval from 385.2 to 440.0 and 182 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -10.3 to 3.3.

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

- Rate : The incidence rate is 404.4 with a 95% confidence interval from 313.1 to 515.9 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.3 with a 95% confidence interval from -11.9 to 33.1.

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

- Rate : The incidence rate is 395.9 with a 95% confidence interval from 359.4 to 435.0 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -8.7 to 6.5.

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

- Rate : The incidence rate is 392.5 with a 95% confidence interval from 346.5 to 443.0 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -13.6 to 6.3.

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

- Rate : The incidence rate is 391.5 with a 95% confidence interval from 257.9 to 578.7 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -34.4 to 39.2.

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

- Rate : The incidence rate is 386.2 with a 95% confidence interval from 326.9 to 453.3 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -10.0 with a 95% confidence interval from -18.2 to -1.1.

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

- Rate : The incidence rate is 380.4 with a 95% confidence interval from 343.8 to 419.9 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.8 with a 95% confidence interval from -1.1 to 19.6.

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

- Rate : The incidence rate is 380.3 with a 95% confidence interval from 345.2 to 418.4 and 98 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -0.3 to 6.2.

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

- Rate : The incidence rate is 377.3 with a 95% confidence interval from 338.6 to 418.9 and 77 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.6 with a 95% confidence interval from -10.4 to -2.6.

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

- Rate : The incidence rate is 374.4 with a 95% confidence interval from 355.3 to 394.2 and 300 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -7.9 to 6.7.

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

- Rate : The incidence rate is 373.3 with a 95% confidence interval from 329.8 to 421.6 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.2 with a 95% confidence interval from -25.5 to 10.8.

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

- Rate : The incidence rate is 368.0 with a 95% confidence interval from 322.0 to 418.6 and 47 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -13.3 to 5.4.

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

- Rate : The incidence rate is 360.5 with a 95% confidence interval from 296.5 to 433.1 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -14.1 with a 95% confidence interval from -24.7 to -1.9.

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

- Rate : The incidence rate is 349.2 with a 95% confidence interval from 200.0 to 567.3 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).

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

- Rate : The incidence rate is 334.2 with a 95% confidence interval from 301.6 to 369.3 and 79 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -10.4 to 2.9.

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

- Rate : The incidence rate is 333.8 with a 95% confidence interval from 278.8 to 397.6 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -28.2 to 44.2.

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

- Rate : The incidence rate is 328.5 with a 95% confidence interval from 261.7 to 408.2 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.1 with a 95% confidence interval from -16.0 to 7.2.

**Notes:**

Created by statecancerprofiles.cancer.gov on 09/27/2016 1:31 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.