## 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**

#### Iowa^{3,8}

- Rate : The incidence rate is 469.1 with a 95% confidence interval from 465.9 to 472.3 and 16,992 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.5 to 0.0.

#### 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.

#### Ida County^{7,8}

- Rate : The incidence rate is 550.7 with a 95% confidence interval from 484.7 to 623.8 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.2 to 1.9.

#### Adams County^{7,8}

- Rate : The incidence rate is 539.0 with a 95% confidence interval from 455.0 to 635.8 and 32 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.6 to 2.5.

#### Greene County^{7,8}

- Rate : The incidence rate is 537.3 with a 95% confidence interval from 480.3 to 599.9 and 73 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.1 to 2.3.

#### Calhoun County^{7,8}

- Rate : The incidence rate is 536.9 with a 95% confidence interval from 482.6 to 596.2 and 82 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.5.

#### Page County^{7,8}

- Rate : The incidence rate is 533.2 with a 95% confidence interval from 489.8 to 579.8 and 122 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.5 to 1.6.

#### Jackson County^{7,8}

- Rate : The incidence rate is 523.7 with a 95% confidence interval from 484.8 to 565.2 and 143 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.0.

#### Des Moines County^{7,8}

- Rate : The incidence rate is 514.3 with a 95% confidence interval from 486.8 to 543.0 and 278 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.8.

#### Dickinson County^{7,8}

- Rate : The incidence rate is 509.8 with a 95% confidence interval from 470.2 to 552.4 and 138 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.8.

#### Wapello County^{7,8}

- Rate : The incidence rate is 508.9 with a 95% confidence interval from 479.3 to 540.0 and 230 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.2 to 0.7.

#### Floyd County^{7,8}

- Rate : The incidence rate is 507.1 with a 95% confidence interval from 464.9 to 552.5 and 116 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -0.8 to 0.7.

#### Lee County^{7,8}

- Rate : The incidence rate is 505.1 with a 95% confidence interval from 476.3 to 535.4 and 244 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.7.

#### Hardin County^{7,8}

- Rate : The incidence rate is 502.8 with a 95% confidence interval from 461.7 to 546.9 and 125 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.5.

#### Muscatine County^{7,8}

- Rate : The incidence rate is 500.3 with a 95% confidence interval from 472.0 to 529.8 and 244 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.6.

#### Harrison County^{7,8}

- Rate : The incidence rate is 498.5 with a 95% confidence interval from 454.0 to 546.5 and 98 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

#### Cedar County^{7,8}

- Rate : The incidence rate is 494.8 with a 95% confidence interval from 454.4 to 538.1 and 118 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.6 to 0.6.

#### Mills County^{7,8}

- Rate : The incidence rate is 493.7 with a 95% confidence interval from 447.2 to 543.9 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.4.

#### Clay County^{7,8}

- Rate : The incidence rate is 493.2 with a 95% confidence interval from 451.6 to 537.9 and 112 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.7.

#### Buchanan County^{7,8}

- Rate : The incidence rate is 491.9 with a 95% confidence interval from 453.2 to 533.3 and 124 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.5.

#### Monroe County^{7,8}

- Rate : The incidence rate is 490.4 with a 95% confidence interval from 431.5 to 555.7 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.2.

#### Scott County^{7,8}

- Rate : The incidence rate is 489.0 with a 95% confidence interval from 474.6 to 503.7 and 909 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.

#### Monona County^{7,8}

- Rate : The incidence rate is 488.6 with a 95% confidence interval from 434.6 to 548.2 and 70 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.8.

#### Cerro Gordo County^{7,8}

- Rate : The incidence rate is 486.7 with a 95% confidence interval from 461.4 to 513.1 and 298 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.5.

#### Warren County^{7,8}

- Rate : The incidence rate is 486.3 with a 95% confidence interval from 459.6 to 514.2 and 256 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.1 to 0.8.

#### Decatur County^{7,8}

- Rate : The incidence rate is 485.5 with a 95% confidence interval from 426.5 to 550.9 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.6 to 1.0.

#### Marion County^{7,8}

- Rate : The incidence rate is 481.9 with a 95% confidence interval from 451.5 to 513.8 and 196 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.8.

#### Dubuque County^{7,8}

- Rate : The incidence rate is 481.1 with a 95% confidence interval from 462.8 to 499.9 and 545 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.2.

#### Polk County^{7,8}

- Rate : The incidence rate is 479.4 with a 95% confidence interval from 470.0 to 489.0 and 2,037 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.1.

#### Taylor County^{7,8}

- Rate : The incidence rate is 478.5 with a 95% confidence interval from 415.2 to 549.8 and 45 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.1.

#### Hancock County^{7,8}

- Rate : The incidence rate is 478.2 with a 95% confidence interval from 429.3 to 531.6 and 77 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from 0.0 to 1.9.

#### Webster County^{7,8}

- Rate : The incidence rate is 477.9 with a 95% confidence interval from 449.9 to 507.3 and 230 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.2.

#### Pottawattamie County^{7,8}

- Rate : The incidence rate is 477.7 with a 95% confidence interval from 459.2 to 496.8 and 523 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.8 to -0.3.

#### Black Hawk County^{7,8}

- Rate : The incidence rate is 476.5 with a 95% confidence interval from 460.4 to 493.1 and 695 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -5.6 to 0.5.

#### Kossuth County^{7,8}

- Rate : The incidence rate is 475.8 with a 95% confidence interval from 433.8 to 521.2 and 109 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.8.

#### Clinton County^{7,8}

- Rate : The incidence rate is 475.7 with a 95% confidence interval from 451.4 to 501.0 and 302 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.2.

#### Fremont County^{7,8}

- Rate : The incidence rate is 475.5 with a 95% confidence interval from 415.6 to 542.6 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -8.0 with a 95% confidence interval from -14.9 to -0.5.

#### Lyon County^{7,8}

- Rate : The incidence rate is 475.2 with a 95% confidence interval from 425.0 to 529.8 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.

#### Henry County^{7,8}

- Rate : The incidence rate is 474.1 with a 95% confidence interval from 436.1 to 514.6 and 121 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.6 to 1.0.

#### Montgomery County^{7,8}

- Rate : The incidence rate is 473.9 with a 95% confidence interval from 423.9 to 528.7 and 73 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.7.

#### Keokuk County^{7,8}

- Rate : The incidence rate is 472.2 with a 95% confidence interval from 421.7 to 527.6 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.5.

#### Linn County^{7,8}

- Rate : The incidence rate is 471.8 with a 95% confidence interval from 459.2 to 484.6 and 1,094 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.5.

#### Cass County^{7,8}

- Rate : The incidence rate is 471.5 with a 95% confidence interval from 428.7 to 517.9 and 98 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.7.

#### Grundy County^{7,8}

- Rate : The incidence rate is 471.0 with a 95% confidence interval from 424.9 to 521.2 and 81 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.0 with a 95% confidence interval from -19.5 to 2.8.

#### Plymouth County^{7,8}

- Rate : The incidence rate is 469.8 with a 95% confidence interval from 435.6 to 506.2 and 149 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.4.

#### Woodbury County^{7,8}

- Rate : The incidence rate is 468.9 with a 95% confidence interval from 450.6 to 487.7 and 514 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.0.

#### Van Buren County^{7,8}

- Rate : The incidence rate is 468.5 with a 95% confidence interval from 411.1 to 532.4 and 51 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.7.

#### Sac County^{7,8}

- Rate : The incidence rate is 468.0 with a 95% confidence interval from 419.0 to 522.0 and 75 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.1.

#### Johnson County^{7,8}

- Rate : The incidence rate is 467.4 with a 95% confidence interval from 449.0 to 486.3 and 522 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.1 to 0.0.

#### Tama County^{7,8}

- Rate : The incidence rate is 466.4 with a 95% confidence interval from 427.3 to 508.4 and 113 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.5.

#### Marshall County^{7,8}

- Rate : The incidence rate is 466.2 with a 95% confidence interval from 439.5 to 494.2 and 241 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.2.

#### Chickasaw County^{7,8}

- Rate : The incidence rate is 465.7 with a 95% confidence interval from 419.5 to 516.0 and 80 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.3 to 1.1.

#### Washington County^{7,8}

- Rate : The incidence rate is 465.6 with a 95% confidence interval from 429.5 to 504.0 and 132 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.1.

#### Franklin County^{7,8}

- Rate : The incidence rate is 464.3 with a 95% confidence interval from 413.8 to 519.7 and 68 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.2 to 1.7.

#### Jasper County^{7,8}

- Rate : The incidence rate is 462.2 with a 95% confidence interval from 434.8 to 491.0 and 221 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.4.

#### Fayette County^{7,8}

- Rate : The incidence rate is 461.7 with a 95% confidence interval from 426.1 to 499.7 and 136 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.1.

#### Worth County^{7,8}

- Rate : The incidence rate is 461.7 with a 95% confidence interval from 402.4 to 527.8 and 48 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.5.

#### Jones County^{7,8}

- Rate : The incidence rate is 461.2 with a 95% confidence interval from 425.3 to 499.6 and 128 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.3.

#### Mahaska County^{7,8}

- Rate : The incidence rate is 460.8 with a 95% confidence interval from 425.0 to 498.9 and 128 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.6 to 1.0.

#### Story County^{7,8}

- Rate : The incidence rate is 460.5 with a 95% confidence interval from 438.8 to 483.0 and 354 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.4.

#### Iowa County^{7,8}

- Rate : The incidence rate is 460.4 with a 95% confidence interval from 419.0 to 505.0 and 98 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.4 to 1.6.

#### Clayton County^{7,8}

- Rate : The incidence rate is 459.4 with a 95% confidence interval from 421.0 to 500.5 and 117 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.5.

#### Palo Alto County^{7,8}

- Rate : The incidence rate is 458.8 with a 95% confidence interval from 405.3 to 518.0 and 61 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.

#### Appanoose County^{7,8}

- Rate : The incidence rate is 456.0 with a 95% confidence interval from 412.5 to 503.3 and 86 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.7 with a 95% confidence interval from -20.5 to 2.7.

#### Cherokee County^{7,8}

- Rate : The incidence rate is 455.0 with a 95% confidence interval from 410.9 to 503.2 and 87 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.4.

#### Shelby County^{7,8}

- Rate : The incidence rate is 453.8 with a 95% confidence interval from 408.6 to 503.3 and 82 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.6.

#### Lucas County^{7,8}

- Rate : The incidence rate is 452.7 with a 95% confidence interval from 400.5 to 510.6 and 59 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.9 to 1.0.

#### Hamilton County^{7,8}

- Rate : The incidence rate is 451.2 with a 95% confidence interval from 410.2 to 495.5 and 95 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.1.

#### Pocahontas County^{7,8}

- Rate : The incidence rate is 450.8 with a 95% confidence interval from 392.4 to 516.3 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -0.7 to 0.6.

#### Clarke County^{7,8}

- Rate : The incidence rate is 448.2 with a 95% confidence interval from 394.8 to 507.2 and 54 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.6.

#### O'Brien County^{7,8}

- Rate : The incidence rate is 447.0 with a 95% confidence interval from 405.1 to 492.5 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 -1.0 to 0.5.

#### Guthrie County^{7,8}

- Rate : The incidence rate is 446.1 with a 95% confidence interval from 398.4 to 498.5 and 70 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.3.

#### Howard County^{7,8}

- Rate : The incidence rate is 445.5 with a 95% confidence interval from 393.4 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 -0.9 to 1.1.

#### Benton County^{7,8}

- Rate : The incidence rate is 445.1 with a 95% confidence interval from 412.4 to 479.8 and 143 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.1.

#### Emmet County^{7,8}

- Rate : The incidence rate is 445.0 with a 95% confidence interval from 394.5 to 500.6 and 62 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.7.

#### Crawford County^{7,8}

- Rate : The incidence rate is 444.2 with a 95% confidence interval from 404.1 to 487.3 and 95 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.7.

#### Carroll County^{7,8}

- Rate : The incidence rate is 443.0 with a 95% confidence interval from 407.0 to 481.6 and 124 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.3.

#### Audubon County^{7,8}

- Rate : The incidence rate is 440.0 with a 95% confidence interval from 380.7 to 507.6 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.2.

#### Winnebago County^{7,8}

- Rate : The incidence rate is 439.7 with a 95% confidence interval from 392.1 to 492.1 and 67 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.1.

#### Madison County^{7,8}

- Rate : The incidence rate is 439.4 with a 95% confidence interval from 397.0 to 485.2 and 82 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -0.9 to 0.9.

#### Mitchell County^{7,8}

- Rate : The incidence rate is 438.1 with a 95% confidence interval from 389.9 to 491.2 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.6.

#### Humboldt County^{7,8}

- Rate : The incidence rate is 437.9 with a 95% confidence interval from 388.9 to 492.0 and 63 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.2.

#### Osceola County^{7,8}

- Rate : The incidence rate is 435.6 with a 95% confidence interval from 374.1 to 505.1 and 39 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 1.6.

#### Adair County^{7,8}

- Rate : The incidence rate is 434.2 with a 95% confidence interval from 381.4 to 493.4 and 52 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.5 to 1.8.

#### Delaware County^{7,8}

- Rate : The incidence rate is 432.2 with a 95% confidence interval from 393.5 to 473.9 and 98 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.6.

#### Wright County^{7,8}

- Rate : The incidence rate is 430.9 with a 95% confidence interval from 388.0 to 477.6 and 83 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.3.

#### Louisa County^{7,8}

- Rate : The incidence rate is 428.8 with a 95% confidence interval from 381.1 to 481.2 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

#### Buena Vista County^{7,8}

- Rate : The incidence rate is 427.6 with a 95% confidence interval from 390.1 to 467.9 and 103 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.2.

#### Butler County^{7,8}

- Rate : The incidence rate is 425.9 with a 95% confidence interval from 385.5 to 469.7 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.

#### Dallas County^{7,8}

- Rate : The incidence rate is 423.6 with a 95% confidence interval from 400.9 to 447.3 and 270 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.1 to -0.7.

#### Boone County^{7,8}

- Rate : The incidence rate is 423.3 with a 95% confidence interval from 391.9 to 456.7 and 141 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.2.

#### Jefferson County^{7,8}

- Rate : The incidence rate is 422.1 with a 95% confidence interval from 381.5 to 466.0 and 92 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.6 to 0.9.

#### Ringgold County^{7,8}

- Rate : The incidence rate is 422.0 with a 95% confidence interval from 355.1 to 499.1 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -1.2 to 1.2.

#### Bremer County^{7,8}

- Rate : The incidence rate is 421.9 with a 95% confidence interval from 389.1 to 456.9 and 131 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

#### Union County^{7,8}

- Rate : The incidence rate is 421.4 with a 95% confidence interval from 377.3 to 469.6 and 71 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

#### Sioux County^{7,8}

- Rate : The incidence rate is 418.8 with a 95% confidence interval from 389.1 to 450.2 and 155 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.3.

#### Davis County^{7,8}

- Rate : The incidence rate is 414.0 with a 95% confidence interval from 360.9 to 473.1 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.3.

#### Poweshiek County^{7,8}

- Rate : The incidence rate is 412.3 with a 95% confidence interval from 376.7 to 450.5 and 107 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.5.

#### Winneshiek County^{7,8}

- Rate : The incidence rate is 408.1 with a 95% confidence interval from 372.9 to 445.9 and 108 average annual cases over 2009-2013.

#### Allamakee County^{7,8}

- Rate : The incidence rate is 402.3 with a 95% confidence interval from 362.5 to 445.6 and 82 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.5 with a 95% confidence interval from -21.6 to 2.1.

#### Wayne County^{7,8}

- Rate : The incidence rate is 365.8 with a 95% confidence interval from 309.1 to 430.8 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -6.4 to -1.0.

**Notes:**

Created by statecancerprofiles.cancer.gov on 09/25/2016 3:23 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.

^{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*.

^{3}Source: SEER November 2015 submission. State Cancer Registry also receives funding from CDC's National Program of Cancer Registries.

^{7}Source: SEER November 2015 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 1969-2014 US Population Data File is used with SEER November 2015 data.

^{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.