## Interpretation of Incidence Rates Data

### Incidence Rate Report for Missouri 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**

#### Missouri^{6,10}

- Rate : The incidence rate is 452.2 with a 95% confidence interval from 449.9 to 454.5 and 31,282 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.2.

#### 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.

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

- Rate : The incidence rate is 528.8 with a 95% confidence interval from 483.2 to 578.1 and 108 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -5.6 to 4.3.

#### St. Francois County^{6,10}

- Rate : The incidence rate is 526.7 with a 95% confidence interval from 503.7 to 550.6 and 399 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -4.4 to 4.1.

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

- Rate : The incidence rate is 523.3 with a 95% confidence interval from 489.4 to 558.8 and 187 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -8.7 to 0.1.

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

- Rate : The incidence rate is 518.3 with a 95% confidence interval from 476.6 to 562.8 and 117 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -9.6 to 4.1.

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

- Rate : The incidence rate is 517.0 with a 95% confidence interval from 463.7 to 575.2 and 73 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -18.5 to 34.3.

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

- Rate : The incidence rate is 511.8 with a 95% confidence interval from 455.6 to 573.5 and 63 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -10.3 to 15.2.

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

- Rate : The incidence rate is 505.7 with a 95% confidence interval from 470.1 to 543.5 and 159 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -10.2 to 7.8.

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

- Rate : The incidence rate is 499.7 with a 95% confidence interval from 466.5 to 534.6 and 177 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -4.5 to 4.9.

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

- Rate : The incidence rate is 494.0 with a 95% confidence interval from 465.5 to 523.8 and 233 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.9 to 5.0.

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

- Rate : The incidence rate is 493.2 with a 95% confidence interval from 445.9 to 544.6 and 86 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -14.0 to 15.3.

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

- Rate : The incidence rate is 492.4 with a 95% confidence interval from 424.1 to 569.2 and 40 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -18.9 to 24.0.

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

- Rate : The incidence rate is 492.1 with a 95% confidence interval from 444.3 to 544.1 and 81 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -11.8 to 7.8.

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

- Rate : The incidence rate is 489.2 with a 95% confidence interval from 471.2 to 507.7 and 576 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -7.6 to 5.0.

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

- Rate : The incidence rate is 485.9 with a 95% confidence interval from 421.7 to 557.6 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -22.4 to 18.4.

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

- Rate : The incidence rate is 485.7 with a 95% confidence interval from 438.2 to 537.4 and 81 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -15.9 to 13.2.

#### St. Louis City^{6,10}

- Rate : The incidence rate is 484.6 with a 95% confidence interval from 473.5 to 495.8 and 1,537 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -5.5 to 0.3.

#### St. Louis County^{6,10}

- Rate : The incidence rate is 484.4 with a 95% confidence interval from 478.8 to 490.1 and 5,910 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.4 to 0.9.

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

- Rate : The incidence rate is 483.9 with a 95% confidence interval from 441.9 to 529.0 and 102 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -9.5 to 12.1.

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

- Rate : The incidence rate is 483.5 with a 95% confidence interval from 464.0 to 503.5 and 482 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.4 to 2.7.

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

- Rate : The incidence rate is 482.1 with a 95% confidence interval from 447.5 to 518.8 and 150 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -15.8 to 18.3.

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

- Rate : The incidence rate is 480.5 with a 95% confidence interval from 438.9 to 525.5 and 107 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -7.2 to 15.2.

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

- Rate : The incidence rate is 479.2 with a 95% confidence interval from 440.2 to 521.0 and 118 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -6.5 to -1.0.

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

- Rate : The incidence rate is 477.8 with a 95% confidence interval from 441.6 to 516.3 and 135 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -10.0 to 9.0.

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

- Rate : The incidence rate is 477.7 with a 95% confidence interval from 443.3 to 514.2 and 149 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -8.9 to -0.2.

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

- Rate : The incidence rate is 476.1 with a 95% confidence interval from 440.2 to 514.7 and 159 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -12.0 to 14.0.

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

- Rate : The incidence rate is 473.4 with a 95% confidence interval from 420.1 to 531.8 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -17.5 to 18.6.

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

- Rate : The incidence rate is 472.8 with a 95% confidence interval from 425.1 to 524.8 and 76 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -6.9 to 8.4.

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

- Rate : The incidence rate is 471.8 with a 95% confidence interval from 426.2 to 521.2 and 81 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -14.1 to 15.9.

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

- Rate : The incidence rate is 471.2 with a 95% confidence interval from 433.5 to 511.3 and 121 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -6.9 to 16.0.

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

- Rate : The incidence rate is 471.0 with a 95% confidence interval from 407.4 to 542.7 and 42 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -20.0 to 14.4.

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

- Rate : The incidence rate is 469.9 with a 95% confidence interval from 457.1 to 482.9 and 1,070 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -7.9 to -1.9.

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

- Rate : The incidence rate is 466.6 with a 95% confidence interval from 440.3 to 494.0 and 246 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -12.5 to 8.3.

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

- Rate : The incidence rate is 466.3 with a 95% confidence interval from 440.7 to 493.0 and 260 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -11.4 to 8.3.

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

- Rate : The incidence rate is 466.1 with a 95% confidence interval from 427.4 to 507.6 and 112 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -10.7 to 0.1.

#### St. Charles County^{6,10}

- Rate : The incidence rate is 465.1 with a 95% confidence interval from 455.2 to 475.1 and 1,750 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -6.8 to 3.2.

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

- Rate : The incidence rate is 464.4 with a 95% confidence interval from 437.5 to 492.6 and 229 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -10.1 to 5.0.

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

- Rate : The incidence rate is 463.1 with a 95% confidence interval from 435.9 to 491.6 and 226 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -11.6 to 5.1.

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

- Rate : The incidence rate is 463.0 with a 95% confidence interval from 401.0 to 532.5 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -29.1 to 25.9.

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

- Rate : The incidence rate is 460.9 with a 95% confidence interval from 431.1 to 492.5 and 185 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.8 with a 95% confidence interval from -5.0 to 15.6.

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

- Rate : The incidence rate is 459.3 with a 95% confidence interval from 442.5 to 476.5 and 579 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -13.6 to 20.4.

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

- Rate : The incidence rate is 458.7 with a 95% confidence interval from 424.0 to 495.5 and 133 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -8.1 to 1.7.

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

- Rate : The incidence rate is 458.4 with a 95% confidence interval from 431.7 to 486.4 and 226 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -15.2 to 5.2.

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

- Rate : The incidence rate is 457.1 with a 95% confidence interval from 441.1 to 473.5 and 653 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.7 to 2.2.

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

- Rate : The incidence rate is 456.6 with a 95% confidence interval from 403.2 to 515.7 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -20.0 to 22.1.

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

- Rate : The incidence rate is 455.7 with a 95% confidence interval from 443.1 to 468.7 and 1,048 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -8.6 to 2.7.

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

- Rate : The incidence rate is 453.2 with a 95% confidence interval from 400.4 to 511.5 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -7.7 to 12.2.

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

- Rate : The incidence rate is 452.3 with a 95% confidence interval from 423.0 to 483.1 and 183 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -6.6 to 6.7.

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

- Rate : The incidence rate is 450.5 with a 95% confidence interval from 443.5 to 457.5 and 3,269 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.3 to 1.7.

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

- Rate : The incidence rate is 449.4 with a 95% confidence interval from 407.4 to 494.8 and 89 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -18.1 to 3.9.

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

- Rate : The incidence rate is 449.2 with a 95% confidence interval from 406.6 to 495.3 and 87 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -16.6 to 15.7.

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

- Rate : The incidence rate is 445.3 with a 95% confidence interval from 405.5 to 488.1 and 98 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -26.2 to 18.2.

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

- Rate : The incidence rate is 444.5 with a 95% confidence interval from 405.9 to 485.8 and 103 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -13.4 to 16.2.

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

- Rate : The incidence rate is 443.0 with a 95% confidence interval from 404.8 to 484.0 and 103 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -7.5 to -0.2.

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

- Rate : The incidence rate is 442.6 with a 95% confidence interval from 414.0 to 472.7 and 186 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -5.7 to 9.6.

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

- Rate : The incidence rate is 441.8 with a 95% confidence interval from 421.5 to 462.9 and 369 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -5.9 to 3.4.

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

- Rate : The incidence rate is 440.2 with a 95% confidence interval from 384.7 to 502.0 and 49 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -19.6 to 15.8.

#### Cape Girardeau County^{6,10}

- Rate : The incidence rate is 440.2 with a 95% confidence interval from 420.3 to 460.8 and 383 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -2.9 to 8.6.

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

- Rate : The incidence rate is 438.9 with a 95% confidence interval from 409.2 to 470.2 and 170 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -17.3 to 13.2.

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

- Rate : The incidence rate is 438.3 with a 95% confidence interval from 403.7 to 475.3 and 124 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -12.0 to 2.9.

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

- Rate : The incidence rate is 438.2 with a 95% confidence interval from 384.8 to 497.6 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -17.2 to 13.8.

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

- Rate : The incidence rate is 438.1 with a 95% confidence interval from 371.7 to 514.5 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.3 with a 95% confidence interval from -18.7 to 49.6.

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

- Rate : The incidence rate is 435.0 with a 95% confidence interval from 380.7 to 495.9 and 51 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -13.4 to 8.1.

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

- Rate : The incidence rate is 434.0 with a 95% confidence interval from 397.9 to 472.6 and 110 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 2.0 to 8.1.

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

- Rate : The incidence rate is 432.0 with a 95% confidence interval from 391.8 to 475.5 and 93 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -11.2 to 13.5.

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

- Rate : The incidence rate is 431.6 with a 95% confidence interval from 421.2 to 442.3 and 1,346 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -5.7 to 0.1.

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

- Rate : The incidence rate is 431.0 with a 95% confidence interval from 391.3 to 473.9 and 93 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -11.6 to 12.0.

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

- Rate : The incidence rate is 429.4 with a 95% confidence interval from 369.2 to 497.3 and 38 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -23.1 to 21.2.

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

- Rate : The incidence rate is 428.2 with a 95% confidence interval from 380.7 to 480.4 and 64 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.3 with a 95% confidence interval from -14.1 to 2.2.

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

- Rate : The incidence rate is 427.2 with a 95% confidence interval from 404.9 to 450.3 and 295 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.3 to 2.4.

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

- Rate : The incidence rate is 426.4 with a 95% confidence interval from 394.0 to 460.8 and 134 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -6.6 to 11.1.

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

- Rate : The incidence rate is 425.3 with a 95% confidence interval from 408.2 to 442.9 and 479 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -5.9 to 4.4.

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

- Rate : The incidence rate is 423.2 with a 95% confidence interval from 395.7 to 452.1 and 183 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -6.6 to 5.4.

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

- Rate : The incidence rate is 422.5 with a 95% confidence interval from 389.0 to 458.2 and 124 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -8.8 to 3.3.

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

- Rate : The incidence rate is 421.7 with a 95% confidence interval from 386.9 to 459.0 and 113 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -7.2 to 11.4.

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

- Rate : The incidence rate is 421.7 with a 95% confidence interval from 393.0 to 452.0 and 168 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -8.3 to 7.8.

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

- Rate : The incidence rate is 420.9 with a 95% confidence interval from 388.3 to 455.8 and 135 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -2.0 to 4.8.

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

- Rate : The incidence rate is 418.2 with a 95% confidence interval from 374.9 to 465.4 and 70 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -6.3 to 1.4.

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

- Rate : The incidence rate is 418.0 with a 95% confidence interval from 399.3 to 437.3 and 404 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -9.7 to 1.3.

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

- Rate : The incidence rate is 415.8 with a 95% confidence interval from 377.9 to 456.7 and 93 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.0 with a 95% confidence interval from -13.4 to -0.2.

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

- Rate : The incidence rate is 414.8 with a 95% confidence interval from 376.5 to 456.1 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.4 with a 95% confidence interval from -17.7 to 32.5.

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

- Rate : The incidence rate is 414.4 with a 95% confidence interval from 388.8 to 441.2 and 203 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -7.9 to 12.5.

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

- Rate : The incidence rate is 412.0 with a 95% confidence interval from 392.5 to 432.3 and 345 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -9.4 to 6.0.

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

- Rate : The incidence rate is 411.0 with a 95% confidence interval from 386.0 to 437.3 and 211 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -10.1 to 6.9.

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

- Rate : The incidence rate is 408.7 with a 95% confidence interval from 382.8 to 436.0 and 193 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -5.1 to 4.6.

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

- Rate : The incidence rate is 406.6 with a 95% confidence interval from 334.6 to 491.2 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -17.1 to 8.1.

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

- Rate : The incidence rate is 405.2 with a 95% confidence interval from 376.5 to 435.6 and 153 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.8 with a 95% confidence interval from -12.6 to 1.4.

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

- Rate : The incidence rate is 400.1 with a 95% confidence interval from 347.4 to 459.2 and 45 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -11.3 to 23.4.

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

- Rate : The incidence rate is 398.0 with a 95% confidence interval from 358.4 to 441.1 and 83 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -8.3 to 13.2.

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

- Rate : The incidence rate is 397.5 with a 95% confidence interval from 353.8 to 445.4 and 64 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -12.5 to 16.0.

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

- Rate : The incidence rate is 396.9 with a 95% confidence interval from 375.1 to 419.9 and 285 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.9 to 1.1.

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

- Rate : The incidence rate is 396.8 with a 95% confidence interval from 345.4 to 454.9 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -17.9 to 14.7.

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

- Rate : The incidence rate is 396.6 with a 95% confidence interval from 321.3 to 486.0 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.7 with a 95% confidence interval from -29.7 to 16.0.

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

- Rate : The incidence rate is 395.3 with a 95% confidence interval from 347.4 to 448.6 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -13.5 to 22.4.

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

- Rate : The incidence rate is 387.2 with a 95% confidence interval from 362.1 to 413.8 and 188 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -9.4 with a 95% confidence interval from -17.3 to -0.8.

#### Ste. Genevieve County^{6,10}

- Rate : The incidence rate is 380.0 with a 95% confidence interval from 344.6 to 418.2 and 89 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -7.6 to 11.9.

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

- Rate : The incidence rate is 379.7 with a 95% confidence interval from 326.3 to 440.5 and 38 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -8.6 to 7.8.

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

- Rate : The incidence rate is 376.9 with a 95% confidence interval from 348.0 to 407.7 and 133 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -7.4 to 2.8.

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

- Rate : The incidence rate is 374.5 with a 95% confidence interval from 317.1 to 440.7 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 7.9 with a 95% confidence interval from 2.8 to 13.3.

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

- Rate : The incidence rate is 373.8 with a 95% confidence interval from 349.8 to 399.5 and 208 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -6.1 to 4.1.

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

- Rate : The incidence rate is 369.0 with a 95% confidence interval from 329.3 to 412.3 and 64 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.9 with a 95% confidence interval from -10.2 to -1.3.

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

- Rate : The incidence rate is 368.1 with a 95% confidence interval from 322.8 to 418.9 and 58 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -14.0 to 7.9.

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

- Rate : The incidence rate is 362.3 with a 95% confidence interval from 299.1 to 436.4 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.4 with a 95% confidence interval from -31.3 to 21.9.

#### St. Clair County^{6,10}

- Rate : The incidence rate is 359.3 with a 95% confidence interval from 315.6 to 408.3 and 56 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -16.2 to 4.2.

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

- Rate : The incidence rate is 356.3 with a 95% confidence interval from 321.0 to 394.7 and 77 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -9.1 to 10.6.

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

- Rate : The incidence rate is 352.4 with a 95% confidence interval from 310.9 to 399.4 and 66 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -14.0 to 17.1.

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

- Rate : The incidence rate is 350.7 with a 95% confidence interval from 285.9 to 427.1 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -3.6 to 13.4.

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

- Rate : The incidence rate is 349.0 with a 95% confidence interval from 265.5 to 456.0 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.4 with a 95% confidence interval from -10.2 to 35.8.

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

- Rate : The incidence rate is 346.8 with a 95% confidence interval from 305.1 to 393.1 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from -16.2 to 26.9.

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

- Rate : The incidence rate is 345.6 with a 95% confidence interval from 300.5 to 396.1 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -19.1 to 28.1.

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

- Rate : The incidence rate is 335.7 with a 95% confidence interval from 271.7 to 410.8 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 17.1 with a 95% confidence interval from -4.9 to 44.0.

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

- Rate : The incidence rate is 329.6 with a 95% confidence interval from 297.5 to 364.3 and 81 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -11.6 to 21.5.

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

- Rate : The incidence rate is 329.0 with a 95% confidence interval from 293.7 to 367.9 and 68 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -20.7 to 23.5.

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

- Rate : The incidence rate is 317.4 with a 95% confidence interval from 278.1 to 361.1 and 48 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -19.7 to 11.1.

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

- Rate : The incidence rate is 310.0 with a 95% confidence interval from 291.6 to 329.3 and 220 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -17.2 to 27.4.

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

- Rate : The incidence rate is 284.8 with a 95% confidence interval from 244.0 to 331.3 and 36 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -9.9 to 11.2.

**Notes:**

Created by statecancerprofiles.cancer.gov on 12/07/2016 3:12 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*.

^{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.