## 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**

#### North Dakota^{6,10}

- Rate : The incidence rate is 447.8 with a 95% confidence interval from 441.1 to 454.7 and 3,520 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.0 to 1.9.

#### 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.

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

- Rate : The incidence rate is 588.0 with a 95% confidence interval from 465.1 to 735.6 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.4 with a 95% confidence interval from -43.4 to 32.4.

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

- Rate : The incidence rate is 573.6 with a 95% confidence interval from 482.2 to 678.9 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -13.2 with a 95% confidence interval from -22.5 to -2.9.

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

- Rate : The incidence rate is 569.6 with a 95% confidence interval from 456.7 to 706.3 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -21.7 with a 95% confidence interval from -49.0 to 20.3.

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

- Rate : The incidence rate is 533.3 with a 95% confidence interval from 476.3 to 595.9 and 74 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.9 with a 95% confidence interval from -10.0 to 22.2.

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

- Rate : The incidence rate is 528.8 with a 95% confidence interval from 415.6 to 667.3 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.0 with a 95% confidence interval from -35.4 to 22.7.

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

- Rate : The incidence rate is 514.6 with a 95% confidence interval from 424.7 to 620.1 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -23.4 to 19.1.

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

- Rate : The incidence rate is 514.1 with a 95% confidence interval from 463.4 to 569.3 and 82 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -7.9 to 7.7.

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

- Rate : The incidence rate is 509.0 with a 95% confidence interval from 474.6 to 545.4 and 169 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -3.2 to 8.5.

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

- Rate : The incidence rate is 503.5 with a 95% confidence interval from 411.4 to 612.0 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -26.2 to 21.7.

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

- Rate : The incidence rate is 498.0 with a 95% confidence interval from 364.4 to 677.0 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 29.7 with a 95% confidence interval from -5.6 to 78.3.

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

- Rate : The incidence rate is 496.6 with a 95% confidence interval from 373.0 to 651.7 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.0 with a 95% confidence interval from -23.0 to 51.4.

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

- Rate : The incidence rate is 493.1 with a 95% confidence interval from 427.2 to 566.2 and 42 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -29.3 to 23.0.

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

- Rate : The incidence rate is 490.1 with a 95% confidence interval from 389.4 to 611.5 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -30.1 to 46.5.

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

- Rate : The incidence rate is 478.3 with a 95% confidence interval from 425.5 to 535.7 and 62 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -12.5 to 22.1.

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

- Rate : The incidence rate is 476.1 with a 95% confidence interval from 405.7 to 556.2 and 37 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.4 with a 95% confidence interval from -21.6 to 50.0.

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

- Rate : The incidence rate is 463.2 with a 95% confidence interval from 446.9 to 479.9 and 645 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.8 to -0.2.

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

- Rate : The incidence rate is 462.0 with a 95% confidence interval from 438.2 to 486.6 and 294 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.1 to 1.7.

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

- Rate : The incidence rate is 460.2 with a 95% confidence interval from 402.9 to 523.9 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -17.8 to 18.9.

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

- Rate : The incidence rate is 459.4 with a 95% confidence interval from 423.1 to 498.0 and 127 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -15.5 to 13.0.

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

- Rate : The incidence rate is 453.2 with a 95% confidence interval from 410.9 to 498.9 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.9 with a 95% confidence interval from -26.6 to 17.9.

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

- Rate : The incidence rate is 452.8 with a 95% confidence interval from 428.5 to 478.1 and 275 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.6 to 1.6.

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

- Rate : The incidence rate is 447.9 with a 95% confidence interval from 353.4 to 563.1 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -18.9 to 11.2.

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

- Rate : The incidence rate is 441.7 with a 95% confidence interval from 378.0 to 514.2 and 37 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.0 with a 95% confidence interval from -8.6 to 20.6.

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

- Rate : The incidence rate is 440.6 with a 95% confidence interval from 421.5 to 460.3 and 417 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.8 with a 95% confidence interval from -1.3 to 9.1.

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

- Rate : The incidence rate is 439.5 with a 95% confidence interval from 379.8 to 507.0 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -20.9 to 19.2.

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

- Rate : The incidence rate is 438.8 with a 95% confidence interval from 339.4 to 557.7 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.1 with a 95% confidence interval from -37.0 to 19.9.

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

- Rate : The incidence rate is 435.6 with a 95% confidence interval from 343.5 to 548.7 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.8 with a 95% confidence interval from -13.8 to 37.2.

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

- Rate : The incidence rate is 434.9 with a 95% confidence interval from 329.3 to 566.6 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -23.7 to 13.8.

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

- Rate : The incidence rate is 433.7 with a 95% confidence interval from 380.1 to 493.5 and 51 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -24.3 to 23.0.

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

- Rate : The incidence rate is 426.4 with a 95% confidence interval from 335.5 to 539.4 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -24.3 to 27.1.

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

- Rate : The incidence rate is 424.6 with a 95% confidence interval from 357.6 to 500.6 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.2 with a 95% confidence interval from -30.1 to 15.3.

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

- Rate : The incidence rate is 423.3 with a 95% confidence interval from 351.5 to 508.2 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.0 with a 95% confidence interval from -10.8 to 28.4.

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

- Rate : The incidence rate is 422.7 with a 95% confidence interval from 313.3 to 563.2 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.0 with a 95% confidence interval from -31.9 to 61.8.

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

- Rate : The incidence rate is 420.0 with a 95% confidence interval from 386.9 to 455.3 and 126 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -12.1 to 13.6.

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

- Rate : The incidence rate is 418.4 with a 95% confidence interval from 347.6 to 501.8 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -3.4 to 8.8.

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

- Rate : The incidence rate is 414.8 with a 95% confidence interval from 350.1 to 491.3 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -20.1 to 25.4.

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

- Rate : The incidence rate is 414.0 with a 95% confidence interval from 368.6 to 464.0 and 67 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -7.8 to 17.2.

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

- Rate : The incidence rate is 413.1 with a 95% confidence interval from 367.5 to 463.1 and 64 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.7 with a 95% confidence interval from -23.2 to 13.4.

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

- Rate : The incidence rate is 412.4 with a 95% confidence interval from 328.1 to 518.6 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.7 with a 95% confidence interval from -30.6 to 64.2.

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

- Rate : The incidence rate is 410.6 with a 95% confidence interval from 331.9 to 506.3 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -26.7 to 35.3.

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

- Rate : The incidence rate is 399.9 with a 95% confidence interval from 365.9 to 436.3 and 107 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -12.1 to 8.5.

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

- Rate : The incidence rate is 395.0 with a 95% confidence interval from 290.0 to 530.1 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.0 with a 95% confidence interval from -33.9 to 30.9.

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

- Rate : The incidence rate is 388.6 with a 95% confidence interval from 335.9 to 448.3 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.9 with a 95% confidence interval from -7.7 to 26.3.

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

- Rate : The incidence rate is 376.3 with a 95% confidence interval from 294.5 to 478.2 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.1 with a 95% confidence interval from -27.5 to 16.5.

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

- Rate : The incidence rate is 375.1 with a 95% confidence interval from 310.9 to 450.8 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.4 with a 95% confidence interval from -26.9 to 19.7.

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

- Rate : The incidence rate is 374.9 with a 95% confidence interval from 314.1 to 445.4 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.9 with a 95% confidence interval from -6.1 to 30.9.

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

- Rate : The incidence rate is 360.3 with a 95% confidence interval from 287.5 to 447.3 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.8 with a 95% confidence interval from -20.5 to 2.3.

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

- Rate : The incidence rate is 347.5 with a 95% confidence interval from 286.6 to 422.8 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -16.4 to 9.7.

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

- Rate : The incidence rate is 329.0 with a 95% confidence interval from 236.3 to 450.4 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.2 with a 95% confidence interval from -37.7 to 15.5.

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

- Rate : The incidence rate is 328.5 with a 95% confidence interval from 241.3 to 441.8 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -20.0 with a 95% confidence interval from -49.6 to 26.9.

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

- Rate : The incidence rate is 270.9 with a 95% confidence interval from 220.9 to 329.1 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -14.2 to 21.2.

**Billings County**

^{6,10}- Rate : * 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).
- 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).

**Slope County**

^{6,10}- Rate : * 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).
- 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).

**Notes:**

Created by statecancerprofiles.cancer.gov on 10/25/2016 6:13 am.

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.