## 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**

#### Oregon^{6,10}

- Rate : The incidence rate is 440.4 with a 95% confidence interval from 437.6 to 443.2 and 19,917 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.7 to 0.3.

#### 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.

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

- Rate : The incidence rate is 523.2 with a 95% confidence interval from 403.3 to 673.5 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 12.8 with a 95% confidence interval from -5.5 to 34.6.

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

- Rate : The incidence rate is 483.2 with a 95% confidence interval from 372.2 to 622.3 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.7 with a 95% confidence interval from -40.2 to 18.9.

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

- Rate : The incidence rate is 476.4 with a 95% confidence interval from 458.7 to 494.6 and 629 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -6.0 to 9.1.

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

- Rate : The incidence rate is 471.9 with a 95% confidence interval from 444.4 to 500.8 and 239 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -8.8 to 10.2.

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

- Rate : The incidence rate is 468.6 with a 95% confidence interval from 448.3 to 489.6 and 421 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -10.2 to 7.7.

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

- Rate : The incidence rate is 462.2 with a 95% confidence interval from 448.5 to 476.2 and 920 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -8.0 to 1.5.

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

- Rate : The incidence rate is 460.1 with a 95% confidence interval from 444.2 to 476.4 and 667 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.6 to -1.2.

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

- Rate : The incidence rate is 458.7 with a 95% confidence interval from 448.4 to 469.1 and 1,575 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.4 to 2.4.

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

- Rate : The incidence rate is 456.0 with a 95% confidence interval from 448.9 to 463.2 and 3,367 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 0.7.

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

- Rate : The incidence rate is 452.3 with a 95% confidence interval from 443.3 to 461.5 and 2,051 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -3.4 to 3.9.

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

- Rate : The incidence rate is 451.8 with a 95% confidence interval from 418.2 to 487.5 and 147 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -11.5 to 3.4.

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

- Rate : The incidence rate is 451.5 with a 95% confidence interval from 393.3 to 517.3 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -13.9 to 15.3.

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

- Rate : The incidence rate is 450.5 with a 95% confidence interval from 415.2 to 488.2 and 140 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 2.0 to 3.9.

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

- Rate : The incidence rate is 448.3 with a 95% confidence interval from 428.8 to 468.6 and 446 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -9.9 to 7.7.

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

- Rate : The incidence rate is 445.6 with a 95% confidence interval from 425.4 to 466.5 and 393 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -9.7 to 12.2.

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

- Rate : The incidence rate is 444.7 with a 95% confidence interval from 427.1 to 462.8 and 502 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -10.6 to 0.0.

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

- Rate : The incidence rate is 443.2 with a 95% confidence interval from 420.8 to 466.6 and 341 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -9.6 to 4.7.

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

- Rate : The incidence rate is 443.0 with a 95% confidence interval from 390.8 to 500.3 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -17.1 to 5.4.

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

- Rate : The incidence rate is 442.4 with a 95% confidence interval from 418.2 to 467.6 and 270 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -3.0 to 5.0.

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

- Rate : The incidence rate is 436.3 with a 95% confidence interval from 425.1 to 447.9 and 1,224 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.9 to 3.1.

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

- Rate : The incidence rate is 436.1 with a 95% confidence interval from 415.8 to 457.2 and 358 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -6.9 to 2.1.

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

- Rate : The incidence rate is 435.3 with a 95% confidence interval from 397.2 to 476.7 and 110 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -7.4 to 8.8.

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

- Rate : The incidence rate is 435.1 with a 95% confidence interval from 403.1 to 469.2 and 148 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -8.3 to 0.2.

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

- Rate : The incidence rate is 432.8 with a 95% confidence interval from 402.2 to 465.1 and 154 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -7.1 to 3.6.

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

- Rate : The incidence rate is 426.6 with a 95% confidence interval from 407.0 to 447.0 and 380 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.1 to -0.4.

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

- Rate : The incidence rate is 425.2 with a 95% confidence interval from 417.1 to 433.5 and 2,199 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -5.9 to 3.8.

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

- Rate : The incidence rate is 417.4 with a 95% confidence interval from 382.0 to 455.2 and 110 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -2.6 to 12.4.

#### Hood River County^{6,10}

- Rate : The incidence rate is 416.2 with a 95% confidence interval from 380.1 to 454.8 and 102 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -11.6 to 2.2.

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

- Rate : The incidence rate is 415.0 with a 95% confidence interval from 385.5 to 446.5 and 166 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -11.8 to 3.6.

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

- Rate : The incidence rate is 412.7 with a 95% confidence interval from 305.2 to 558.5 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 17.2 with a 95% confidence interval from -4.9 to 44.5.

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

- Rate : The incidence rate is 409.2 with a 95% confidence interval from 394.8 to 424.1 and 678 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.4 with a 95% confidence interval from -11.4 to -1.3.

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

- Rate : The incidence rate is 400.0 with a 95% confidence interval from 391.3 to 408.8 and 1,736 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -9.0 to 2.0.

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

- Rate : The incidence rate is 387.7 with a 95% confidence interval from 334.6 to 447.9 and 47 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -8.5 to 2.7.

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

- Rate : The incidence rate is 387.0 with a 95% confidence interval from 358.0 to 418.3 and 165 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -14.5 to 4.6.

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

- Rate : The incidence rate is 373.5 with a 95% confidence interval from 324.5 to 428.8 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -12.2 to 16.3.

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

- Rate : The incidence rate is 359.4 with a 95% confidence interval from 307.4 to 418.5 and 38 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.1 with a 95% confidence interval from -20.5 to 6.2.

**Notes:**

Created by statecancerprofiles.cancer.gov on 08/27/2016 12:56 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.