## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

Breast, 2009-2013

All Races (includes Hispanic), Female, 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**

#### Pennsylvania^{6,10}

- Rate : The incidence rate is 129.0 with a 95% confidence interval from 127.9 to 130.1 and 10,627 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 1.8.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 123.3 with a 95% confidence interval from 123.1 to 123.5 and 224,504 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.5 to 1.2.

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

- Rate : The incidence rate is 160.4 with a 95% confidence interval from 104.2 to 240.2 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.2 with a 95% confidence interval from -2.9 to 27.3.

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

- Rate : The incidence rate is 146.8 with a 95% confidence interval from 122.2 to 175.2 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.1 with a 95% confidence interval from -18.9 to 11.0.

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

- Rate : The incidence rate is 144.2 with a 95% confidence interval from 132.2 to 157.2 and 113 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -12.8 to 11.1.

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

- Rate : The incidence rate is 143.1 with a 95% confidence interval from 131.1 to 156.0 and 117 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -4.7 to 3.7.

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

- Rate : The incidence rate is 140.9 with a 95% confidence interval from 98.5 to 201.3 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 24.6 with a 95% confidence interval from 12.6 to 37.8.

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

- Rate : The incidence rate is 139.6 with a 95% confidence interval from 118.7 to 163.4 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -23.8 to 26.9.

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

- Rate : The incidence rate is 139.5 with a 95% confidence interval from 129.9 to 149.7 and 173 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -11.5 to 18.8.

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

- Rate : The incidence rate is 139.1 with a 95% confidence interval from 133.5 to 145.0 and 489 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -7.3 to 5.1.

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

- Rate : The incidence rate is 138.1 with a 95% confidence interval from 132.9 to 143.4 and 569 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.

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

- Rate : The incidence rate is 138.1 with a 95% confidence interval from 133.5 to 142.8 and 718 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -4.1 to 7.2.

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

- Rate : The incidence rate is 137.9 with a 95% confidence interval from 128.4 to 148.0 and 165 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -11.3 to 12.6.

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

- Rate : The incidence rate is 137.1 with a 95% confidence interval from 129.6 to 145.0 and 264 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -5.3 to 9.0.

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

- Rate : The incidence rate is 135.6 with a 95% confidence interval from 131.9 to 139.3 and 1,149 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -3.3 to 3.8.

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

- Rate : The incidence rate is 134.8 with a 95% confidence interval from 113.5 to 159.5 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.6 with a 95% confidence interval from -15.1 to 39.0.

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

- Rate : The incidence rate is 134.0 with a 95% confidence interval from 128.1 to 140.1 and 400 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -2.4 to 5.1.

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

- Rate : The incidence rate is 133.2 with a 95% confidence interval from 120.4 to 147.1 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -6.3 to 6.3.

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

- Rate : The incidence rate is 132.4 with a 95% confidence interval from 120.6 to 145.2 and 96 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -14.2 to 26.0.

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

- Rate : The incidence rate is 132.0 with a 95% confidence interval from 114.6 to 151.6 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 -13.2 to 8.8.

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

- Rate : The incidence rate is 132.0 with a 95% confidence interval from 123.8 to 140.7 and 205 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -4.4 to 4.9.

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

- Rate : The incidence rate is 131.0 with a 95% confidence interval from 123.3 to 139.1 and 228 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -5.9 to 5.5.

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

- Rate : The incidence rate is 130.9 with a 95% confidence interval from 124.7 to 137.3 and 353 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.8 to 3.4.

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

- Rate : The incidence rate is 130.8 with a 95% confidence interval from 124.5 to 137.4 and 357 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -6.0 to 7.4.

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

- Rate : The incidence rate is 130.6 with a 95% confidence interval from 115.3 to 147.6 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -9.4 to 18.5.

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

- Rate : The incidence rate is 129.7 with a 95% confidence interval from 115.3 to 145.6 and 65 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -4.4 to 16.8.

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

- Rate : The incidence rate is 129.5 with a 95% confidence interval from 111.2 to 150.2 and 40 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.8 with a 95% confidence interval from -6.4 to 24.1.

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

- Rate : The incidence rate is 128.8 with a 95% confidence interval from 120.4 to 137.7 and 191 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -8.3 to 16.5.

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

- Rate : The incidence rate is 126.8 with a 95% confidence interval from 120.6 to 133.4 and 322 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.7 to 3.5.

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

- Rate : The incidence rate is 126.7 with a 95% confidence interval from 120.0 to 133.7 and 279 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -10.4 to 12.8.

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

- Rate : The incidence rate is 126.4 with a 95% confidence interval from 109.3 to 145.7 and 43 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -12.1 to 16.4.

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

- Rate : The incidence rate is 126.3 with a 95% confidence interval from 122.9 to 129.8 and 1,094 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.3 to -0.4.

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

- Rate : The incidence rate is 125.9 with a 95% confidence interval from 117.5 to 134.7 and 187 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -3.9 to 3.9.

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

- Rate : The incidence rate is 125.5 with a 95% confidence interval from 111.1 to 141.5 and 59 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -20.3 to 21.6.

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

- Rate : The incidence rate is 124.7 with a 95% confidence interval from 109.7 to 141.4 and 54 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -4.8 to 4.9.

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

- Rate : The incidence rate is 123.8 with a 95% confidence interval from 116.2 to 131.7 and 211 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -6.6 to 2.1.

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

- Rate : The incidence rate is 123.0 with a 95% confidence interval from 111.2 to 135.9 and 84 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -15.2 to 14.5.

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

- Rate : The incidence rate is 122.5 with a 95% confidence interval from 117.0 to 128.2 and 392 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -0.4 to 5.4.

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

- Rate : The incidence rate is 122.3 with a 95% confidence interval from 106.2 to 140.2 and 47 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -18.1 to 13.9.

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

- Rate : The incidence rate is 122.0 with a 95% confidence interval from 115.3 to 129.0 and 276 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -9.2 to 8.9.

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

- Rate : The incidence rate is 121.6 with a 95% confidence interval from 111.4 to 132.6 and 112 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.1 with a 95% confidence interval from -3.1 to 14.0.

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

- Rate : The incidence rate is 121.0 with a 95% confidence interval from 103.1 to 141.5 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 13.9 with a 95% confidence interval from -11.2 to 46.0.

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

- Rate : The incidence rate is 120.6 with a 95% confidence interval from 101.7 to 142.3 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -10.1 to 19.5.

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

- Rate : The incidence rate is 120.4 with a 95% confidence interval from 107.8 to 134.2 and 71 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.8 with a 95% confidence interval from -6.8 to 20.0.

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

- Rate : The incidence rate is 119.4 with a 95% confidence interval from 94.7 to 149.4 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -9.5 to 15.5.

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

- Rate : The incidence rate is 118.8 with a 95% confidence interval from 109.1 to 129.1 and 123 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -20.2 to 13.2.

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

- Rate : The incidence rate is 118.1 with a 95% confidence interval from 108.2 to 128.7 and 120 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -16.4 to 8.0.

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

- Rate : The incidence rate is 118.0 with a 95% confidence interval from 108.2 to 128.5 and 118 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -8.5 to 12.2.

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

- Rate : The incidence rate is 117.4 with a 95% confidence interval from 108.1 to 127.5 and 121 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -9.7 to 6.8.

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

- Rate : The incidence rate is 117.4 with a 95% confidence interval from 88.5 to 153.6 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.6 with a 95% confidence interval from -13.4 to 41.2.

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

- Rate : The incidence rate is 117.3 with a 95% confidence interval from 107.0 to 128.5 and 105 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -16.9 to 14.8.

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

- Rate : The incidence rate is 117.1 with a 95% confidence interval from 105.2 to 130.1 and 79 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -6.2 to 16.7.

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

- Rate : The incidence rate is 116.6 with a 95% confidence interval from 99.4 to 136.2 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -19.8 to 25.2.

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

- Rate : The incidence rate is 114.6 with a 95% confidence interval from 96.3 to 135.6 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -33.0 to 35.2.

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

- Rate : The incidence rate is 113.7 with a 95% confidence interval from 95.7 to 134.3 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 13.5 with a 95% confidence interval from -15.4 to 52.2.

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

- Rate : The incidence rate is 113.2 with a 95% confidence interval from 94.4 to 134.8 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -27.4 to 50.7.

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

- Rate : The incidence rate is 113.1 with a 95% confidence interval from 66.7 to 186.1 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 12.2 with a 95% confidence interval from -19.0 to 55.6.

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

- Rate : The incidence rate is 112.7 with a 95% confidence interval from 95.8 to 131.9 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -26.5 to 35.0.

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

- Rate : The incidence rate is 112.5 with a 95% confidence interval from 95.7 to 131.6 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.1 with a 95% confidence interval from -25.5 to 1.4.

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

- Rate : The incidence rate is 112.5 with a 95% confidence interval from 94.0 to 133.8 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -26.5 to 31.1.

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

- Rate : The incidence rate is 111.0 with a 95% confidence interval from 98.3 to 125.0 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -9.2 to 5.6.

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

- Rate : The incidence rate is 110.3 with a 95% confidence interval from 95.5 to 127.0 and 43 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -21.6 to 20.6.

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

- Rate : The incidence rate is 108.1 with a 95% confidence interval from 92.5 to 125.8 and 39 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -17.0 to 26.5.

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

- Rate : The incidence rate is 106.4 with a 95% confidence interval from 97.2 to 116.3 and 104 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -15.9 to 6.5.

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

- Rate : The incidence rate is 105.3 with a 95% confidence interval from 93.1 to 118.9 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.8 with a 95% confidence interval from -8.4 to 17.6.

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

- Rate : The incidence rate is 104.1 with a 95% confidence interval from 91.9 to 117.6 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 -11.0 to 9.7.

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

- Rate : The incidence rate is 104.0 with a 95% confidence interval from 82.4 to 130.0 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -17.3 to 26.6.

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

- Rate : The incidence rate is 102.1 with a 95% confidence interval from 86.0 to 120.7 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.4 with a 95% confidence interval from -10.9 to 32.0.

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

- Rate : The incidence rate is 99.5 with a 95% confidence interval from 75.1 to 130.2 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 22.6 with a 95% confidence interval from -0.7 to 51.5.

**Notes:**

Created by statecancerprofiles.cancer.gov on 10/24/2016 4:06 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.