## 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**

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

- Rate : The incidence rate is 444.2 with a 95% confidence interval from 438.1 to 450.4 and 4,203 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.3 to 2.4.

#### 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.

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

- Rate : The incidence rate is 599.9 with a 95% confidence interval from 519.9 to 690.0 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -19.1 to 5.2.

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

- Rate : The incidence rate is 583.0 with a 95% confidence interval from 487.9 to 690.7 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 12.1 with a 95% confidence interval from 3.9 to 21.0.

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

- Rate : The incidence rate is 579.3 with a 95% confidence interval from 459.3 to 723.1 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -26.3 to 31.8.

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

- Rate : The incidence rate is 558.1 with a 95% confidence interval from 436.7 to 707.7 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.8 with a 95% confidence interval from -13.3 to 29.0.

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

- Rate : The incidence rate is 539.6 with a 95% confidence interval from 456.6 to 635.0 and 37 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.6 with a 95% confidence interval from -8.1 to 35.5.

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

- Rate : The incidence rate is 532.7 with a 95% confidence interval from 483.2 to 585.9 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -8.0 to 11.7.

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

- Rate : The incidence rate is 517.8 with a 95% confidence interval from 419.2 to 634.6 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -5.4 to 2.8.

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

- Rate : The incidence rate is 513.0 with a 95% confidence interval from 341.3 to 735.1 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.3 with a 95% confidence interval from -46.2 to 46.3.

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

- Rate : The incidence rate is 508.4 with a 95% confidence interval from 493.1 to 524.1 and 871 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.9 to 4.5.

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

- Rate : The incidence rate is 503.0 with a 95% confidence interval from 459.1 to 550.0 and 102 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -12.2 to 1.7.

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

- Rate : The incidence rate is 501.8 with a 95% confidence interval from 396.1 to 631.3 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 26.1 with a 95% confidence interval from 0.4 to 58.4.

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

- Rate : The incidence rate is 496.2 with a 95% confidence interval from 398.3 to 613.2 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -10.6 to 11.8.

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

- Rate : The incidence rate is 493.2 with a 95% confidence interval from 396.6 to 608.4 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.0 with a 95% confidence interval from -33.5 to 30.2.

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

- Rate : The incidence rate is 493.0 with a 95% confidence interval from 369.1 to 645.7 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.9 with a 95% confidence interval from -42.5 to 47.4.

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

- Rate : The incidence rate is 492.3 with a 95% confidence interval from 452.2 to 535.2 and 121 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.3 with a 95% confidence interval from -5.8 to 13.4.

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

- Rate : The incidence rate is 483.0 with a 95% confidence interval from 411.7 to 563.9 and 36 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -18.9 to 29.0.

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

- Rate : The incidence rate is 481.0 with a 95% confidence interval from 379.2 to 605.1 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.8 with a 95% confidence interval from -12.5 to 42.8.

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

- Rate : The incidence rate is 476.6 with a 95% confidence interval from 418.9 to 541.7 and 58 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -18.0 to 10.0.

#### Charles Mix County^{6,10}

- Rate : The incidence rate is 472.6 with a 95% confidence interval from 416.3 to 534.7 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -8.7 to 13.5.

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

- Rate : The incidence rate is 472.4 with a 95% confidence interval from 415.7 to 535.3 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -15.9 to 24.4.

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

- Rate : The incidence rate is 471.6 with a 95% confidence interval from 373.7 to 591.1 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -16.0 to 15.5.

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

- Rate : The incidence rate is 471.1 with a 95% confidence interval from 372.8 to 587.8 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.9 with a 95% confidence interval from -21.9 to 11.0.

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

- Rate : The incidence rate is 465.0 with a 95% confidence interval from 376.9 to 568.0 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.2 with a 95% confidence interval from -22.5 to 6.5.

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

- Rate : The incidence rate is 456.5 with a 95% confidence interval from 380.7 to 544.9 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.3 with a 95% confidence interval from -16.2 to 37.4.

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

- Rate : The incidence rate is 445.8 with a 95% confidence interval from 412.9 to 480.5 and 142 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.9 with a 95% confidence interval from -0.5 to 12.7.

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

- Rate : The incidence rate is 442.0 with a 95% confidence interval from 381.1 to 510.8 and 42 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -21.5 to 32.4.

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

- Rate : The incidence rate is 441.1 with a 95% confidence interval from 372.1 to 520.0 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.4 with a 95% confidence interval from -33.1 to 22.8.

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

- Rate : The incidence rate is 438.9 with a 95% confidence interval from 381.5 to 503.4 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -18.0 to 22.2.

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

- Rate : The incidence rate is 438.6 with a 95% confidence interval from 380.7 to 503.5 and 45 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -9.5 to 16.8.

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

- Rate : The incidence rate is 436.7 with a 95% confidence interval from 303.1 to 612.6 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 22.0 with a 95% confidence interval from -6.7 to 59.4.

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

- Rate : The incidence rate is 435.8 with a 95% confidence interval from 372.7 to 507.8 and 40 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.0 with a 95% confidence interval from -22.0 to 1.4.

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

- Rate : The incidence rate is 434.7 with a 95% confidence interval from 339.1 to 548.8 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -20.0 to 39.6.

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

- Rate : The incidence rate is 433.5 with a 95% confidence interval from 395.0 to 474.8 and 100 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -3.2 to 8.2.

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

- Rate : The incidence rate is 431.4 with a 95% confidence interval from 414.3 to 449.1 and 496 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -11.2 to 4.0.

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

- Rate : The incidence rate is 426.3 with a 95% confidence interval from 376.2 to 481.6 and 56 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -21.6 to 15.4.

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

- Rate : The incidence rate is 424.4 with a 95% confidence interval from 377.5 to 475.8 and 65 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.8 with a 95% confidence interval from -23.8 to 4.4.

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

- Rate : The incidence rate is 423.5 with a 95% confidence interval from 338.1 to 526.7 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -17.6 to 6.9.

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

- Rate : The incidence rate is 422.8 with a 95% confidence interval from 351.4 to 506.0 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.7 with a 95% confidence interval from -26.3 to 18.1.

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

- Rate : The incidence rate is 422.0 with a 95% confidence interval from 341.8 to 516.9 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -20.7 to 28.3.

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

- Rate : The incidence rate is 421.6 with a 95% confidence interval from 386.6 to 458.8 and 112 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.8 with a 95% confidence interval from -2.3 to 10.2.

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

- Rate : The incidence rate is 419.4 with a 95% confidence interval from 353.0 to 495.1 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -16.7 to 15.8.

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

- Rate : The incidence rate is 417.2 with a 95% confidence interval from 365.2 to 474.4 and 49 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -8.6 to 13.7.

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

- Rate : The incidence rate is 414.5 with a 95% confidence interval from 341.2 to 497.7 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -19.5 to 9.3.

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

- Rate : The incidence rate is 410.4 with a 95% confidence interval from 348.4 to 481.4 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.7 with a 95% confidence interval from -11.8 to 21.9.

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

- Rate : The incidence rate is 409.2 with a 95% confidence interval from 375.8 to 445.0 and 116 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -12.1 to 5.5.

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

- Rate : The incidence rate is 407.1 with a 95% confidence interval from 380.5 to 435.2 and 184 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -0.3 to 6.2.

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

- Rate : The incidence rate is 405.9 with a 95% confidence interval from 372.1 to 442.0 and 112 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -5.0 to 2.4.

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

- Rate : The incidence rate is 398.0 with a 95% confidence interval from 329.5 to 477.7 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -35.3 to 39.5.

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

- Rate : The incidence rate is 397.6 with a 95% confidence interval from 336.4 to 467.3 and 32 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.7 with a 95% confidence interval from -23.9 to 14.3.

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

- Rate : The incidence rate is 394.3 with a 95% confidence interval from 297.0 to 518.1 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.0 with a 95% confidence interval from -30.5 to 71.0.

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

- Rate : The incidence rate is 393.8 with a 95% confidence interval from 345.4 to 447.3 and 51 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.9 with a 95% confidence interval from -9.4 to 23.8.

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

- Rate : The incidence rate is 393.8 with a 95% confidence interval from 365.9 to 423.2 and 158 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -13.0 to 7.7.

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

- Rate : The incidence rate is 392.5 with a 95% confidence interval from 333.3 to 458.6 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -7.7 to 6.5.

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

- Rate : The incidence rate is 378.9 with a 95% confidence interval from 347.8 to 412.2 and 119 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -15.5 to 21.3.

#### Bon Homme County^{6,10}

- Rate : The incidence rate is 373.2 with a 95% confidence interval from 319.1 to 434.6 and 36 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.4 with a 95% confidence interval from -39.4 to 26.5.

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

- Rate : The incidence rate is 371.4 with a 95% confidence interval from 287.3 to 472.0 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.9 with a 95% confidence interval from -42.3 to 22.6.

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

- Rate : The incidence rate is 366.4 with a 95% confidence interval from 255.0 to 516.8 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.2 with a 95% confidence interval from -49.7 to 64.0.

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

- Rate : The incidence rate is 364.9 with a 95% confidence interval from 316.9 to 419.4 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -17.3 to 24.4.

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

- Rate : The incidence rate is 364.1 with a 95% confidence interval from 307.5 to 429.7 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -16.7 to 18.0.

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

- Rate : The incidence rate is 364.1 with a 95% confidence interval from 289.5 to 454.5 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.9 with a 95% confidence interval from -29.1 to 19.6.

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

- Rate : The incidence rate is 315.9 with a 95% confidence interval from 204.6 to 479.1 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -36.1 to 39.7.

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

- Rate : The incidence rate is 314.9 with a 95% confidence interval from 237.8 to 414.4 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 12.2 with a 95% confidence interval from -16.9 to 51.4.

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

- Rate : The incidence rate is 303.9 with a 95% confidence interval from 224.3 to 402.9 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.7 with a 95% confidence interval from -32.2 to 12.5.

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

- Rate : The incidence rate is 298.8 with a 95% confidence interval from 201.2 to 439.4 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 12.6 with a 95% confidence interval from -20.3 to 59.0.

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

- Rate : The incidence rate is 274.5 with a 95% confidence interval from 173.0 to 420.5 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.8 with a 95% confidence interval from -24.0 to 61.5.

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

- Rate : The incidence rate is 197.2 with a 95% confidence interval from 119.2 to 305.2 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.0 with a 95% confidence interval from -45.6 to 36.1.

**Notes:**

Created by statecancerprofiles.cancer.gov on 09/27/2016 3:17 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.

^{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.