State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Washington by County

Lung & Bronchus (Late Stage^), 2017-2021

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by CI*Rank

Explanation of Column Headers

Objective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

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.

Percent of Cases with Late Stage - This is the number of late stages cases compared to the number of cases for all stages.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Washington⁵

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 31.4 with a 95% confidence interval from 30.9 to 32.0 and 2,914 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Percent of Cases with Late Stage : 64.6

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 34.3 with a 95% confidence interval from 34.2 to 34.4 and 140,561 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Percent of Cases with Late Stage : 64.9

Mason County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 47.5 with a 95% confidence interval from 41.6 to 54.0 and 52 average annual cases over 2017-2021.
• CI*Rank ⋔ : 1 (1, 6)
• Percent of Cases with Late Stage : 71.5

Grays Harbor County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 44.9 with a 95% confidence interval from 39.6 to 50.8 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : 2 (1, 9)
• Percent of Cases with Late Stage : 74.0

Okanogan County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 43.2 with a 95% confidence interval from 36.3 to 51.2 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : 3 (1, 14)
• Percent of Cases with Late Stage : 68.2

Pierce County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 39.3 with a 95% confidence interval from 37.5 to 41.1 and 398 average annual cases over 2017-2021.
• CI*Rank ⋔ : 4 (2, 10)
• Percent of Cases with Late Stage : 67.0

Skagit County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 38.7 with a 95% confidence interval from 34.8 to 42.9 and 77 average annual cases over 2017-2021.
• CI*Rank ⋔ : 5 (2, 14)
• Percent of Cases with Late Stage : 67.8

Pacific County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 38.1 with a 95% confidence interval from 30.5 to 47.9 and 19 average annual cases over 2017-2021.
• CI*Rank ⋔ : 6 (1, 28)
• Percent of Cases with Late Stage : 62.3

Snohomish County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 38.1 with a 95% confidence interval from 36.2 to 40.0 and 347 average annual cases over 2017-2021.
• CI*Rank ⋔ : 7 (3, 11)
• Percent of Cases with Late Stage : 70.3

Clallam County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 37.7 with a 95% confidence interval from 33.3 to 42.8 and 59 average annual cases over 2017-2021.
• CI*Rank ⋔ : 8 (2, 17)
• Percent of Cases with Late Stage : 68.4

Thurston County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 36.7 with a 95% confidence interval from 34.0 to 39.6 and 144 average annual cases over 2017-2021.
• CI*Rank ⋔ : 9 (3, 15)
• Percent of Cases with Late Stage : 66.5

Kitsap County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 33.6 with a 95% confidence interval from 30.9 to 36.4 and 125 average annual cases over 2017-2021.
• CI*Rank ⋔ : 10 (7, 22)
• Percent of Cases with Late Stage : 67.1

Lewis County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 32.7 with a 95% confidence interval from 28.4 to 37.6 and 43 average annual cases over 2017-2021.
• CI*Rank ⋔ : 11 (5, 29)
• Percent of Cases with Late Stage : 64.4

Cowlitz County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 32.1 with a 95% confidence interval from 28.2 to 36.5 and 52 average annual cases over 2017-2021.
• CI*Rank ⋔ : 12 (6, 29)
• Percent of Cases with Late Stage : 54.0

Ferry County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 32.1 with a 95% confidence interval from 19.2 to 53.0 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 13 (1, 36)
• Percent of Cases with Late Stage : 66.7

Yakima County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 32.0 with a 95% confidence interval from 29.0 to 35.2 and 87 average annual cases over 2017-2021.
• CI*Rank ⋔ : 14 (8, 27)
• Percent of Cases with Late Stage : 69.4

Franklin County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 31.6 with a 95% confidence interval from 26.0 to 38.0 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : 15 (4, 33)
• Percent of Cases with Late Stage : 70.4

Jefferson County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 31.0 with a 95% confidence interval from 25.4 to 38.5 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : 16 (4, 33)
• Percent of Cases with Late Stage : 70.0

Klickitat County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 31.0 with a 95% confidence interval from 23.5 to 40.6 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : 17 (3, 35)
• Percent of Cases with Late Stage : 59.8

Chelan County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 30.5 with a 95% confidence interval from 26.0 to 35.6 and 35 average annual cases over 2017-2021.
• CI*Rank ⋔ : 18 (7, 32)
• Percent of Cases with Late Stage : 64.0

Kittitas County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 30.3 with a 95% confidence interval from 24.1 to 37.6 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : 19 (4, 34)
• Percent of Cases with Late Stage : 69.8

Grant County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 30.2 with a 95% confidence interval from 25.6 to 35.3 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : 20 (7, 33)
• Percent of Cases with Late Stage : 63.2

Whatcom County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 30.0 with a 95% confidence interval from 27.2 to 33.1 and 88 average annual cases over 2017-2021.
• CI*Rank ⋔ : 21 (10, 30)
• Percent of Cases with Late Stage : 63.5

Island County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 29.6 with a 95% confidence interval from 25.7 to 34.0 and 45 average annual cases over 2017-2021.
• CI*Rank ⋔ : 22 (9, 32)
• Percent of Cases with Late Stage : 64.1

Douglas County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 29.2 with a 95% confidence interval from 23.2 to 36.5 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : 23 (6, 34)
• Percent of Cases with Late Stage : 53.5

Benton County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 29.1 with a 95% confidence interval from 26.1 to 32.4 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : 24 (11, 32)
• Percent of Cases with Late Stage : 65.5

Spokane County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 28.3 with a 95% confidence interval from 26.5 to 30.2 and 191 average annual cases over 2017-2021.
• CI*Rank ⋔ : 25 (16, 31)
• Percent of Cases with Late Stage : 60.9

King County⁷

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 27.8 with a 95% confidence interval from 26.9 to 28.8 and 659 average annual cases over 2017-2021.
• CI*Rank ⋔ : 26 (19, 31)
• Percent of Cases with Late Stage : 65.7

Walla Walla County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 26.3 with a 95% confidence interval from 21.6 to 31.9 and 23 average annual cases over 2017-2021.
• CI*Rank ⋔ : 27 (12, 35)
• Percent of Cases with Late Stage : 67.1

Pend Oreille County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 26.3 with a 95% confidence interval from 17.8 to 38.7 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 28 (4, 36)
• Percent of Cases with Late Stage : 55.7

Skamania County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 26.1 with a 95% confidence interval from 16.8 to 40.1 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 29 (3, 36)
• Percent of Cases with Late Stage : 60.5

Lincoln County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 25.9 with a 95% confidence interval from 16.2 to 40.7 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : 30 (3, 36)
• Percent of Cases with Late Stage : 63.2

Clark County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 25.9 with a 95% confidence interval from 24.0 to 27.8 and 155 average annual cases over 2017-2021.
• CI*Rank ⋔ : 31 (21, 34)
• Percent of Cases with Late Stage : 55.1

Stevens County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 25.2 with a 95% confidence interval from 20.3 to 31.1 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : 32 (12, 35)
• Percent of Cases with Late Stage : 55.8

Adams County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 23.5 with a 95% confidence interval from 14.5 to 35.9 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : 33 (5, 36)
• Percent of Cases with Late Stage : 56.4

San Juan County⁷

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 21.7 with a 95% confidence interval from 15.8 to 30.9 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : 34 (15, 36)
• Percent of Cases with Late Stage : 68.1

Asotin County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 18.9 with a 95% confidence interval from 13.0 to 27.3 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : 35 (21, 36)
• Percent of Cases with Late Stage : 46.8

Whitman County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 15.5 with a 95% confidence interval from 10.5 to 22.2 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : 36 (31, 36)
• Percent of Cases with Late Stage : 46.3

Columbia County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• 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).
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Garfield County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• 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).
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Wahkiakum County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• 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).
• CI*Rank ⋔ : *
• Percent of Cases with Late Stage : *

Notes:
Created by statecancerprofiles.cancer.gov on 10/14/2024 1:44 am.

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 US Population Data File is used for SEER and NPCR incidence rates.

Rates are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html.

^ Late Stage is defined as cases determined to be regional or distant. Due to changes in stage coding, Combined Summary Stage (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Φ Rural-Urban Continuum Codes provided by the USDA.
* 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: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2023 submission.
⁵ Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2023 submission.
⁶ Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2023 submission).
⁷ Source: SEER November 2023 submission.

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.