Interpretation of Incidence Rates Data
Incidence Rate Report for Washington by County
All Cancer Sites (All Stages^), 2016-2020
All Races (includes Hispanic), Both Sexes, Ages <65
Sorted by Rate
Explanation of Column HeadersObjective - 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.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
- 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
- Rate : The incidence rate is 212.6 with a 95% confidence interval from 211.1 to 214.1 and 16,170 average annual cases over 2016-2020.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.5.
US (SEER+NPCR)1
- Rate : The incidence rate is 225.0 with a 95% confidence interval from 224.8 to 225.3 and 726,500 average annual cases over 2016-2020.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.2 to 0.0.
Whitman County6
- Rate : The incidence rate is 115.3 with a 95% confidence interval from 99.2 to 133.2 and 41 average annual cases over 2016-2020.
- CI*Rank⋔ : 39 (36, 39)
- Recent Trend : The trend is falling
because the trend is -6.6 with a 95% confidence interval from -26.0 to -0.9.
Asotin County6
- Rate : The incidence rate is 141.3 with a 95% confidence interval from 118.9 to 167.0 and 34 average annual cases over 2016-2020.
- CI*Rank⋔ : 38 (30, 39)
- Recent Trend : The trend is stable
because the trend is -2.1 with a 95% confidence interval from -4.8 to 0.4.
Ferry County6
- Rate : The incidence rate is 152.4 with a 95% confidence interval from 115.7 to 199.0 and 15 average annual cases over 2016-2020.
- CI*Rank⋔ : 37 (15, 39)
- Recent Trend : The trend is falling
because the trend is -2.9 with a 95% confidence interval from -5.9 to -0.1.
Lincoln County6
- Rate : The incidence rate is 158.1 with a 95% confidence interval from 124.4 to 198.8 and 19 average annual cases over 2016-2020.
- CI*Rank⋔ : 36 (15, 39)
- Recent Trend : The trend is stable
because the trend is -2.0 with a 95% confidence interval from -4.8 to 0.6.
Kittitas County6
- Rate : The incidence rate is 159.0 with a 95% confidence interval from 141.9 to 177.6 and 72 average annual cases over 2016-2020.
- CI*Rank⋔ : 35 (26, 38)
- Recent Trend : The trend is stable
because the trend is -1.6 with a 95% confidence interval from -3.2 to 0.1.
Garfield County6
- Rate : The incidence rate is 160.9 with a 95% confidence interval from 92.2 to 265.7 and 4 average annual cases over 2016-2020.
- CI*Rank⋔ : 34 (1, 39)
- 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).
Franklin County6
- Rate : The incidence rate is 164.1 with a 95% confidence interval from 151.4 to 177.5 and 127 average annual cases over 2016-2020.
- CI*Rank⋔ : 33 (27, 38)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.4.
Pend Oreille County6
- Rate : The incidence rate is 166.1 with a 95% confidence interval from 134.6 to 203.3 and 26 average annual cases over 2016-2020.
- CI*Rank⋔ : 32 (14, 39)
- Recent Trend : The trend is stable
because the trend is -1.7 with a 95% confidence interval from -4.5 to 0.8.
Adams County6
- Rate : The incidence rate is 176.8 with a 95% confidence interval from 148.1 to 209.3 and 28 average annual cases over 2016-2020.
- CI*Rank⋔ : 31 (11, 38)
- Recent Trend : The trend is stable
because the trend is 1.1 with a 95% confidence interval from -20.9 to 19.2.
Benton County6
- Rate : The incidence rate is 183.5 with a 95% confidence interval from 174.8 to 192.6 and 356 average annual cases over 2016-2020.
- CI*Rank⋔ : 30 (20, 34)
- Recent Trend : The trend is falling
because the trend is -4.6 with a 95% confidence interval from -9.6 to -0.1.
Clark County6
- Rate : The incidence rate is 184.0 with a 95% confidence interval from 178.5 to 189.7 and 897 average annual cases over 2016-2020.
- CI*Rank⋔ : 29 (22, 33)
- Recent Trend : The trend is falling
because the trend is -5.0 with a 95% confidence interval from -7.9 to -3.0.
Walla Walla County6
- Rate : The incidence rate is 186.2 with a 95% confidence interval from 170.2 to 203.4 and 110 average annual cases over 2016-2020.
- CI*Rank⋔ : 28 (16, 35)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -2.1 to 0.5.
Wahkiakum County6
- Rate : The incidence rate is 189.9 with a 95% confidence interval from 128.9 to 272.5 and 8 average annual cases over 2016-2020.
- CI*Rank⋔ : 27 (1, 39)
- Recent Trend : The trend is stable
because the trend is -22.5 with a 95% confidence interval from -47.3 to 5.1.
Spokane County6
- Rate : The incidence rate is 190.2 with a 95% confidence interval from 184.7 to 195.8 and 987 average annual cases over 2016-2020.
- CI*Rank⋔ : 26 (19, 31)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.
Stevens County6
- Rate : The incidence rate is 191.3 with a 95% confidence interval from 172.8 to 211.4 and 98 average annual cases over 2016-2020.
- CI*Rank⋔ : 25 (13, 34)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -2.9 to 1.7.
Grant County6
- Rate : The incidence rate is 192.4 with a 95% confidence interval from 179.2 to 206.3 and 168 average annual cases over 2016-2020.
- CI*Rank⋔ : 24 (15, 33)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.1.
San Juan County7
- Rate : The incidence rate is 193.6 with a 95% confidence interval from 163.6 to 228.5 and 41 average annual cases over 2016-2020.
- CI*Rank⋔ : 23 (2, 36)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.1.
Lewis County6
- Rate : The incidence rate is 196.2 with a 95% confidence interval from 182.1 to 211.1 and 166 average annual cases over 2016-2020.
- CI*Rank⋔ : 22 (14, 32)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.4.
Pacific County6
- Rate : The incidence rate is 196.2 with a 95% confidence interval from 170.4 to 225.4 and 55 average annual cases over 2016-2020.
- CI*Rank⋔ : 21 (3, 35)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -2.6 to 0.9.
Yakima County6
- Rate : The incidence rate is 196.8 with a 95% confidence interval from 188.4 to 205.4 and 441 average annual cases over 2016-2020.
- CI*Rank⋔ : 20 (16, 29)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.6.
Skamania County6
- Rate : The incidence rate is 199.5 with a 95% confidence interval from 165.0 to 240.0 and 29 average annual cases over 2016-2020.
- CI*Rank⋔ : 19 (1, 37)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -1.9 to 2.9.
Cowlitz County6
- Rate : The incidence rate is 201.4 with a 95% confidence interval from 189.3 to 214.1 and 232 average annual cases over 2016-2020.
- CI*Rank⋔ : 18 (13, 29)
- Recent Trend : The trend is falling
because the trend is -7.5 with a 95% confidence interval from -14.8 to -1.0.
Klickitat County6
- Rate : The incidence rate is 205.5 with a 95% confidence interval from 179.2 to 234.9 and 54 average annual cases over 2016-2020.
- CI*Rank⋔ : 17 (1, 33)
- Recent Trend : The trend is stable
because the trend is 1.7 with a 95% confidence interval from 0.0 to 3.7.
Douglas County6
- Rate : The incidence rate is 210.2 with a 95% confidence interval from 190.1 to 231.9 and 87 average annual cases over 2016-2020.
- CI*Rank⋔ : 16 (2, 30)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.8 to 1.5.
King County7
- Rate : The incidence rate is 213.8 with a 95% confidence interval from 211.1 to 216.6 and 4,788 average annual cases over 2016-2020.
- CI*Rank⋔ : 15 (11, 19)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.4.
Columbia County6
- Rate : The incidence rate is 214.6 with a 95% confidence interval from 149.4 to 300.5 and 9 average annual cases over 2016-2020.
- CI*Rank⋔ : 14 (1, 38)
- Recent Trend : The trend is stable
because the trend is 0.8 with a 95% confidence interval from -3.6 to 5.6.
Whatcom County7
- Rate : The incidence rate is 217.8 with a 95% confidence interval from 208.7 to 227.2 and 472 average annual cases over 2016-2020.
- CI*Rank⋔ : 13 (7, 20)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -2.9 to -0.6.
Island County7
- Rate : The incidence rate is 224.1 with a 95% confidence interval from 208.8 to 240.4 and 191 average annual cases over 2016-2020.
- CI*Rank⋔ : 12 (1, 20)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.6.
Grays Harbor County7
- Rate : The incidence rate is 225.9 with a 95% confidence interval from 210.8 to 241.9 and 194 average annual cases over 2016-2020.
- CI*Rank⋔ : 11 (1, 20)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -0.8 to 0.2.
Mason County7
- Rate : The incidence rate is 228.2 with a 95% confidence interval from 211.8 to 245.6 and 175 average annual cases over 2016-2020.
- CI*Rank⋔ : 10 (1, 19)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.3.
Snohomish County7
- Rate : The incidence rate is 228.6 with a 95% confidence interval from 224.0 to 233.3 and 1,978 average annual cases over 2016-2020.
- CI*Rank⋔ : 9 (4, 14)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.0.
Jefferson County7
- Rate : The incidence rate is 230.4 with a 95% confidence interval from 205.0 to 258.5 and 89 average annual cases over 2016-2020.
- CI*Rank⋔ : 8 (1, 23)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.
Thurston County7
- Rate : The incidence rate is 231.8 with a 95% confidence interval from 223.7 to 240.1 and 671 average annual cases over 2016-2020.
- CI*Rank⋔ : 7 (1, 15)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.3 to 0.4.
Clallam County7
- Rate : The incidence rate is 232.4 with a 95% confidence interval from 216.0 to 249.9 and 190 average annual cases over 2016-2020.
- CI*Rank⋔ : 6 (1, 18)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.6.
Chelan County6
- Rate : The incidence rate is 233.5 with a 95% confidence interval from 217.7 to 250.3 and 183 average annual cases over 2016-2020.
- CI*Rank⋔ : 5 (1, 18)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.6.
Pierce County7
- Rate : The incidence rate is 235.1 with a 95% confidence interval from 230.5 to 239.8 and 2,102 average annual cases over 2016-2020.
- CI*Rank⋔ : 4 (1, 11)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.0.
Kitsap County7
- Rate : The incidence rate is 235.8 with a 95% confidence interval from 227.4 to 244.5 and 662 average annual cases over 2016-2020.
- CI*Rank⋔ : 3 (1, 13)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.2 to 0.7.
Skagit County7
- Rate : The incidence rate is 237.5 with a 95% confidence interval from 225.1 to 250.3 and 315 average annual cases over 2016-2020.
- CI*Rank⋔ : 2 (1, 14)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -2.7 to 0.4.
Okanogan County6
- Rate : The incidence rate is 241.9 with a 95% confidence interval from 220.5 to 265.0 and 112 average annual cases over 2016-2020.
- CI*Rank⋔ : 1 (1, 17)
- Recent Trend : The trend is stable
because the trend is 1.3 with a 95% confidence interval from -0.4 to 3.1.
Notes:
Created by statecancerprofiles.cancer.gov on 12/01/2023 2:57 pm.
State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
⋔ 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.
† 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.
‡ 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.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) summary stage.
* 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 2022 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 2022 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 2022 submission).
7 Source: SEER November 2022 submission.
8 Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data 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 modifed by NCI. The US Population Data File is used with SEER November 2022 data.
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.
Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.