Interpretation of Incidence Rates Data
Incidence Rate Report for Washington by County
Breast (All Stages^), 2017-2021
All Races (includes Hispanic), Female, All Ages
Sorted by CI*Rank
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
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 137.1 with a 95% confidence interval from 135.6 to 138.7 and 6,205 average annual cases over 2017-2021.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is rising because the trend is 0.4 with a 95% confidence interval from 0.1 to 1.2.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 129.8 with a 95% confidence interval from 129.5 to 130.0 and 258,398 average annual cases over 2017-2021.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is rising because the trend is 0.6 with a 95% confidence interval from 0.4 to 0.8.
Asotin County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 66.9 with a 95% confidence interval from 49.5 to 89.1 and 12 average annual cases over 2017-2021.
- CI*Rank ⋔ : 38 (34, 38)
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.2 to 0.8.
Ferry County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 87.3 with a 95% confidence interval from 54.6 to 137.1 and 6 average annual cases over 2017-2021.
- CI*Rank ⋔ : 37 (6, 38)
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -6.8 to 0.5.
Skamania County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 90.9 with a 95% confidence interval from 63.8 to 127.7 and 8 average annual cases over 2017-2021.
- CI*Rank ⋔ : 36 (12, 38)
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -6.1 to 2.0.
Cowlitz County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 97.2 with a 95% confidence interval from 87.0 to 108.4 and 73 average annual cases over 2017-2021.
- CI*Rank ⋔ : 35 (27, 37)
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.5.
Kittitas County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 97.4 with a 95% confidence interval from 80.3 to 117.4 and 25 average annual cases over 2017-2021.
- CI*Rank ⋔ : 34 (20, 38)
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.1 to 0.4.
Pend Oreille County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 111.6 with a 95% confidence interval from 82.5 to 149.4 and 12 average annual cases over 2017-2021.
- CI*Rank ⋔ : 33 (2, 38)
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -2.7 to 5.0.
Lewis County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 112.3 with a 95% confidence interval from 99.6 to 126.3 and 65 average annual cases over 2017-2021.
- CI*Rank ⋔ : 32 (16, 36)
- Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.
Columbia County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 112.8 with a 95% confidence interval from 59.6 to 198.5 and 4 average annual cases over 2017-2021.
- CI*Rank ⋔ : 31 (1, 38)
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -8.4 to 2.7.
Whitman County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 114.0 with a 95% confidence interval from 92.9 to 138.4 and 22 average annual cases over 2017-2021.
- CI*Rank ⋔ : 30 (5, 37)
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.2 to 0.9.
Grant County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 114.1 with a 95% confidence interval from 101.1 to 128.3 and 59 average annual cases over 2017-2021.
- CI*Rank ⋔ : 29 (14, 35)
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.7 to 2.1.
Franklin County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 114.6 with a 95% confidence interval from 99.9 to 130.9 and 45 average annual cases over 2017-2021.
- CI*Rank ⋔ : 28 (12, 36)
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.7.
Adams County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 115.3 with a 95% confidence interval from 85.2 to 152.3 and 11 average annual cases over 2017-2021.
- CI*Rank ⋔ : 27 (2, 37)
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.8 to 2.9.
Pacific County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 116.1 with a 95% confidence interval from 94.9 to 142.0 and 27 average annual cases over 2017-2021.
- CI*Rank ⋔ : 26 (4, 37)
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.2 to 2.8.
Clark County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 117.8 with a 95% confidence interval from 112.3 to 123.5 and 361 average annual cases over 2017-2021.
- CI*Rank ⋔ : 25 (18, 32)
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.9.
Grays Harbor County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 118.8 with a 95% confidence interval from 105.3 to 133.7 and 66 average annual cases over 2017-2021.
- CI*Rank ⋔ : 24 (10, 34)
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.4.
Jefferson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 119.3 with a 95% confidence interval from 99.5 to 143.0 and 40 average annual cases over 2017-2021.
- CI*Rank ⋔ : 23 (3, 36)
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.4.
Douglas County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 120.0 with a 95% confidence interval from 101.7 to 140.8 and 33 average annual cases over 2017-2021.
- CI*Rank ⋔ : 22 (5, 36)
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.9 to 1.8.
Yakima County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 121.5 with a 95% confidence interval from 113.1 to 130.4 and 162 average annual cases over 2017-2021.
- CI*Rank ⋔ : 21 (14, 32)
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.9.
Klickitat County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 121.7 with a 95% confidence interval from 97.6 to 150.7 and 22 average annual cases over 2017-2021.
- CI*Rank ⋔ : 20 (2, 36)
- Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 0.1 to 12.7.
Mason County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 123.7 with a 95% confidence interval from 108.9 to 140.1 and 62 average annual cases over 2017-2021.
- CI*Rank ⋔ : 19 (6, 34)
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.
Stevens County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 125.5 with a 95% confidence interval from 107.5 to 145.9 and 43 average annual cases over 2017-2021.
- CI*Rank ⋔ : 18 (3, 34)
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.9 to 3.0.
Benton County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 128.9 with a 95% confidence interval from 119.6 to 138.8 and 151 average annual cases over 2017-2021.
- CI*Rank ⋔ : 17 (8, 28)
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.9.
Clallam County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 132.5 with a 95% confidence interval from 119.2 to 147.1 and 98 average annual cases over 2017-2021.
- CI*Rank ⋔ : 16 (3, 29)
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.3.
Island County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 134.0 with a 95% confidence interval from 120.4 to 148.9 and 90 average annual cases over 2017-2021.
- CI*Rank ⋔ : 15 (2, 29)
- Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.1.
Spokane County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 134.1 with a 95% confidence interval from 128.3 to 140.1 and 438 average annual cases over 2017-2021.
- CI*Rank ⋔ : 14 (7, 22)
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.2 to 3.6.
Kitsap County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 136.6 with a 95% confidence interval from 128.5 to 145.0 and 240 average annual cases over 2017-2021.
- CI*Rank ⋔ : 13 (4, 22)
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.3.
Walla Walla County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 138.0 with a 95% confidence interval from 120.3 to 157.5 and 52 average annual cases over 2017-2021.
- CI*Rank ⋔ : 12 (1, 29)
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.2.
Pierce County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 139.4 with a 95% confidence interval from 134.8 to 144.2 and 718 average annual cases over 2017-2021.
- CI*Rank ⋔ : 11 (5, 18)
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.5.
Wahkiakum County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 140.2 with a 95% confidence interval from 84.3 to 226.2 and 5 average annual cases over 2017-2021.
- CI*Rank ⋔ : 10 (1, 38)
- 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).
Okanogan County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 141.7 with a 95% confidence interval from 121.2 to 164.9 and 40 average annual cases over 2017-2021.
- CI*Rank ⋔ : 9 (1, 30)
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.7 to 3.1.
Thurston County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 143.1 with a 95% confidence interval from 135.3 to 151.3 and 273 average annual cases over 2017-2021.
- CI*Rank ⋔ : 8 (2, 17)
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -0.1 to 7.5.
Chelan County6
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 144.8 with a 95% confidence interval from 129.5 to 161.5 and 74 average annual cases over 2017-2021.
- CI*Rank ⋔ : 7 (1, 22)
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from 0.0 to 2.5.
Whatcom County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 145.1 with a 95% confidence interval from 135.7 to 155.0 and 199 average annual cases over 2017-2021.
- CI*Rank ⋔ : 6 (1, 17)
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.
King County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 146.5 with a 95% confidence interval from 143.4 to 149.6 and 1,806 average annual cases over 2017-2021.
- CI*Rank ⋔ : 5 (2, 11)
- Recent Trend : The trend is rising because the trend is 0.5 with a 95% confidence interval from 0.2 to 0.8.
Lincoln County6
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 147.7 with a 95% confidence interval from 108.3 to 198.0 and 12 average annual cases over 2017-2021.
- CI*Rank ⋔ : 4 (1, 36)
- Recent Trend : The trend is rising because the trend is 4.0 with a 95% confidence interval from 0.2 to 8.5.
Snohomish County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 149.5 with a 95% confidence interval from 144.5 to 154.7 and 707 average annual cases over 2017-2021.
- CI*Rank ⋔ : 3 (1, 11)
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.2 to 4.8.
Skagit County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 154.7 with a 95% confidence interval from 142.3 to 167.9 and 134 average annual cases over 2017-2021.
- CI*Rank ⋔ : 2 (1, 13)
- Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.6 to 3.6.
San Juan County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 164.2 with a 95% confidence interval from 133.6 to 201.5 and 29 average annual cases over 2017-2021.
- CI*Rank ⋔ : 1 (1, 24)
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.4 to 2.2.
- 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 ⋔ : *
- 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).
Notes:
Created by statecancerprofiles.cancer.gov on 01/24/2025 5:59 am.
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.
† 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. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
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/Historic Combined Summary Stage (2004+).
⋔ 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.
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 modified by NCI. The US Population Data File is used with SEER November 2023 data.
Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.