## 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**

#### Wyoming^{6,10}

- Rate : The incidence rate is 409.1 with a 95% confidence interval from 401.9 to 416.5 and 2,551 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -7.0 to 0.9.

#### 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.

#### Hot Springs County^{6,10}

- Rate : The incidence rate is 489.3 with a 95% confidence interval from 416.8 to 572.6 and 38 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -11.5 to 9.4.

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

- Rate : The incidence rate is 460.5 with a 95% confidence interval from 362.9 to 579.5 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -29.6 to 28.4.

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

- Rate : The incidence rate is 441.4 with a 95% confidence interval from 420.9 to 462.5 and 367 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -6.7 to 0.6.

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

- Rate : The incidence rate is 439.1 with a 95% confidence interval from 409.0 to 471.0 and 170 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -10.5 to 1.4.

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

- Rate : The incidence rate is 430.3 with a 95% confidence interval from 376.6 to 490.2 and 49 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.4 with a 95% confidence interval from -21.9 to 5.0.

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

- Rate : The incidence rate is 426.3 with a 95% confidence interval from 408.2 to 444.9 and 437 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -11.7 to 3.4.

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

- Rate : The incidence rate is 419.7 with a 95% confidence interval from 374.4 to 469.0 and 66 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -10.5 to 5.9.

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

- Rate : The incidence rate is 411.0 with a 95% confidence interval from 369.0 to 456.5 and 75 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.1 with a 95% confidence interval from -16.3 to 7.6.

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

- Rate : The incidence rate is 410.0 with a 95% confidence interval from 384.0 to 437.3 and 196 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -3.4 to 4.0.

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

- Rate : The incidence rate is 409.4 with a 95% confidence interval from 380.3 to 440.3 and 161 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -10.1 to 12.0.

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

- Rate : The incidence rate is 409.0 with a 95% confidence interval from 357.8 to 466.2 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -13.0 to 20.0.

#### Big Horn County^{6,10}

- Rate : The incidence rate is 403.4 with a 95% confidence interval from 358.5 to 452.7 and 63 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -14.1 to 9.2.

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

- Rate : The incidence rate is 402.9 with a 95% confidence interval from 369.7 to 438.3 and 117 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -19.1 to 20.8.

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

- Rate : The incidence rate is 402.4 with a 95% confidence interval from 369.6 to 437.1 and 142 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.4 with a 95% confidence interval from -18.4 to 7.5.

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

- Rate : The incidence rate is 395.7 with a 95% confidence interval from 339.2 to 459.5 and 37 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -9.5 to 16.3.

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

- Rate : The incidence rate is 395.2 with a 95% confidence interval from 344.1 to 452.3 and 48 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -10.8 to 9.5.

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

- Rate : The incidence rate is 391.1 with a 95% confidence interval from 362.4 to 421.5 and 155 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -17.8 to 13.0.

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

- Rate : The incidence rate is 377.2 with a 95% confidence interval from 337.6 to 420.0 and 74 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -23.7 to 31.8.

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

- Rate : The incidence rate is 373.7 with a 95% confidence interval from 336.3 to 414.1 and 81 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -10.5 to 5.4.

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

- Rate : The incidence rate is 368.1 with a 95% confidence interval from 330.4 to 409.0 and 75 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -19.1 to 13.6.

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

- Rate : The incidence rate is 357.4 with a 95% confidence interval from 319.4 to 399.1 and 68 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.7 with a 95% confidence interval from -27.0 to 11.6.

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

- Rate : The incidence rate is 321.0 with a 95% confidence interval from 270.7 to 377.9 and 32 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -15.6 to 13.8.

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

- Rate : The incidence rate is 278.9 with a 95% confidence interval from 232.9 to 332.3 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -25.1 to 43.1.

**Notes:**

Created by statecancerprofiles.cancer.gov on 09/30/2016 11:29 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.