  Mortality > Table > Interpret

## Interpretation of Rate/Trend Comparison by State/County Data

### Death Rate/Trend Comparison by State/County, 2012-2016Puerto Rico 8 versus United StatesAll Races, Both Sexes

Explanation of Column Headers

Cancer Site and Sex - The site and sex combination for this comparison.

Priority Index 1 - The priority index is based upon the direction of the trend and the rate comparison. An index of 1 is the highest priority - that trend is rising and the rate is already higher. An index of 9 is the lowest priority - the trend is falling and the rate is already lower.

Recent Trends - This is an interpretation of the AAPC:

• 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.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

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

#### Prostate (Male)

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is falling because the trend is -3.8 with a 95% confidence interval from -7.4 to -0.1.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 25.9 with a 95% confidence interval from 24.9 to 26.9 and 491 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.3

#### Breast (Female)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.6 to 3.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 17.8 with a 95% confidence interval from 17.1 to 18.6 and 434 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

#### Colon & Rectum (Male)

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stable because the trend is -2.9 with a 95% confidence interval from -9.5 to 4.1.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 19.5 with a 95% confidence interval from 18.6 to 20.4 and 387 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

#### Lung & Bronchus (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -5.9 with a 95% confidence interval from -12.8 to 1.5.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 18.7 with a 95% confidence interval from 17.8 to 19.6 and 376 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.4

#### Colon & Rectum (Female)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -2.2 with a 95% confidence interval from -7.1 to 3.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 12.1 with a 95% confidence interval from 11.5 to 12.7 and 314 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

#### Lung & Bronchus (Female)

• Priority Index(1) : The priority index is 9.
• Recent Trend(2) : The trend is falling because the trend is -7.2 with a 95% confidence interval from -9.3 to -5.0.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 8.7 with a 95% confidence interval from 8.2 to 9.2 and 226 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.3

#### Liver & Bile Duct (Male)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is 0.0 with a 95% confidence interval from -7.9 to 8.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 10.2 with a 95% confidence interval from 9.6 to 10.9 and 211 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

#### Pancreas (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -1.8 with a 95% confidence interval from -6.3 to 3.0.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 7.9 with a 95% confidence interval from 7.3 to 8.4 and 160 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Pancreas (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -5.9 with a 95% confidence interval from -15.3 to 4.5.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 5.5 with a 95% confidence interval from 5.1 to 5.9 and 143 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Stomach (Male)

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stable because the trend is -7.7 with a 95% confidence interval from -19.2 to 5.4.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 6.3 with a 95% confidence interval from 5.8 to 6.8 and 123 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.5

#### Uterus (Corpus & Uterus, NOS) (Female)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is 5.8 with a 95% confidence interval from -6.3 to 19.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 4.8 with a 95% confidence interval from 4.4 to 5.2 and 117 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

#### Liver & Bile Duct (Female)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is 1.5 with a 95% confidence interval from -2.7 to 5.9.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 4.3 with a 95% confidence interval from 3.9 to 4.7 and 113 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

#### Ovary (Female)

• Priority Index(1) : The priority index is 9.
• Recent Trend(2) : The trend is falling because the trend is -3.4 with a 95% confidence interval from -6.6 to -0.1.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 4.2 with a 95% confidence interval from 3.8 to 4.6 and 104 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Oral Cavity & Pharynx (Male)

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -14.1 to 17.0.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 5.0 with a 95% confidence interval from 4.5 to 5.4 and 101 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.3

#### Leukemia (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.7 to 3.3.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 5.3 with a 95% confidence interval from 4.8 to 5.8 and 100 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Esophagus (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -4.6 with a 95% confidence interval from -11.4 to 2.7.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 4.4 with a 95% confidence interval from 4.0 to 4.9 and 91 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Non-Hodgkin Lymphoma (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -1.7 with a 95% confidence interval from -9.0 to 6.2.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 4.7 with a 95% confidence interval from 4.3 to 5.1 and 90 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Stomach (Female)

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stable because the trend is -5.3 with a 95% confidence interval from -10.9 to 0.5.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 3.5 with a 95% confidence interval from 3.1 to 3.8 and 89 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.5

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -3.6 with a 95% confidence interval from -12.2 to 5.9.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 4.2 with a 95% confidence interval from 3.8 to 4.7 and 82 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Leukemia (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is 6.1 with a 95% confidence interval from -0.9 to 13.5.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 3.3 with a 95% confidence interval from 2.9 to 3.6 and 80 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.7

#### Non-Hodgkin Lymphoma (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -3.0 with a 95% confidence interval from -11.0 to 5.7.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 2.5 with a 95% confidence interval from 2.2 to 2.8 and 63 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Brain & ONS (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -1.7 with a 95% confidence interval from -13.4 to 11.6.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 2.9 with a 95% confidence interval from 2.6 to 3.3 and 57 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.5

#### Kidney & Renal Pelvis (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is 10.3 with a 95% confidence interval from -13.2 to 40.1.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 2.7 with a 95% confidence interval from 2.4 to 3.0 and 54 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.5

#### Brain & ONS (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is 4.0 with a 95% confidence interval from -19.4 to 34.1.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 2.2 with a 95% confidence interval from 1.9 to 2.4 and 51 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Cervix (Female)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -1.5 with a 95% confidence interval from -12.6 to 11.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 2.4 with a 95% confidence interval from 2.1 to 2.7 and 51 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

• Priority Index(1) : The priority index is 9.
• Recent Trend(2) : The trend is falling because the trend is -5.0 with a 95% confidence interval from -9.6 to -0.3.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 1.3 with a 95% confidence interval from 1.2 to 1.6 and 36 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Kidney & Renal Pelvis (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is 3.5 with a 95% confidence interval from -20.2 to 34.3.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 1.2 with a 95% confidence interval from 1.0 to 1.4 and 30 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.5

#### Oral Cavity & Pharynx (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -12.3 with a 95% confidence interval from -30.4 to 10.5.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 0.9 with a 95% confidence interval from 0.8 to 1.1 and 24 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.7

#### Esophagus (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -8.8 with a 95% confidence interval from -17.7 to 1.0.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 0.8 with a 95% confidence interval from 0.7 to 1.0 and 21 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.6

#### Melanoma of the Skin (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is 3.3 with a 95% confidence interval from -35.1 to 64.5.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 0.6 with a 95% confidence interval from 0.4 to 0.8 and 12 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.2

#### Childhood (Ages <20, All Sites) (Male)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -10.3 with a 95% confidence interval from -25.4 to 8.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 2.0 with a 95% confidence interval from 1.5 to 2.7 and 9 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.8

#### Thyroid (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -18.4 to 19.8.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 0.3 with a 95% confidence interval from 0.2 to 0.5 and 9 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.7

#### Thyroid (Male)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is 14.2 with a 95% confidence interval from -4.5 to 36.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 0.4 with a 95% confidence interval from 0.3 to 0.6 and 8 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.8

#### Childhood (Ages <20, All Sites) (Female)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -3.3 with a 95% confidence interval from -29.2 to 32.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 1.9 with a 95% confidence interval from 1.4 to 2.6 and 8 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

#### Melanoma of the Skin (Female)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is 17.8 with a 95% confidence interval from -36.7 to 119.3.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 0.3 with a 95% confidence interval from 0.2 to 0.4 and 7 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.2

#### Childhood (Ages <15, All Sites) (Female)

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is 9.1 with a 95% confidence interval from -18.9 to 46.9.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 1.8 with a 95% confidence interval from 1.2 to 2.7 and 5 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

#### Childhood (Ages <15, All Sites) (Male)

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -10.2 with a 95% confidence interval from -23.5 to 5.6.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 1.6 with a 95% confidence interval from 1.1 to 2.4 and 5 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.7

Notes:
Created by statecancerprofiles.cancer.gov on 09/17/2019 12:18 am.

Trend2
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.
Rate Comparison
Above when 95% confident the rate is above and Rate Ratio3 > 1.10
Similar when unable to conclude above or below with confidence.
Below when 95% confident the rate is below and Rate Ratio3 < 0.90

1 Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
2 Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint Version 4.7.0.0. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
3 Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2016 US Population Data File is used with mortality data.
Note: 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. Suppression is used to avoid misinterpretation when rates are unstable.

State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).
8 Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected geographic areas.

Interpret Rankings provides insight into interpreting cancer 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 United States does not include Puerto Rico.