Interpretation of Rate/Trend Comparison by Cancer Data
Death Rate/Trend Comparison by Cancer, 2019-2023
South Dakota Counties versus United States
All Cancer Sites
All Races, Male
Sorted by rateratio
Explanation of Column HeadersState/County - 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
United States
- Recent Trend(2) : The trend is falling because the trend is -1.8 with a 95% confidence interval from -1.8 to -1.7.
- Rate : The death rate is 171.5 with a 95% confidence interval from 171.3 to 171.8 and 318,737 average annual deaths.
South Dakota
- Recent Trend(2) : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.6 to -1.1.
- Rate : The death rate is 176.8 with a 95% confidence interval from 171.5 to 182.2 and 916 average annual deaths.
Lincoln County
- 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 -4.6 to -2.0.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 120.5 with a 95% confidence interval from 103.8 to 139.1 and 40 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Yankton County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.3 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 131.6 with a 95% confidence interval from 107.1 to 160.5 and 21 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Spink County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.7 to 0.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 134.7 with a 95% confidence interval from 91.3 to 194.9 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Moody County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -2.4 with a 95% confidence interval from -5.5 to 0.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 135.9 with a 95% confidence interval from 89.7 to 199.3 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Lawrence County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.4 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 140.8 with a 95% confidence interval from 117.1 to 168.5 and 27 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Brule County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.7 to 0.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 142.9 with a 95% confidence interval from 88.6 to 219.9 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Davison County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.6 to -0.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 143.1 with a 95% confidence interval from 114.6 to 176.8 and 18 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Edmunds County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.3 with a 95% confidence interval from -3.8 to 4.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 149.8 with a 95% confidence interval from 95.9 to 229.0 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Marshall County
- 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 -3.8 to 0.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 152.6 with a 95% confidence interval from 98.2 to 230.2 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Lake County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.2 to 0.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 155.3 with a 95% confidence interval from 114.3 to 207.0 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Brown County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 157.0 with a 95% confidence interval from 134.0 to 182.9 and 35 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Potter County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.8 to 2.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 157.3 with a 95% confidence interval from 90.0 to 271.0 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Walworth County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.3 to 0.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 157.7 with a 95% confidence interval from 109.5 to 224.2 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Charles Mix County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.3 to 1.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 158.8 with a 95% confidence interval from 113.5 to 216.8 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Custer County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.8 to 0.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 159.7 with a 95% confidence interval from 122.2 to 209.7 and 14 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Roberts County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -4.6 to -0.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 164.5 with a 95% confidence interval from 123.5 to 215.8 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Codington County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.0 to -0.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 168.9 with a 95% confidence interval from 142.9 to 198.6 and 31 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Meade County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.1 to -1.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 171.4 with a 95% confidence interval from 143.3 to 203.7 and 29 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Union County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.1 with a 95% confidence interval from -4.6 to -1.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 171.8 with a 95% confidence interval from 136.4 to 214.0 and 18 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Brookings County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 173.2 with a 95% confidence interval from 145.0 to 205.3 and 28 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Kingsbury County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.3 to -0.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 173.4 with a 95% confidence interval from 120.0 to 246.1 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Bon Homme County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.2 to 1.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 173.7 with a 95% confidence interval from 126.5 to 234.5 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Tripp County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.2 with a 95% confidence interval from -6.5 to -0.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 174.5 with a 95% confidence interval from 120.5 to 247.2 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Day County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.7 to 1.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 176.4 with a 95% confidence interval from 123.8 to 247.8 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Deuel County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.5 to 1.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 176.5 with a 95% confidence interval from 118.0 to 258.4 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Gregory County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.3 to 1.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 180.2 with a 95% confidence interval from 117.3 to 269.3 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Pennington County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 181.2 with a 95% confidence interval from 166.3 to 197.1 and 121 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Perkins County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.3 with a 95% confidence interval from -4.5 to 4.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 186.0 with a 95% confidence interval from 114.4 to 295.6 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Turner County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 14.4 with a 95% confidence interval from -1.4 to 27.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 187.7 with a 95% confidence interval from 141.0 to 246.4 and 11 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Hand County
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 30.1 with a 95% confidence interval from 5.0 to 53.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 192.3 with a 95% confidence interval from 118.3 to 301.0 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Beadle County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.2 to 0.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 193.2 with a 95% confidence interval from 157.7 to 234.5 and 22 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Hughes County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.4 to 2.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 199.4 with a 95% confidence interval from 162.5 to 242.6 and 22 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Clay County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.2 to 1.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 199.6 with a 95% confidence interval from 149.7 to 260.5 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Grant County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.6 to 1.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 206.8 with a 95% confidence interval from 157.1 to 269.4 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Butte County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.0 to 2.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 210.5 with a 95% confidence interval from 163.7 to 267.6 and 15 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Minnehaha County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 211.1 with a 95% confidence interval from 196.6 to 226.4 and 181 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Hutchinson County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.0 to 3.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 223.6 with a 95% confidence interval from 169.5 to 291.3 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Corson County
- 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 -1.5 to 6.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 232.7 with a 95% confidence interval from 113.2 to 412.0 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
McCook County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.4 with a 95% confidence interval from -2.4 to 3.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 234.3 with a 95% confidence interval from 161.5 to 328.9 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
Hamlin County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.6 to 3.1.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 256.7 with a 95% confidence interval from 182.9 to 350.1 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
Fall River County
- 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 -2.2 to 1.6.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 264.2 with a 95% confidence interval from 206.6 to 336.8 and 17 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
Todd County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.5 to 4.3.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 273.3 with a 95% confidence interval from 183.2 to 388.5 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.6
Dewey County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.6 to 1.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 293.2 with a 95% confidence interval from 177.1 to 451.1 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.7
Jackson County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.4 to 4.6.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 326.4 with a 95% confidence interval from 201.3 to 499.7 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.9
Hanson County
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 5.2 with a 95% confidence interval from 1.1 to 9.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 492.7 with a 95% confidence interval from 199.2 to 939.2 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 2.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 161.4 with a 95% confidence interval from 93.3 to 266.7 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 202.3 with a 95% confidence interval from 126.0 to 309.4 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 127.7 with a 95% confidence interval from 70.8 to 222.7 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 222.3 with a 95% confidence interval from 139.4 to 351.1 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 201.9 with a 95% confidence interval from 126.2 to 308.0 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 192.9 with a 95% confidence interval from 110.5 to 322.1 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 284.9 with a 95% confidence interval from 202.5 to 387.1 and 10 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.7
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 184.6 with a 95% confidence interval from 112.0 to 293.3 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : *
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Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 4:54 am.
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 > 1.10Similar
when unable to conclude above or below with confidence.Below
when 95% confident the rate is below and Rate Ratio3 < 0.90* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
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. 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 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 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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Bennett County, Buffalo County, Campbell County, Haakon County, Harding County, Hyde County, Jerauld County, Jones County, McPherson County, Mellette County, Sanborn County, Sully County, Ziebach County
Trend for the following could not be reliably determined due to small number of deaths per year:
Aurora County, Clark County, Douglas County, Faulk County, Lyman County, Miner County, Oglala Lakota County, Stanley County
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 do not include Puerto Rico.


