Interpretation of Rate/Trend Comparison by Cancer Data
Death Rate/Trend Comparison by Cancer, 2016-2020
Washington Counties versus United States
All Cancer Sites
All Races, Female
Sorted by count
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 -1.9 with a 95% confidence interval from -2.2 to -1.7.
- Rate : The death rate is 128.7 with a 95% confidence interval from 128.5 to 129.0 and 283,896 average annual deaths.
Washington
- Recent Trend(2) : The trend is falling because the trend is -1.7 with a 95% confidence interval from -1.8 to -1.6.
- Rate : The death rate is 127.5 with a 95% confidence interval from 126.0 to 129.0 and 6,051 average annual deaths.
Wahkiakum County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.8 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 97.4 with a 95% confidence interval from 57.1 to 166.6 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Columbia 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 -2.3 to 0.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 146.8 with a 95% confidence interval from 99.9 to 218.9 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Skamania County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -8.5 with a 95% confidence interval from -13.3 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 92.2 with a 95% confidence interval from 65.2 to 128.6 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Adams 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 -3.2 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 103.0 with a 95% confidence interval from 74.7 to 138.2 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Ferry County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.7 to 1.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 158.7 with a 95% confidence interval from 115.2 to 216.9 and 10 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Lincoln 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 -2.2 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 132.0 with a 95% confidence interval from 98.0 to 176.2 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Pend Oreille County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -1.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 125.3 with a 95% confidence interval from 97.5 to 160.9 and 15 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
San Juan County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 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 120.4 with a 95% confidence interval from 95.7 to 151.9 and 21 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Whitman 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 -2.1 to 0.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 111.1 with a 95% confidence interval from 91.8 to 133.4 and 24 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Asotin 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 -1.9 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 122.1 with a 95% confidence interval from 100.7 to 147.7 and 25 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Klickitat County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 147.2 with a 95% confidence interval from 121.5 to 177.6 and 26 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Pacific 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 -1.8 to 0.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 144.4 with a 95% confidence interval from 121.0 to 172.5 and 33 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Douglas County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 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 122.8 with a 95% confidence interval from 104.7 to 143.3 and 35 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Kittitas 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 -1.9 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 120.7 with a 95% confidence interval from 103.2 to 140.6 and 35 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Franklin 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 -2.0 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 127.6 with a 95% confidence interval from 111.4 to 145.4 and 47 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Stevens County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 126.2 with a 95% confidence interval from 109.5 to 145.0 and 47 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Jefferson County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 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 134.4 with a 95% confidence interval from 115.0 to 157.3 and 49 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Okanogan 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 -0.8 to 0.3.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 155.7 with a 95% confidence interval from 136.2 to 177.5 and 51 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Walla Walla County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 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 125.0 with a 95% confidence interval from 109.7 to 141.9 and 55 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Grant County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 132.0 with a 95% confidence interval from 118.2 to 146.9 and 69 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Chelan 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 -1.6 to -0.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 128.3 with a 95% confidence interval from 114.9 to 142.9 and 72 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Mason County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.1 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 133.5 with a 95% confidence interval from 119.5 to 149.1 and 72 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Grays Harbor 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 -1.1 to -0.4.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 161.0 with a 95% confidence interval from 146.3 to 177.0 and 96 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Lewis 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 149.5 with a 95% confidence interval from 136.1 to 164.1 and 96 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Island County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 2.5 with a 95% confidence interval from -0.2 to 5.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 135.0 with a 95% confidence interval from 122.4 to 148.8 and 97 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Clallam County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 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 136.9 with a 95% confidence interval from 124.6 to 150.4 and 111 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Cowlitz County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.6.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 156.3 with a 95% confidence interval from 143.9 to 169.7 and 125 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Skagit County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 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 133.1 with a 95% confidence interval from 122.8 to 144.2 and 133 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Benton County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.8 to -1.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 123.4 with a 95% confidence interval from 114.6 to 132.8 and 151 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Whatcom 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 -1.7 to -0.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 124.4 with a 95% confidence interval from 116.3 to 132.9 and 187 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Yakima County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.3.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 141.8 with a 95% confidence interval from 133.0 to 151.0 and 202 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Kitsap 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 -1.8 to -1.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 123.2 with a 95% confidence interval from 115.9 to 130.9 and 228 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Thurston County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 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 131.2 with a 95% confidence interval from 123.9 to 138.8 and 259 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Clark County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.4.
- 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 128.7 to 140.8 and 403 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Spokane County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.6.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 142.5 with a 95% confidence interval from 136.8 to 148.5 and 487 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Snohomish County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 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 132.2 with a 95% confidence interval from 127.5 to 137.1 and 624 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Pierce 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 -2.2 to -1.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 133.0 with a 95% confidence interval from 128.6 to 137.6 and 697 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
King County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.1 to -2.3.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 111.3 with a 95% confidence interval from 108.7 to 114.0 and 1,424 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 131.2 with a 95% confidence interval from 74.1 to 235.8 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Notes:
Created by statecancerprofiles.cancer.gov on 06/01/2024 1:26 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 > 1.10
Similar when unable to conclude above or below with confidence.
Below when 95% confident the rate is below and Rate Ratio3 < 0.90
** 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 Version 4.8.0.0. 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 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).
Trend for the following could not be reliably determined due to small number of deaths per year:
Garfield 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 does not include Puerto Rico.