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, Female
Sorted by trend
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 -1.1 with a 95% confidence interval from -1.2 to -1.0.
- Rate : The death rate is 126.3 with a 95% confidence interval from 126.1 to 126.6 and 287,034 average annual deaths.
South Dakota
- Recent Trend(2) : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.4.
- Rate : The death rate is 133.2 with a 95% confidence interval from 129.0 to 137.5 and 817 average annual deaths.
Lincoln County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 5.7 with a 95% confidence interval from -2.6 to 20.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 112.8 with a 95% confidence interval from 98.0 to 129.2 and 43 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Faulk County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 3.1 with a 95% confidence interval from -0.6 to 7.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 176.1 with a 95% confidence interval from 94.4 to 310.3 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
Grant County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 2.8 with a 95% confidence interval from -0.5 to 18.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 146.1 with a 95% confidence interval from 105.6 to 200.3 and 10 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
McCook County
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 2.7 with a 95% confidence interval from 0.0 to 5.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 182.2 with a 95% confidence interval from 129.0 to 253.2 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
Minnehaha County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 1.9 with a 95% confidence interval from -0.8 to 7.2.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 161.2 with a 95% confidence interval from 150.4 to 172.6 and 176 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Moody County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 1.4 with a 95% confidence interval from -2.7 to 5.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 132.7 with a 95% confidence interval from 88.1 to 194.2 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Turner 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 -1.4 to 2.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 129.5 with a 95% confidence interval from 93.6 to 176.7 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Clark County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -4.2 to 4.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 88.9 with a 95% confidence interval from 47.6 to 160.8 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Hughes County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.3 to 2.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 142.8 with a 95% confidence interval from 113.9 to 177.4 and 18 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Fall River County
- 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 -2.6 to 2.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 139.8 with a 95% confidence interval from 102.6 to 191.7 and 10 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Bon Homme County
- 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 -2.9 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 121.1 with a 95% confidence interval from 77.5 to 183.8 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Beadle County
- 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 -1.5 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 136.2 with a 95% confidence interval from 108.9 to 168.7 and 19 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Dewey County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.7 to 2.4.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 228.9 with a 95% confidence interval from 148.9 to 335.7 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.8
Meade County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.8 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 136.7 with a 95% confidence interval from 113.1 to 164.0 and 25 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
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 -3.8 to 2.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 102.2 with a 95% confidence interval from 67.9 to 148.5 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Union 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 -2.6 to 2.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 142.7 with a 95% confidence interval from 113.5 to 177.9 and 17 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Aurora 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 -5.2 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 166.0 with a 95% confidence interval from 93.2 to 279.6 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Clay 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 -2.5 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 126.1 with a 95% confidence interval from 91.8 to 169.7 and 10 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Kingsbury 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 -3.1 to 2.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 126.1 with a 95% confidence interval from 79.8 to 193.4 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Marshall 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 -4.9 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 117.4 with a 95% confidence interval from 71.9 to 188.3 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Brown 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 -2.1 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 120.3 with a 95% confidence interval from 101.9 to 141.2 and 34 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Pennington 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 -1.5 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 137.6 with a 95% confidence interval from 125.6 to 150.5 and 108 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 -0.7 with a 95% confidence interval from -4.4 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 116.6 with a 95% confidence interval from 64.9 to 206.4 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Codington 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 -2.3 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 125.1 with a 95% confidence interval from 104.4 to 149.3 and 28 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Edmunds 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 -4.0 to 2.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 94.7 with a 95% confidence interval from 55.4 to 159.9 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Spink 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 -3.9 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 110.7 with a 95% confidence interval from 72.1 to 166.0 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Hand 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 -4.6 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 135.5 with a 95% confidence interval from 80.0 to 225.7 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Day County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.6 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 98.8 with a 95% confidence interval from 66.2 to 149.7 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Hamlin County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.5 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 125.7 with a 95% confidence interval from 76.7 to 194.8 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Hutchinson County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.7 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 125.9 with a 95% confidence interval from 90.3 to 174.2 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Yankton County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.1 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 117.8 with a 95% confidence interval from 96.4 to 143.3 and 24 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Brookings 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 -3.0 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 109.5 with a 95% confidence interval from 88.1 to 134.7 and 19 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Roberts 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 -4.0 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 123.0 with a 95% confidence interval from 88.7 to 167.7 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Lawrence County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.8 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 117.9 with a 95% confidence interval from 97.4 to 142.2 and 27 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 -1.8 with a 95% confidence interval from -5.3 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 106.0 with a 95% confidence interval from 74.2 to 148.6 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Davison County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.0 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 104.1 with a 95% confidence interval from 81.9 to 131.1 and 18 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Custer County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.7 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 112.7 with a 95% confidence interval from 82.3 to 156.5 and 11 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Gregory County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.7 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 110.9 with a 95% confidence interval from 67.1 to 181.4 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Walworth 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 -4.6 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 110.4 with a 95% confidence interval from 69.5 to 171.0 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Tripp 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 -5.9 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 95.9 with a 95% confidence interval from 60.9 to 149.0 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Butte 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 -5.1 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 134.9 with a 95% confidence interval from 100.3 to 179.2 and 11 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 similar compared to the US rate
- Rate : The death rate is 188.3 with a 95% confidence interval from 107.4 to 307.2 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
- 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 122.9 with a 95% confidence interval from 78.2 to 187.8 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
- 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 238.5 with a 95% confidence interval from 130.2 to 419.6 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.9
- 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 185.3 with a 95% confidence interval from 110.4 to 293.9 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
- 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 118.3 with a 95% confidence interval from 66.7 to 216.5 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 higher compared to the US rate
- Rate : The death rate is 185.3 with a 95% confidence interval from 133.5 to 249.6 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
- 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 133.3 with a 95% confidence interval from 64.5 to 252.1 and 3 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 276.4 with a 95% confidence interval from 191.9 to 382.3 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 2.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : *
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- Rate Ratio(3) County to US : *
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- Priority Index(1) : The priority index cannot be determined.
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Rate : *
- Rate Ratio(3) County to US : *
Notes:
Created by statecancerprofiles.cancer.gov on 03/16/2026 4:34 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:
Buffalo County, Campbell County, Corson County, Deuel County, Douglas County, Haakon County, Hanson County, Harding County, Hyde County, Jackson County, Jones County, Mellette County, Miner County, Sanborn County, Stanley County, Sully County, Ziebach County
Trend for the following could not be reliably determined due to small number of deaths per year:
Bennett County, Brule County, Jerauld County, Lyman County, McPherson County, Oglala Lakota County, Potter County, Todd 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.


