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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Missouri Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by count

Counties
 sort alphabetically by name ascending
Priority Index1
1=highest
9=lowest

 sort by priority index descending
Recent Trend2
County Death
Rate
Compared
to
US Rate
Average Annual Count
 sort by count ascending
Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
Rate
Ratio3
County
to
US
 sort by rate descending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
United States - falling - 605,771 145.4 (145.2, 145.6) - -1.3 (-1.5, -1.2)
Missouri - falling - 13,027 162.2 (160.9, 163.4) - -1.2 (-1.2, -1.1)
St. Louis County 8 falling similar 2,047 149.1 (146.2, 152.1) 1.0 -1.3 (-1.5, -1.1)
Jackson County 8 falling similar 1,341 157.7 (153.9, 161.6) 1.1 -1.7 (-2.0, -1.2)
St. Charles County 8 falling similar 696 137.5 (132.8, 142.2) 0.9 -1.7 (-2.0, -1.3)
Greene County 8 falling similar 553 146.5 (141.0, 152.2) 1.0 -1.5 (-1.8, -1.3)
St. Louis City 5 falling higher 551 164.8 (158.5, 171.4) 1.1 -2.6 (-3.0, -2.3)
Jefferson County 5 falling higher 481 174.4 (167.2, 181.8) 1.2 -1.3 (-1.6, -1.0)
Clay County 8 falling similar 438 152.1 (145.7, 158.7) 1.0 -1.8 (-3.7, -1.5)
Boone County 8 falling similar 266 144.9 (137.1, 153.1) 1.0 -1.5 (-2.1, -0.9)
Jasper County 4 stable higher 260 175.8 (166.2, 185.8) 1.2 -0.4 (-1.0, 0.1)
Franklin County 5 falling higher 240 167.9 (158.2, 178.0) 1.2 -1.1 (-1.7, -0.5)
Cass County 8 falling similar 224 154.9 (145.7, 164.4) 1.1 -1.3 (-1.8, -0.7)
Buchanan County 4 stable higher 196 184.9 (173.3, 197.2) 1.3 -0.7 (-1.5, 0.0)
St. Francois County 4 stable higher 179 206.4 (192.9, 220.7) 1.4 0.1 (-0.6, 2.6)
Christian County 6 stable similar 174 159.4 (148.8, 170.5) 1.1 0.6 (-0.7, 4.6)
Platte County 8 falling similar 168 131.1 (122.2, 140.4) 0.9 -1.8 (-2.4, -1.2)
Cape Girardeau County 8 falling similar 154 146.7 (136.3, 157.8) 1.0 -3.0 (-7.9, -1.2)
Taney County 4 stable higher 144 166.7 (154.3, 180.0) 1.1 4.1 (-1.4, 8.0)
Newton County 5 falling higher 143 175.0 (162.2, 188.7) 1.2 -0.6 (-1.2, 0.0)
Cole County 8 falling similar 141 139.6 (129.2, 150.6) 1.0 -1.8 (-2.3, -1.3)
Camden County 6 stable similar 131 154.6 (142.0, 168.3) 1.1 -0.6 (-1.2, 0.1)
Lincoln County 4 stable higher 120 178.8 (164.3, 194.3) 1.2 -0.8 (-1.7, 0.1)
Butler County 5 falling higher 116 195.7 (179.8, 212.7) 1.3 -0.7 (-1.4, 0.0)
Howell County 4 stable higher 109 187.8 (172.0, 204.8) 1.3 -0.5 (-1.1, 0.1)
Pettis County 5 falling higher 104 186.3 (170.3, 203.5) 1.3 -0.8 (-1.4, -0.1)
Lawrence County 4 stable higher 100 193.1 (176.2, 211.3) 1.3 2.1 (-0.2, 7.1)
Barry County 5 falling higher 97 179.7 (163.6, 197.2) 1.2 -0.7 (-1.3, -0.1)
Laclede County 4 stable higher 96 198.9 (181.1, 218.2) 1.4 -0.2 (-1.0, 0.6)
Callaway County 5 falling higher 95 163.6 (149.0, 179.5) 1.1 -1.1 (-1.7, -0.4)
Johnson County 5 falling higher 93 172.0 (156.4, 188.8) 1.2 -0.9 (-1.7, 0.0)
Stone County 6 stable similar 92 147.8 (132.9, 164.3) 1.0 -0.9 (-2.0, 0.1)
Phelps County 6 stable similar 91 159.6 (145.0, 175.5) 1.1 -1.0 (-2.0, 0.1)
Scott County 5 falling higher 86 166.4 (150.7, 183.4) 1.1 -1.4 (-2.1, -0.7)
Stoddard County 4 stable higher 84 193.1 (174.6, 213.1) 1.3 -0.6 (-1.5, 0.2)
Dunklin County 4 stable higher 83 218.0 (196.9, 241.0) 1.5 -0.6 (-1.3, 0.1)
Lafayette County 5 falling higher 82 174.7 (157.8, 193.1) 1.2 -0.8 (-1.5, -0.2)
Warren County 8 falling similar 78 159.7 (143.7, 177.0) 1.1 -1.1 (-2.0, -0.1)
Benton County 4 stable higher 78 187.8 (168.3, 209.7) 1.3 -0.9 (-1.9, 0.1)
Webster County 4 stable higher 77 165.8 (149.3, 183.6) 1.1 -0.2 (-1.0, 0.7)
Pulaski County 5 falling higher 72 176.6 (158.3, 196.3) 1.2 -1.3 (-2.3, -0.3)
Marion County 5 falling higher 69 180.5 (161.5, 201.2) 1.2 -1.0 (-2.1, -0.1)
Polk County 8 falling similar 69 159.9 (143.1, 178.3) 1.1 -1.3 (-2.6, 0.0)
Washington County 4 stable higher 69 221.0 (197.6, 246.8) 1.5 -0.6 (-1.5, 0.4)
Ray County 4 stable higher 68 204.9 (183.2, 228.8) 1.4 -0.2 (-1.4, 1.0)
Texas County 4 stable higher 67 175.5 (156.7, 196.1) 1.2 -0.5 (-1.4, 0.4)
Randolph County 4 stable higher 66 208.8 (186.6, 233.0) 1.4 -0.4 (-1.3, 0.4)
Crawford County 4 stable higher 66 195.0 (173.8, 218.4) 1.3 -0.2 (-1.1, 0.6)
Morgan County 4 stable higher 65 179.8 (160.0, 201.7) 1.2 -0.8 (-1.8, 0.1)
Miller County 5 falling higher 63 175.0 (155.7, 196.2) 1.2 -1.0 (-2.1, -0.1)
Henry County 5 falling higher 62 167.3 (148.8, 187.9) 1.2 -2.9 (-9.7, -1.4)
Audrain County 5 falling higher 59 174.1 (154.5, 195.7) 1.2 -1.3 (-4.5, -0.5)
Saline County 4 stable higher 59 195.7 (173.3, 220.3) 1.3 -0.5 (-1.8, 0.8)
New Madrid County 4 stable higher 56 234.5 (207.2, 264.8) 1.6 0.1 (-0.8, 1.0)
McDonald County 4 stable higher 55 197.8 (174.3, 223.7) 1.4 -0.7 (-1.9, 0.6)
Clinton County 4 stable higher 53 177.4 (156.3, 200.9) 1.2 -0.7 (-1.4, 0.2)
Vernon County 4 stable higher 51 178.0 (156.1, 202.3) 1.2 -0.8 (-1.7, 0.1)
Adair County 4 stable higher 50 169.1 (148.5, 192.0) 1.2 -0.4 (-1.4, 0.7)
Dent County 4 stable higher 48 208.1 (181.7, 237.8) 1.4 -0.2 (-1.3, 0.8)
Dallas County 4 stable higher 47 184.4 (161.0, 210.7) 1.3 -0.7 (-1.5, 0.1)
Perry County 6 stable similar 46 163.8 (142.7, 187.6) 1.1 -0.9 (-2.6, 0.8)
Wright County 4 stable higher 45 173.0 (150.6, 198.1) 1.2 -0.7 (-1.8, 0.3)
Andrew County 5 falling higher 45 171.4 (149.3, 196.2) 1.2 -1.4 (-2.6, -0.1)
Macon County 1 rising higher 45 191.9 (166.6, 220.4) 1.3 2.4 (0.0, 10.7)
Ste. Genevieve County 6 stable similar 44 157.8 (137.0, 181.3) 1.1 -0.8 (-1.8, 0.1)
Pemiscot County 4 stable higher 43 211.6 (183.6, 243.0) 1.5 -0.2 (-1.5, 0.9)
Gasconade County 8 falling similar 41 159.1 (137.2, 184.1) 1.1 -1.2 (-2.3, -0.3)
Pike County 8 falling similar 40 164.4 (142.0, 189.7) 1.1 -3.0 (-8.5, -0.9)
Ripley County 4 stable higher 40 262.8 (226.2, 304.2) 1.8 1.0 (-0.3, 2.2)
Wayne County 5 falling higher 39 200.6 (172.5, 232.9) 1.4 -1.8 (-12.1, -0.3)
Cedar County 8 falling similar 39 161.5 (138.6, 187.7) 1.1 -1.7 (-2.9, -0.5)
Nodaway County 6 stable similar 38 139.5 (120.0, 161.7) 1.0 -0.6 (-1.9, 0.6)
Douglas County 4 stable higher 38 185.1 (159.0, 215.3) 1.3 -1.2 (-2.8, 0.3)
Cooper County 6 stable similar 38 164.6 (141.2, 190.9) 1.1 -0.6 (-1.7, 0.6)
Madison County 4 stable higher 38 203.5 (174.9, 236.0) 1.4 -0.5 (-1.5, 0.4)
Livingston County 5 falling higher 37 173.7 (148.8, 201.9) 1.2 -1.8 (-9.4, -0.1)
Ozark County 4 stable higher 35 204.4 (173.3, 241.0) 1.4 -0.9 (-2.1, 0.3)
St. Clair County 4 stable higher 35 211.1 (178.8, 248.5) 1.5 9.4 (-0.5, 19.2)
Bates County 8 falling similar 35 151.5 (129.3, 176.8) 1.0 -13.6 (-26.1, -1.9)
Hickory County 4 stable higher 35 202.2 (169.1, 241.3) 1.4 -0.1 (-1.5, 1.2)
Montgomery County 5 falling higher 35 200.0 (170.5, 233.8) 1.4 -1.1 (-2.3, 0.0)
Linn County 4 stable higher 34 191.0 (162.5, 223.7) 1.3 -0.4 (-1.9, 1.1)
Moniteau County 4 stable higher 33 171.9 (146.5, 200.7) 1.2 -0.5 (-1.9, 0.8)
Iron County 4 stable higher 33 209.7 (177.9, 246.5) 1.4 -0.8 (-2.3, 0.6)
Mississippi County 4 stable higher 31 180.6 (152.8, 212.4) 1.2 -1.2 (-2.7, 0.2)
Oregon County 4 stable higher 31 219.7 (184.9, 260.1) 1.5 0.3 (-1.4, 2.0)
Bollinger County 4 stable higher 30 185.0 (155.9, 218.7) 1.3 -0.3 (-1.3, 0.8)
Ralls County 4 stable higher 30 175.2 (147.3, 207.8) 1.2 -0.4 (-1.7, 0.9)
DeKalb County 6 stable similar 28 174.6 (146.5, 207.2) 1.2 -0.1 (-2.0, 1.8)
Grundy County 6 stable similar 27 175.8 (146.2, 210.2) 1.2 -0.9 (-2.7, 0.7)
Osage County 6 stable similar 27 157.6 (131.4, 187.7) 1.1 -0.5 (-1.9, 0.9)
Shannon County 4 stable higher 27 233.3 (194.1, 279.3) 1.6 3.9 (-1.3, 15.2)
Barton County 8 falling similar 27 152.9 (126.9, 183.2) 1.1 -3.0 (-10.8, -0.6)
Maries County 6 stable similar 24 177.6 (146.8, 214.1) 1.2 -1.5 (-3.2, 0.2)
Lewis County 6 stable similar 24 175.3 (143.8, 212.3) 1.2 -1.6 (-3.9, 0.4)
Dade County 6 stable similar 23 177.3 (145.4, 215.4) 1.2 -1.3 (-2.6, 0.0)
Monroe County 6 stable similar 23 160.2 (130.8, 195.3) 1.1 -0.7 (-1.9, 0.7)
Chariton County 6 stable similar 23 178.1 (144.5, 218.3) 1.2 -0.4 (-2.0, 1.0)
Harrison County 8 falling similar 22 159.9 (130.2, 195.3) 1.1 -1.3 (-3.6, -0.2)
Caldwell County 6 stable similar 21 171.4 (139.2, 209.3) 1.2 -0.2 (-2.1, 1.7)
Howard County 8 falling similar 21 152.2 (123.5, 186.1) 1.0 -1.5 (-2.9, -0.2)
Gentry County 1 rising higher 20 227.3 (184.3, 278.4) 1.6 7.9 (0.9, 19.5)
Reynolds County 5 falling higher 20 187.9 (151.7, 232.0) 1.3 -1.7 (-2.9, -0.6)
Carroll County 6 stable similar 20 140.7 (114.3, 172.6) 1.0 -1.1 (-2.8, 0.4)
Atchison County 4 stable higher 20 211.1 (170.0, 261.3) 1.5 -0.3 (-2.7, 1.9)
Daviess County 6 stable similar 19 155.5 (124.3, 192.8) 1.1 -1.3 (-3.1, 0.3)
Shelby County 6 stable similar 17 171.6 (136.1, 215.0) 1.2 -1.8 (-3.9, 0.1)
Carter County 4 stable higher 17 210.1 (166.4, 263.2) 1.4 -0.9 (-2.7, 0.8)
Clark County 6 stable similar 16 151.3 (119.7, 190.0) 1.0 4.6 (-5.0, 17.6)
Sullivan County 6 stable similar 15 164.6 (128.2, 209.5) 1.1 -1.1 (-3.2, 0.8)
Putnam County 6 stable similar 14 174.6 (135.1, 224.4) 1.2 -0.9 (-2.4, 0.7)
Holt County 6 stable similar 11 134.9 (99.7, 181.4) 0.9 -0.6 (-12.9, 3.0)
Knox County 6 stable similar 10 173.4 (127.2, 233.1) 1.2 -1.1 (-3.1, 0.7)
Mercer County 6 stable similar 10 176.8 (129.6, 238.1) 1.2 -0.1 (-2.0, 1.8)
Scotland County 6 stable similar 9 143.3 (104.6, 193.1) 1.0 -1.8 (-4.0, 0.2)
Schuyler County 6 stable similar 9 164.3 (119.2, 222.4) 1.1 -0.9 (-2.9, 1.0)
Worth County 6 stable similar 6 158.6 (103.1, 240.7) 1.1 0.2 (-2.9, 3.3)
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 2:36 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. 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).

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.

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