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, Both Sexes
Sorted by priority index
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 -2.0 with a 95% confidence interval from -2.2 to -1.8.
- Rate : The death rate is 149.4 with a 95% confidence interval from 149.3 to 149.6 and 599,666 average annual deaths.
Washington
- Recent Trend(2) : The trend is falling because the trend is -1.7 with a 95% confidence interval from -1.9 to -1.6.
- Rate : The death rate is 145.7 with a 95% confidence interval from 144.6 to 146.9 and 12,761 average annual deaths.
Cowlitz 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 -1.0 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 180.8 with a 95% confidence interval from 171.1 to 191.0 and 275 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Grays Harbor County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.9.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 174.7 with a 95% confidence interval from 163.7 to 186.4 and 201 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Lewis County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.2 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 173.7 with a 95% confidence interval from 163.1 to 184.9 and 210 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Mason County
- Priority Index(1) : The priority index is 5.
- 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 higher compared to the US rate
- Rate : The death rate is 165.1 with a 95% confidence interval from 153.8 to 177.1 and 173 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Okanogan 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 -1.0 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 171.3 with a 95% confidence interval from 156.8 to 187.0 and 111 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Pacific County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 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 168.2 with a 95% confidence interval from 150.8 to 187.8 and 78 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Ferry 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 -2.6 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 162.1 with a 95% confidence interval from 130.8 to 200.3 and 21 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Island 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 -1.1 to 4.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 145.2 with a 95% confidence interval from 135.8 to 155.2 and 198 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Wahkiakum 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 -2.5 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 135.3 with a 95% confidence interval from 101.4 to 181.9 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Adams 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 -2.6 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 135.9 with a 95% confidence interval from 111.9 to 163.5 and 23 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Asotin 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 -2.1 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 143.3 with a 95% confidence interval from 126.5 to 162.2 and 56 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 -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 144.1 with a 95% confidence interval from 137.0 to 151.4 and 325 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 -1.4 with a 95% confidence interval from -1.7 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 143.5 with a 95% confidence interval from 133.2 to 154.5 and 153 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 -1.4 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 159.2 with a 95% confidence interval from 149.6 to 169.3 and 244 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
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 -2.3 to -1.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 152.0 with a 95% confidence interval from 147.3 to 156.8 and 833 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Columbia 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 169.0 with a 95% confidence interval from 131.5 to 218.4 and 14 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Franklin 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 135.7 with a 95% confidence interval from 123.3 to 148.9 and 94 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Garfield County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.8 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 138.4 with a 95% confidence interval from 87.9 to 213.2 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Grant County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 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 152.7 with a 95% confidence interval from 141.9 to 164.1 and 154 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 -1.5 with a 95% confidence interval from -2.0 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 140.7 with a 95% confidence interval from 127.3 to 155.7 and 104 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
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 -1.7 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 142.6 with a 95% confidence interval from 136.8 to 148.5 and 492 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 -1.5 with a 95% confidence interval from -2.0 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 138.3 with a 95% confidence interval from 124.7 to 153.2 and 78 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 -1.2 with a 95% confidence interval from -1.7 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 157.6 with a 95% confidence interval from 139.3 to 178.2 and 59 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Lincoln 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 -1.7 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 144.2 with a 95% confidence interval from 119.3 to 173.8 and 27 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 -1.3 with a 95% confidence interval from -2.1 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 160.1 with a 95% confidence interval from 136.5 to 187.4 and 38 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
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 -2.1 to -1.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 154.9 with a 95% confidence interval from 151.3 to 158.5 and 1,474 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Skagit 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 -1.2 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 157.2 with a 95% confidence interval from 149.0 to 165.7 and 296 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 -1.3 with a 95% confidence interval from -1.5 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 149.9 with a 95% confidence interval from 146.1 to 153.7 and 1,288 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Spokane County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.2 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 159.6 with a 95% confidence interval from 155.1 to 164.2 and 997 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Stevens 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 150.3 with a 95% confidence interval from 137.4 to 164.2 and 111 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 -2.0 with a 95% confidence interval from -2.4 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 147.1 with a 95% confidence interval from 141.4 to 153.0 and 526 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Walla Walla County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 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 145.7 with a 95% confidence interval from 133.8 to 158.4 and 119 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 -1.2 with a 95% confidence interval from -1.5 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 147.3 with a 95% confidence interval from 140.9 to 154.0 and 412 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Yakima County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -0.8 with a 95% confidence interval from -0.9 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 160.1 with a 95% confidence interval from 153.3 to 167.2 and 426 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Douglas County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -3.1 with a 95% confidence interval from -5.0 to -1.2.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 131.7 with a 95% confidence interval from 118.1 to 146.4 and 72 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
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 127.0 with a 95% confidence interval from 124.9 to 129.1 and 2,943 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
San Juan County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.4.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 123.5 with a 95% confidence interval from 105.7 to 144.5 and 43 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Skamania County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.9 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 124.2 with a 95% confidence interval from 101.5 to 151.3 and 23 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Whitman County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.6.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 126.8 with a 95% confidence interval from 111.4 to 143.7 and 51 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Notes:
Created by statecancerprofiles.cancer.gov on 04/25/2024 6:54 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 > 1.10
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 4.8.0.0. 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).
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.