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, Male
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 -2.2 with a 95% confidence interval from -2.5 to -2.0.
- Rate : The death rate is 177.5 with a 95% confidence interval from 177.2 to 177.8 and 315,770 average annual deaths.
Washington
- Recent Trend(2) : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.5 to -1.8.
- Rate : The death rate is 170.0 with a 95% confidence interval from 168.1 to 171.8 and 6,710 average annual deaths.
Cowlitz County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 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 211.3 with a 95% confidence interval from 196.0 to 227.5 and 150 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 -1.2 with a 95% confidence interval from -1.6 to -0.7.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 202.5 with a 95% confidence interval from 185.6 to 220.5 and 114 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Mason County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 200.9 with a 95% confidence interval from 182.9 to 220.4 and 100 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 -1.7 with a 95% confidence interval from -3.6 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 170.8 with a 95% confidence interval from 124.6 to 231.3 and 11 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 6.
- Recent Trend(2) : The trend is stable because the trend is -0.7 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 198.8 with a 95% confidence interval from 160.7 to 244.8 and 23 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
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 -2.9 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 170.7 with a 95% confidence interval from 132.4 to 216.3 and 14 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Asotin 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 -2.9 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 168.3 with a 95% confidence interval from 142.4 to 198.5 and 31 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Benton 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 -1.9 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 171.0 with a 95% confidence interval from 159.5 to 183.1 and 174 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 -1.8 with a 95% confidence interval from -2.2 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 163.2 with a 95% confidence interval from 147.2 to 180.4 and 81 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
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 -0.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 187.2 with a 95% confidence interval from 172.4 to 203.3 and 133 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 -1.6 with a 95% confidence interval from -1.9 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 175.8 with a 95% confidence interval from 168.2 to 183.7 and 430 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 -2.7 with a 95% confidence interval from -4.3 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 194.3 with a 95% confidence interval from 137.3 to 276.9 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Grant 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 -0.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 178.2 with a 95% confidence interval from 161.2 to 196.5 and 84 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 8.
- Recent Trend(2) : The trend is falling because the trend is -2.6 with a 95% confidence interval from -3.3 to -1.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 191.2 with a 95% confidence interval from 174.6 to 209.1 and 105 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 -1.6 with a 95% confidence interval from -1.9 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 168.1 with a 95% confidence interval from 158.9 to 177.8 and 264 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Kittitas 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 -2.6 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 158.3 with a 95% confidence interval from 137.2 to 182.0 and 43 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 -1.4 with a 95% confidence interval from -2.4 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 173.8 with a 95% confidence interval from 146.8 to 205.2 and 32 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
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 -2.1 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 159.0 with a 95% confidence interval from 123.4 to 203.9 and 15 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Okanogan 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 -1.6 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 191.2 with a 95% confidence interval from 169.3 to 215.5 and 60 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Pacific 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 -1.7 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 195.0 with a 95% confidence interval from 169.2 to 225.1 and 45 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 -1.9 with a 95% confidence interval from -2.3 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 185.4 with a 95% confidence interval from 179.4 to 191.6 and 776 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 -0.8 with a 95% confidence interval from -1.3 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 186.2 with a 95% confidence interval from 173.4 to 199.9 and 163 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Skamania County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.9 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 156.0 with a 95% confidence interval from 120.7 to 200.3 and 14 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Snohomish 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 175.2 with a 95% confidence interval from 168.9 to 181.5 and 664 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 -1.4 with a 95% confidence interval from -1.6 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 181.9 with a 95% confidence interval from 174.7 to 189.3 and 510 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 -1.1 with a 95% confidence interval from -1.7 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 178.6 with a 95% confidence interval from 158.7 to 200.7 and 65 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 -2.4 with a 95% confidence interval from -3.1 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 169.2 with a 95% confidence interval from 159.9 to 178.8 and 267 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 -1.0 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 173.9 with a 95% confidence interval from 155.0 to 194.5 and 64 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 -1.6 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 176.8 with a 95% confidence interval from 166.4 to 187.8 and 225 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 -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 184.3 with a 95% confidence interval from 173.5 to 195.6 and 224 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Douglas County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.9 to 0.0.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 146.2 with a 95% confidence interval from 125.4 to 169.5 and 37 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Franklin 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 -3.3 to -1.9.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 148.0 with a 95% confidence interval from 128.7 to 169.2 and 48 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Island County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.1.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 157.5 with a 95% confidence interval from 143.5 to 172.7 and 101 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Jefferson 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 -2.5 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 149.5 with a 95% confidence interval from 130.9 to 171.3 and 55 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
King County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.6 to -2.1.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 148.6 with a 95% confidence interval from 145.2 to 152.1 and 1,519 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 -1.6 with a 95% confidence interval from -2.4 to -0.8.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 125.9 with a 95% confidence interval from 101.2 to 157.3 and 22 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Whitman 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 -1.8 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 148.8 with a 95% confidence interval from 124.2 to 176.9 and 27 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
- 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 172.7 with a 95% confidence interval from 121.1 to 250.3 and 8 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 : *
- Rate : *
- Rate Ratio(3) County to US : *
Notes:
Created by statecancerprofiles.cancer.gov on 04/24/2024 12:57 pm.
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 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 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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Garfield County
Trend for the following could not be reliably determined due to small number of deaths per year:
Wahkiakum 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.