Data Table for Rate/Trend Comparison by Cancer
Counties
|
Priority Index1 1=highest 9=lowest 
|
Recent Trend2 |
County Death Rate Compared to US Rate |
Average Annual Count
|
Age-Adjusted Death Rate deaths per 100,000 (95% Confidence Interval)
|
Rate Ratio3 County to US
|
Recent 5-Year Trend2 in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| United States | - |
falling 
|
- | 283,896 | 128.7 (128.5, 129.0) | - | -1.9 (-2.2, -1.7) |
| Missouri | - |
falling
|
- | 6,049 | 139.0 (137.4, 140.6) | - | -1.8 (-2.3, -1.3) |
| Adair County | 6 |
stable 
|
similar | 22 | 141.2 (115.0, 172.2) | 1.1 | -0.3 (-1.0, 0.5) |
| Andrew County | 6 |
stable
|
similar | 18 | 130.9 (105.0, 162.3) | 1.0 | -0.2 (-1.2, 0.9) |
| Atchison County | 6 |
stable
|
similar | 6 | 132.1 (82.6, 204.0) | 1.0 | 0.4 (-1.3, 2.2) |
| Audrain County | 4 |
stable
|
higher | 30 | 154.9 (130.6, 183.0) | 1.2 | -0.4 (-1.2, 0.4) |
| Barry County | 6 |
stable
|
similar | 38 | 133.4 (114.6, 154.9) | 1.0 | -0.4 (-1.2, 0.3) |
| Barton County | 6 |
stable
|
similar | 14 | 146.9 (112.3, 190.2) | 1.1 | 0.0 (-1.1, 1.1) |
| Bates County | 6 |
stable
|
similar | 19 | 147.8 (118.5, 183.2) | 1.1 | -0.9 (-1.9, 0.0) |
| Benton County | 4 |
stable
|
higher | 37 | 188.6 (158.7, 223.9) | 1.5 | -0.8 (-1.5, 0.0) |
| Bollinger County | 6 |
stable
|
similar | 12 | 140.6 (106.3, 183.6) | 1.1 | -0.3 (-1.5, 0.8) |
| Boone County | 8 |
falling
|
similar | 115 | 119.8 (110.0, 130.3) | 0.9 | -1.5 (-2.0, -1.0) |
| Buchanan County | 5 |
falling
|
higher | 93 | 152.2 (138.2, 167.3) | 1.2 | -0.5 (-1.0, 0.0) |
| Butler County | 4 |
stable
|
higher | 54 | 160.8 (141.8, 181.9) | 1.2 | -0.1 (-0.7, 0.4) |
| Caldwell County | 6 |
stable
|
similar | 10 | 155.7 (113.9, 209.4) | 1.2 | 0.2 (-1.2, 1.5) |
| Callaway County | 5 |
falling
|
higher | 43 | 149.9 (130.2, 172.1) | 1.2 | -0.6 (-1.1, -0.2) |
| Camden County | 9 |
falling
|
lower | 49 | 109.6 (95.3, 126.1) | 0.9 | -1.2 (-1.8, -0.5) |
| Cape Girardeau County | 6 |
stable
|
similar | 77 | 139.1 (125.0, 154.5) | 1.1 | -0.2 (-0.7, 0.3) |
| Carroll County | 6 |
stable
|
similar | 10 | 129.8 (96.2, 174.2) | 1.0 | -0.6 (-1.8, 0.6) |
| Carter County | 6 |
stable
|
similar | 6 | 136.3 (92.2, 197.1) | 1.1 | -0.1 (-1.7, 1.5) |
| Cass County | 8 |
falling
|
similar | 103 | 135.5 (123.8, 148.2) | 1.1 | -0.8 (-1.3, -0.2) |
| Cedar County | 6 |
stable
|
similar | 20 | 159.4 (127.2, 198.6) | 1.2 | 0.4 (-0.9, 1.8) |
| Chariton County | 6 |
stable
|
similar | 10 | 152.2 (109.3, 209.2) | 1.2 | 0.3 (-0.9, 1.5) |
| Christian County | 8 |
falling
|
similar | 70 | 124.0 (111.1, 138.1) | 1.0 | -0.8 (-1.4, -0.3) |
| Clark County | 6 |
stable
|
similar | 6 | 102.7 (67.1, 154.0) | 0.8 | -0.9 (-2.5, 0.8) |
| Clay County | 8 |
falling
|
similar | 199 | 130.7 (122.6, 139.2) | 1.0 | -1.1 (-1.5, -0.7) |
| Clinton County | 4 |
stable
|
higher | 23 | 165.4 (135.7, 200.2) | 1.3 | 0.3 (-0.6, 1.3) |
| Cole County | 8 |
falling
|
similar | 68 | 127.4 (113.8, 142.2) | 1.0 | -2.1 (-3.3, -0.8) |
| Cooper County | 6 |
stable
|
similar | 17 | 143.4 (113.4, 179.6) | 1.1 | -0.6 (-1.6, 0.4) |
| Crawford County | 4 |
stable
|
higher | 31 | 167.4 (141.3, 197.7) | 1.3 | -0.1 (-0.8, 0.7) |
| Dade County | 6 |
stable
|
similar | 8 | 116.8 (81.2, 166.7) | 0.9 | -0.5 (-1.9, 1.0) |
| Dallas County | 8 |
falling
|
similar | 19 | 141.9 (113.3, 176.5) | 1.1 | -1.2 (-2.0, -0.3) |
| Daviess County | 6 |
stable
|
similar | 10 | 146.5 (106.7, 198.5) | 1.1 | 0.1 (-1.3, 1.4) |
| DeKalb County | 8 |
falling
|
similar | 11 | 155.4 (113.5, 209.0) | 1.2 | -1.5 (-2.9, 0.0) |
| Dent County | 6 |
stable
|
similar | 19 | 145.9 (116.3, 182.0) | 1.1 | -0.7 (-1.5, 0.2) |
| Douglas County | 8 |
falling
|
similar | 16 | 123.7 (98.0, 156.3) | 1.0 | -1.6 (-2.7, -0.5) |
| Dunklin County | 4 |
stable
|
higher | 36 | 159.7 (136.6, 186.1) | 1.2 | -0.5 (-1.2, 0.3) |
| Franklin County | 8 |
falling
|
similar | 102 | 136.8 (124.8, 149.7) | 1.1 | -0.7 (-1.2, -0.3) |
| Gasconade County | 8 |
falling
|
similar | 19 | 143.8 (113.9, 180.5) | 1.1 | -0.9 (-1.7, 0.0) |
| Gentry County | 6 |
stable
|
similar | 8 | 158.3 (109.2, 223.7) | 1.2 | 0.7 (-0.6, 2.1) |
| Greene County | 8 |
falling
|
similar | 260 | 127.7 (120.6, 135.1) | 1.0 | -1.0 (-1.3, -0.8) |
| Grundy County | 6 |
stable
|
similar | 10 | 127.5 (93.3, 171.8) | 1.0 | -0.3 (-1.3, 0.6) |
| Harrison County | 8 |
falling
|
similar | 9 | 126.4 (88.7, 176.8) | 1.0 | -5.4 (-8.8, -1.8) |
| Henry County | 6 |
stable
|
similar | 28 | 150.3 (125.1, 180.0) | 1.2 | -0.1 (-1.1, 0.9) |
| Hickory County | 4 |
stable
|
higher | 17 | 171.3 (132.5, 221.6) | 1.3 | -0.4 (-1.6, 0.8) |
| Holt County |
|
** | similar | 7 | 156.0 (101.3, 235.7) | 1.2 |
|
| Howard County | 8 |
falling
|
similar | 7 | 102.7 (71.0, 145.4) | 0.8 | -4.4 (-6.6, -2.1) |
| Howell County | 6 |
stable
|
similar | 43 | 136.1 (117.9, 156.6) | 1.1 | -0.5 (-1.2, 0.2) |
| Iron County | 8 |
falling
|
similar | 12 | 133.4 (101.8, 174.4) | 1.0 | -1.4 (-2.3, -0.5) |
| Jackson County | 8 |
falling
|
similar | 641 | 137.4 (132.6, 142.4) | 1.1 | -2.1 (-2.9, -1.3) |
| Jasper County | 5 |
falling
|
higher | 123 | 155.7 (143.3, 168.8) | 1.2 | -0.7 (-1.1, -0.2) |
| Jefferson County | 5 |
falling
|
higher | 218 | 152.9 (143.8, 162.5) | 1.2 | -1.0 (-1.3, -0.7) |
| Johnson County | 8 |
falling
|
similar | 35 | 120.2 (102.7, 139.8) | 0.9 | -4.6 (-8.4, -0.6) |
| Knox County | 6 |
stable
|
similar | 4 | 154.4 (93.0, 244.9) | 1.2 | 0.9 (-1.3, 3.1) |
| Laclede County | 4 |
stable
|
higher | 39 | 151.7 (130.7, 175.4) | 1.2 | -0.5 (-1.2, 0.2) |
| Lafayette County | 6 |
stable
|
similar | 38 | 147.3 (126.3, 171.2) | 1.1 | 0.0 (-0.6, 0.6) |
| Lawrence County | 4 |
stable
|
higher | 44 | 161.9 (140.6, 185.8) | 1.3 | -0.3 (-0.9, 0.4) |
| Lewis County | 6 |
stable
|
similar | 10 | 124.6 (91.0, 168.4) | 1.0 | -1.0 (-2.6, 0.6) |
| Lincoln County | 6 |
stable
|
similar | 49 | 146.5 (128.2, 166.7) | 1.1 | -0.4 (-1.1, 0.2) |
| Linn County | 4 |
stable
|
higher | 17 | 170.1 (133.8, 214.5) | 1.3 | 0.0 (-1.0, 1.0) |
| Livingston County | 6 |
stable
|
similar | 20 | 159.0 (128.2, 195.9) | 1.2 | 0.9 (-0.1, 1.9) |
| Macon County | 4 |
stable
|
higher | 23 | 173.6 (140.9, 212.8) | 1.3 | -0.3 (-1.3, 0.7) |
| Madison County | 4 |
stable
|
higher | 19 | 195.8 (157.8, 241.7) | 1.5 | -0.3 (-1.2, 0.6) |
| Maries County | 6 |
stable
|
similar | 9 | 128.9 (93.3, 176.3) | 1.0 | -0.8 (-2.7, 1.1) |
| Marion County | 6 |
stable
|
similar | 32 | 146.4 (123.6, 172.6) | 1.1 | -0.6 (-1.5, 0.3) |
| McDonald County | 4 |
stable
|
higher | 26 | 185.1 (153.9, 221.0) | 1.4 | -0.3 (-1.3, 0.7) |
| Mercer County | 6 |
stable
|
similar | 5 | 154.4 (95.4, 243.2) | 1.2 | 2.1 (-0.2, 4.5) |
| Miller County | 6 |
stable
|
similar | 23 | 121.6 (100.1, 146.9) | 0.9 | -10.6 (-20.1, 0.0) |
| Mississippi County | 6 |
stable
|
similar | 16 | 162.4 (128.0, 204.7) | 1.3 | -0.4 (-1.5, 0.8) |
| Moniteau County | 8 |
falling
|
similar | 11 | 108.0 (80.7, 142.3) | 0.8 | -1.4 (-2.6, -0.1) |
| Monroe County | 8 |
falling
|
similar | 10 | 134.6 (98.6, 182.5) | 1.0 | -2.0 (-3.5, -0.5) |
| Montgomery County | 4 |
stable
|
higher | 17 | 183.8 (145.0, 231.3) | 1.4 | 0.3 (-0.8, 1.4) |
| Morgan County | 6 |
stable
|
similar | 26 | 152.6 (126.0, 184.1) | 1.2 | -0.5 (-1.5, 0.6) |
| New Madrid County | 4 |
stable
|
higher | 25 | 178.7 (147.7, 215.2) | 1.4 | 0.3 (-0.6, 1.2) |
| Newton County | 4 |
stable
|
higher | 70 | 167.7 (150.1, 187.0) | 1.3 | 0.0 (-0.5, 0.5) |
| Nodaway County | 6 |
stable
|
similar | 19 | 137.5 (109.8, 170.8) | 1.1 | -0.4 (-1.2, 0.3) |
| Oregon County | 6 |
stable
|
similar | 13 | 138.7 (106.2, 180.4) | 1.1 | -0.7 (-1.6, 0.3) |
| Osage County | 6 |
stable
|
similar | 12 | 123.1 (93.1, 160.8) | 1.0 | -0.1 (-1.1, 0.9) |
| Ozark County | 8 |
falling
|
similar | 11 | 129.0 (93.5, 176.6) | 1.0 | -1.4 (-2.4, -0.3) |
| Pemiscot County | 4 |
stable
|
higher | 24 | 200.6 (165.2, 242.0) | 1.6 | 0.0 (-0.8, 0.9) |
| Perry County | 6 |
stable
|
similar | 19 | 136.7 (109.5, 169.2) | 1.1 | -0.3 (-1.5, 0.9) |
| Pettis County | 4 |
stable
|
higher | 50 | 170.4 (149.3, 193.9) | 1.3 | -0.4 (-1.0, 0.3) |
| Phelps County | 5 |
falling
|
higher | 46 | 158.9 (138.2, 181.9) | 1.2 | -0.7 (-1.5, 0.0) |
| Pike County | 6 |
stable
|
similar | 20 | 156.9 (127.0, 192.6) | 1.2 | -0.4 (-1.4, 0.6) |
| Platte County | 9 |
falling
|
lower | 73 | 113.5 (101.9, 126.1) | 0.9 | -1.6 (-2.2, -1.1) |
| Polk County | 8 |
falling
|
similar | 30 | 129.8 (109.1, 153.7) | 1.0 | -1.1 (-2.0, -0.1) |
| Pulaski County | 4 |
stable
|
higher | 33 | 158.9 (135.4, 185.1) | 1.2 | -0.3 (-1.3, 0.7) |
| Putnam County | 6 |
stable
|
similar | 6 | 145.0 (97.4, 214.3) | 1.1 | 0.5 (-1.2, 2.3) |
| Ralls County | 6 |
stable
|
similar | 12 | 145.8 (110.5, 191.0) | 1.1 | 0.2 (-1.1, 1.4) |
| Randolph County | 4 |
stable
|
higher | 31 | 183.7 (155.1, 216.5) | 1.4 | -0.2 (-0.8, 0.4) |
| Ray County | 6 |
stable
|
similar | 25 | 137.1 (113.4, 165.1) | 1.1 | -0.2 (-1.1, 0.7) |
| Reynolds County | 6 |
stable
|
similar | 7 | 134.3 (91.9, 193.9) | 1.0 | 1.4 (-0.3, 3.2) |
| Ripley County | 6 |
stable
|
similar | 18 | 157.3 (125.3, 196.3) | 1.2 | -0.4 (-1.5, 0.6) |
| Saline County | 4 |
stable
|
higher | 29 | 170.9 (142.8, 203.3) | 1.3 | 0.3 (-0.5, 1.0) |
| Schuyler County | 6 |
stable
|
similar | 4 | 109.6 (65.8, 176.4) | 0.9 | -0.2 (-2.0, 1.5) |
| Scotland County | 6 |
stable
|
similar | 6 | 175.9 (116.1, 258.0) | 1.4 | 1.3 (-0.7, 3.4) |
| Scott County | 8 |
falling
|
similar | 42 | 143.4 (124.2, 165.0) | 1.1 | -4.9 (-8.8, -0.8) |
| Shannon County | 6 |
stable
|
similar | 9 | 145.1 (104.7, 198.4) | 1.1 | -0.6 (-2.2, 1.0) |
| Shelby County | 6 |
stable
|
similar | 7 | 141.4 (99.0, 200.2) | 1.1 | -1.0 (-2.5, 0.6) |
| St. Charles County | 8 |
falling
|
similar | 321 | 123.3 (117.2, 129.6) | 1.0 | -1.4 (-1.7, -1.1) |
| St. Clair County | 6 |
stable
|
similar | 12 | 132.0 (99.1, 175.6) | 1.0 | -1.0 (-1.9, 0.0) |
| St. Francois County | 4 |
stable
|
higher | 83 | 185.4 (167.5, 204.9) | 1.4 | -0.2 (-0.8, 0.4) |
| St. Louis City | 5 |
falling
|
higher | 280 | 148.2 (140.3, 156.5) | 1.2 | -2.8 (-3.9, -1.7) |
| St. Louis County | 8 |
falling
|
similar | 1,062 | 133.5 (129.8, 137.2) | 1.0 | -1.1 (-1.3, -1.0) |
| Ste. Genevieve County | 6 |
stable
|
similar | 17 | 123.2 (98.1, 153.9) | 1.0 | -0.4 (-1.5, 0.6) |
| Stoddard County | 4 |
stable
|
higher | 39 | 165.6 (142.0, 192.5) | 1.3 | -0.1 (-1.0, 0.7) |
| Stone County | 8 |
falling
|
similar | 41 | 125.8 (107.3, 147.5) | 1.0 | -1.1 (-1.8, -0.4) |
| Sullivan County | 6 |
stable
|
similar | 6 | 128.7 (85.5, 189.2) | 1.0 | -0.1 (-1.6, 1.3) |
| Taney County | 8 |
falling
|
similar | 57 | 125.6 (110.9, 142.0) | 1.0 | -1.2 (-1.8, -0.6) |
| Texas County | 6 |
stable
|
similar | 30 | 144.7 (121.3, 172.0) | 1.1 | -0.1 (-1.0, 0.7) |
| Vernon County | 6 |
stable
|
similar | 22 | 134.4 (109.6, 163.9) | 1.0 | -0.6 (-1.5, 0.4) |
| Warren County | 8 |
falling
|
similar | 34 | 136.5 (116.4, 159.3) | 1.1 | -1.1 (-2.0, -0.2) |
| Washington County | 4 |
stable
|
higher | 26 | 160.2 (133.3, 191.6) | 1.2 | -0.2 (-1.3, 0.8) |
| Wayne County | 6 |
stable
|
similar | 15 | 138.2 (106.5, 178.0) | 1.1 | -0.9 (-2.0, 0.3) |
| Webster County | 8 |
falling
|
similar | 36 | 147.6 (126.3, 171.6) | 1.1 | -1.0 (-1.7, -0.2) |
| Worth County |
|
** | similar | 4 | 174.9 (103.5, 299.1) | 1.4 |
|
| Wright County | 4 |
stable
|
higher | 23 | 161.3 (132.2, 195.6) | 1.3 | 0.3 (-0.6, 1.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 05/14/2024 2:14 am.
** 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:
Holt County, Worth 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.
Created by statecancerprofiles.cancer.gov on 05/14/2024 2:14 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
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 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:
Holt County, Worth 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.