Interpretation of Rate/Trend Comparison by Cancer Data
Death Rate/Trend Comparison by Cancer, 2016-2020
Nevada Counties versus United States
All Cancer Sites
All Races, Female
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 -1.9 with a 95% confidence interval from -2.2 to -1.7.
- Rate : The death rate is 128.7 with a 95% confidence interval from 128.5 to 129.0 and 283,896 average annual deaths.
Nevada
- Recent Trend(2) : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.4.
- Rate : The death rate is 133.6 with a 95% confidence interval from 131.2 to 136.0 and 2,466 average annual deaths.
Churchill County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.6 to 1.4.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 182.1 with a 95% confidence interval from 153.2 to 215.3 and 31 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
Nye County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.7 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 178.2 with a 95% confidence interval from 158.6 to 200.2 and 75 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
Carson City
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 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 150.5 with a 95% confidence interval from 134.2 to 168.5 and 66 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Lyon County
- Priority Index(1) : The priority index is 5.
- Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 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 150.6 with a 95% confidence interval from 133.7 to 169.4 and 62 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Mineral County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.6 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 152.0 with a 95% confidence interval from 101.7 to 225.8 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
White Pine 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 1.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 144.5 with a 95% confidence interval from 103.4 to 198.5 and 9 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 -2.4 with a 95% confidence interval from -3.4 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 134.5 with a 95% confidence interval from 131.6 to 137.4 and 1,752 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Humboldt 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 -3.5 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 111.9 with a 95% confidence interval from 81.6 to 149.9 and 10 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Washoe 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 -1.8 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 125.3 with a 95% confidence interval from 119.4 to 131.4 and 361 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 -1.7 with a 95% confidence interval from -2.3 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 109.6 with a 95% confidence interval from 95.6 to 125.6 and 52 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Elko County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.1 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 94.6 with a 95% confidence interval from 77.7 to 114.1 and 23 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Lincoln County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.2 to -1.3.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 74.9 with a 95% confidence interval from 43.4 to 128.8 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.6
- 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 119.4 with a 95% confidence interval from 73.5 to 185.7 and 4 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 similar compared to the US rate
- Rate : The death rate is 118.9 with a 95% confidence interval from 74.4 to 185.6 and 4 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 similar compared to the US rate
- Rate : The death rate is 102.9 with a 95% confidence interval from 60.7 to 181.2 and 4 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 : *
- Rate : *
- Rate Ratio(3) County to US : *
- 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 03/29/2024 9:07 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
* 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:
Esmeralda County, Eureka County
Trend for the following could not be reliably determined due to small number of deaths per year:
Lander County, Pershing County, Storey 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.