Interpretation of Rate/Trend Comparison by Cancer Data
Death Rate/Trend Comparison by Cancer, 2018-2022
North Dakota 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 fallingfalling because the trend is -1.3 with a 95% confidence interval from -1.4 to -1.1.
- Rate : The death rate is 126.4 with a 95% confidence interval from 126.2 to 126.6 and 285,526 average annual deaths.
North Dakota
- Recent Trend(2) : The trend is fallingfalling because the trend is -1.1 with a 95% confidence interval from -1.3 to -0.9.
- Rate : The death rate is 119.3 with a 95% confidence interval from 114.9 to 123.9 and 597 average annual deaths.
Rolette County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stablestable because the trend is -0.4 with a 95% confidence interval from -1.5 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 221.3 with a 95% confidence interval from 172.4 to 280.1 and 15 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.8
Barnes County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.4 with a 95% confidence interval from -1.8 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 125.5 with a 95% confidence interval from 95.1 to 165.2 and 13 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Cass County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.1 with a 95% confidence interval from -1.0 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 114.4 with a 95% confidence interval from 104.8 to 124.7 and 111 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Cavalier County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.3 with a 95% confidence interval from -1.8 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 167.9 with a 95% confidence interval from 105.3 to 261.7 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Dickey County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.5 with a 95% confidence interval from -2.1 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 141.5 with a 95% confidence interval from 95.2 to 207.8 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Hettinger County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -1.1 with a 95% confidence interval from -3.5 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 150.1 with a 95% confidence interval from 82.8 to 260.2 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
LaMoure County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is 0.4 with a 95% confidence interval from -1.2 to 2.0.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 131.0 with a 95% confidence interval from 72.2 to 222.0 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
McHenry County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -1.1 with a 95% confidence interval from -2.7 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 137.7 with a 95% confidence interval from 92.8 to 202.5 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Mercer County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.6 with a 95% confidence interval from -2.1 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 138.0 with a 95% confidence interval from 98.2 to 191.0 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Morton County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.5 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 133.7 with a 95% confidence interval from 112.1 to 158.6 and 30 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Mountrail County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.3 with a 95% confidence interval from -2.1 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 154.4 with a 95% confidence interval from 106.2 to 216.9 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Pierce County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -1.3 with a 95% confidence interval from -3.1 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 106.5 with a 95% confidence interval from 64.8 to 174.8 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Sargent County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.2 with a 95% confidence interval from -2.3 to 1.8.
- 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 92.3 to 231.4 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Stark County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -0.9 with a 95% confidence interval from -2.0 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 118.1 with a 95% confidence interval from 96.4 to 143.3 and 23 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Traill County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is 0.1 with a 95% confidence interval from -1.1 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 117.2 with a 95% confidence interval from 80.9 to 166.9 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Wells County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stablestable because the trend is -1.1 with a 95% confidence interval from -3.0 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 118.5 with a 95% confidence interval from 68.0 to 199.5 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Bottineau County
- Priority Index(1) : The priority index is 7.
- Recent Trend(2) : The trend is stablestable because the trend is -1.4 with a 95% confidence interval from -3.6 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 79.1 with a 95% confidence interval from 49.6 to 125.3 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.6
McLean County
- Priority Index(1) : The priority index is 7.
- Recent Trend(2) : The trend is stablestable because the trend is -1.4 with a 95% confidence interval from -2.9 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 85.6 with a 95% confidence interval from 56.9 to 125.9 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Grand Forks County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is fallingfalling because the trend is -1.2 with a 95% confidence interval from -1.8 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 129.3 with a 95% confidence interval from 113.3 to 147.0 and 52 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Nelson County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is fallingfalling because the trend is -2.7 with a 95% confidence interval from -4.6 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 100.6 with a 95% confidence interval from 57.5 to 182.2 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Pembina County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is fallingfalling because the trend is -1.4 with a 95% confidence interval from -2.9 to -0.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 152.8 with a 95% confidence interval from 107.3 to 215.0 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Ramsey County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is fallingfalling because the trend is -1.8 with a 95% confidence interval from -3.1 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 101.4 with a 95% confidence interval from 74.8 to 136.5 and 10 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Stutsman County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is fallingfalling 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 similar compared to the US rate
- Rate : The death rate is 119.0 with a 95% confidence interval from 96.0 to 146.8 and 20 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Walsh County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is fallingfalling because the trend is -1.2 with a 95% confidence interval from -2.2 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 136.4 with a 95% confidence interval from 101.9 to 180.7 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Ward County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is fallingfalling 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 112.3 with a 95% confidence interval from 97.7 to 128.7 and 45 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Williams County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is fallingfalling because the trend is -13.0 with a 95% confidence interval from -25.4 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 118.4 with a 95% confidence interval from 95.1 to 145.6 and 19 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Burleigh County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is fallingfalling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.3.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 113.3 with a 95% confidence interval from 101.9 to 125.7 and 80 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Ransom County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is fallingfalling because the trend is -2.4 with a 95% confidence interval from -4.4 to -0.7.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 77.3 with a 95% confidence interval from 45.2 to 129.1 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.6
Richland County
- Priority Index(1) : The priority index is 9.
- Recent Trend(2) : The trend is fallingfalling 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 lower compared to the US rate
- Rate : The death rate is 94.4 with a 95% confidence interval from 70.2 to 125.2 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
- 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 172.8 with a 95% confidence interval from 113.3 to 253.8 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
- 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 129.3 with a 95% confidence interval from 79.9 to 209.0 and 5 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 : This death rate is similar compared to the US rate
- Rate : The death rate is 140.5 with a 95% confidence interval from 69.0 to 266.4 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
- 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 128.3 with a 95% confidence interval from 87.7 to 180.3 and 7 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 : *
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Rate Ratio(3) County to US : *
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- Rate Ratio(3) County to US : *
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
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- 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 : *
- 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 11/03/2024 2:33 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 5.1. 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:
Adams County, Billings County, Bowman County, Burke County, Divide County, Dunn County, Eddy County, Emmons County, Golden Valley County, Grant County, Griggs County, Kidder County, Logan County, Oliver County, Renville County, Sheridan County, Sioux County, Slope County, Steele County, Towner County
Trend for the following could not be reliably determined due to small number of deaths per year:
Benson County, Foster County, McIntosh County, McKenzie 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.