State Cancer Profiles

Interpretation of Rate/Trend Comparison by Cancer Data

Death Rate/Trend Comparison by Cancer, 2015-2019

Washington Counties versus United States

All Cancer Sites

All Races, Female

Explanation of Column Headers

State/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 -2.1 to -1.6.
• Rate : The death rate is 131.1 with a 95% confidence interval from 130.9 to 131.3 and 283,394 average annual deaths.

Washington

• Recent Trend(2) : The trend is falling because the trend is -1.7 with a 95% confidence interval from -1.8 to -1.6.
• Rate : The death rate is 130.9 with a 95% confidence interval from 129.4 to 132.4 and 6,056 average annual deaths.

Island County

• Priority Index(1) : The priority index is 2.
• Recent Trend(2) : The trend is rising because the trend is 3.8 with a 95% confidence interval from 0.6 to 7.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 136.8 with a 95% confidence interval from 123.9 to 150.9 and 95 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

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 -1.1 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 159.6 with a 95% confidence interval from 146.9 to 173.2 and 124 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 -0.7 with a 95% confidence interval from -1.1 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 170.2 with a 95% confidence interval from 154.8 to 186.9 and 98 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.3

Lewis 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 -1.2 to -0.1.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 152.9 with a 95% confidence interval from 139.1 to 168.0 and 95 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Asotin 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 -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 129.0 with a 95% confidence interval from 106.8 to 155.4 and 26 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Columbia 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 -2.1 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 155.4 with a 95% confidence interval from 106.5 to 229.2 and 7 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Ferry 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 -2.4 to 2.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 183.1 with a 95% confidence interval from 133.5 to 248.4 and 11 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.4

Okanogan County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 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 150.1 with a 95% confidence interval from 130.6 to 172.1 and 47 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

San Juan 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 -2.3 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 116.2 with a 95% confidence interval from 91.3 to 148.1 and 19 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Wahkiakum 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 -3.8 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 96.7 with a 95% confidence interval from 56.9 to 165.6 and 4 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.7

Walla Walla County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 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 127.1 with a 95% confidence interval from 111.7 to 144.2 and 55 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 -2.8 with a 95% confidence interval from -4.0 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 125.3 with a 95% confidence interval from 116.3 to 134.8 and 149 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 -1.2 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 128.8 with a 95% confidence interval from 115.3 to 143.6 and 72 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 -1.0 with a 95% confidence interval from -1.5 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 141.4 with a 95% confidence interval from 128.6 to 155.4 and 110 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 -1.1 with a 95% confidence interval from -1.4 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 139.0 with a 95% confidence interval from 132.9 to 145.4 and 401 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Douglas 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 -1.9 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 116.7 with a 95% confidence interval from 98.8 to 137.1 and 32 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Franklin 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 -0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 120.1 with a 95% confidence interval from 104.1 to 137.8 and 42 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 -0.7 with a 95% confidence interval from -1.4 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 143.5 with a 95% confidence interval from 128.9 to 159.3 and 73 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Jefferson 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 -0.7.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 134.2 with a 95% confidence interval from 114.7 to 157.4 and 47 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Kitsap 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 127.6 with a 95% confidence interval from 120.1 to 135.6 and 230 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 -1.2 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 126.6 with a 95% confidence interval from 108.3 to 147.3 and 36 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Klickitat 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 -1.9 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 142.8 with a 95% confidence interval from 117.1 to 173.3 and 25 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 -1.2 with a 95% confidence interval from -2.3 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 124.3 with a 95% confidence interval from 92.2 to 166.6 and 12 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Mason 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 -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 138.7 with a 95% confidence interval from 124.4 to 154.6 and 74 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 -1.1 with a 95% confidence interval from -2.1 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 139.8 with a 95% confidence interval from 117.1 to 167.2 and 31 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Pend Oreille 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 -2.7 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 148.1 with a 95% confidence interval from 116.3 to 187.8 and 17 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 -1.7 with a 95% confidence interval from -2.0 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 137.1 with a 95% confidence interval from 132.6 to 141.9 and 702 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 -1.1 with a 95% confidence interval from -1.6 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 129.4 with a 95% confidence interval from 119.1 to 140.6 and 126 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 -8.4 with a 95% confidence interval from -14.3 to -2.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 104.4 with a 95% confidence interval from 74.6 to 143.9 and 9 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.8

Snohomish 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 -1.3 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 139.1 with a 95% confidence interval from 134.2 to 144.2 and 633 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Spokane 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 -1.0 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 143.3 with a 95% confidence interval from 137.5 to 149.3 and 480 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 -1.4 with a 95% confidence interval from -2.0 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 127.1 with a 95% confidence interval from 110.5 to 146.0 and 46 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 -1.0 with a 95% confidence interval from -1.3 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 136.5 with a 95% confidence interval from 128.9 to 144.3 and 261 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 -1.7 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 129.1 with a 95% confidence interval from 120.7 to 137.9 and 189 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 -0.6 with a 95% confidence interval from -0.8 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 143.3 with a 95% confidence interval from 134.4 to 152.6 and 201 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Adams 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 -3.3 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 97.7 with a 95% confidence interval from 70.0 to 132.6 and 8 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.7

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 -2.2.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 114.9 with a 95% confidence interval from 112.2 to 117.6 and 1,443 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Whitman County

• Priority Index(1) : The priority index is 9.
• Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.2.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 93.7 with a 95% confidence interval from 75.9 to 114.5 and 20 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.7

Garfield County

• 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 163.2 with a 95% confidence interval from 96.9 to 276.3 and 4 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Notes:
Created by statecancerprofiles.cancer.gov on 09/20/2021 1:47 pm.


** 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 1969-2018 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:
Garfield 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.