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Interpretation of Rate/Trend Comparison by Cancer Data

Death Rate/Trend Comparison by Cancer, 2019-2023

Missouri Counties versus United States

Colon & Rectum

All Races, Both Sexes

Sorted by rateratio

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:

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


Line by Line Interpretation of the Report


United States


Missouri


Pemiscot County


Adair County


Macon County


Vernon County


St. Clair County


Texas County


Wayne County


Nodaway County


Ripley County


Laclede County


Dunklin County


Butler County


Montgomery County


Ste. Genevieve County


Wright County


Ray County


Douglas County


Pike County


Gasconade County


Dent County


New Madrid County


Marion County


Lafayette County


Phelps County


Barry County


Saline County


Christian County


St. Francois County


Bates County


Randolph County


Stoddard County


Pettis County


Buchanan County


Audrain County


Benton County


Jasper County


Andrew County


Lawrence County


Callaway County


St. Louis City


Warren County


Polk County


Stone County


Cooper County


Taney County


Johnson County


Cedar County


Howell County


Crawford County


Newton County


Clay County


Camden County


Webster County


Boone County


Lincoln County


Jackson County


Scott County


Henry County


St. Louis County


Cass County


Platte County


Jefferson County


Greene County


Cole County


Franklin County


Cape Girardeau County


St. Charles County


Clinton County Dallas County Hickory County McDonald County Miller County Morgan County Perry County Pulaski County Ralls County Washington County Atchison County Barton County Bollinger County Caldwell County Carroll County Carter County Chariton County Clark County Dade County Daviess County DeKalb County Gentry County Grundy County Harrison County Holt County Howard County Iron County Knox County Lewis County Linn County Livingston County Madison County Maries County Mercer County Mississippi County Moniteau County Monroe County Oregon County Osage County Ozark County Putnam County Reynolds County Schuyler County Scotland County Shannon County Shelby County Sullivan County Worth County

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 2:46 pm.

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

* 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. 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 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:
Atchison County, Barton County, Bollinger County, Caldwell County, Carroll County, Carter County, Chariton County, Clark County, Dade County, Daviess County, DeKalb County, Gentry County, Grundy County, Harrison County, Holt County, Howard County, Iron County, Knox County, Lewis County, Linn County, Livingston County, Madison County, Maries County, Mercer County, Mississippi County, Moniteau County, Monroe County, Oregon County, Osage County, Ozark County, Putnam County, Reynolds County, Schuyler County, Scotland County, Shannon County, Shelby County, Sullivan County, Worth County

Trend for the following could not be reliably determined due to small number of deaths per year:
Clinton County, Dallas County, Hickory County, McDonald County, Miller County, Morgan County, Perry County, Pulaski County, Ralls County, Washington 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 do not include Puerto Rico.