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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Missouri Counties versus United States

Colon & Rectum

All Races, Both Sexes

Sorted by rate

Counties
sort alphabetically by name ascending 		Priority Index1
1=highest
9=lowest
sort by priority index descending 		Recent Trend2
 County Death
Rate
Compared
to
US Rate
 Average Annual Count
sort by count descending 		Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
sort by rate ascending 		Rate
Ratio3
County
to
US
sort by rate descending 		Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
sort by trend descending
United States - falling - 52,648 12.9 (12.8, 12.9) - -0.8 (-1.5, -0.4)
Missouri - stable - 1,107 14.1 (13.7, 14.5) - 1.7 (-1.1, 3.4)
Pemiscot County 4 stable higher 7 32.6 (22.4, 46.2) 2.5 1.9 (-0.1, 4.1)
Adair County 4 stable higher 7 24.2 (16.8, 34.0) 1.9 -0.3 (-3.4, 2.9)
Macon County 4 stable higher 5 24.0 (15.0, 36.6) 1.9 0.0 (-3.6, 3.6)
Vernon County 1 rising higher 7 23.8 (16.2, 34.1) 1.9 2.8 (0.3, 5.8)
St. Clair County 6 stable similar 3 23.7 (12.8, 41.0) 1.8 9.6 (-1.1, 35.2)
Texas County 4 stable higher 8 23.0 (16.2, 32.1) 1.8 0.6 (-2.7, 3.9)
Wayne County 4 stable higher 5 22.4 (14.2, 35.4) 1.7 -0.6 (-4.4, 3.2)
Nodaway County 1 rising higher 6 22.3 (14.8, 32.7) 1.7 8.1 (2.9, 26.5)
Ripley County 6 stable similar 4 22.3 (13.0, 36.5) 1.7 0.7 (-2.2, 3.4)
Laclede County 4 stable higher 10 22.3 (16.3, 29.8) 1.7 0.8 (-1.7, 3.4)
Dunklin County 4 stable higher 9 22.2 (15.9, 30.3) 1.7 0.6 (-1.9, 3.1)
Butler County 4 stable higher 12 21.3 (16.3, 27.6) 1.7 -0.4 (-2.2, 1.4)
Montgomery County 6 stable similar 3 20.2 (11.4, 33.9) 1.6 -2.1 (-6.1, 1.5)
Ste. Genevieve County 6 stable similar 5 19.9 (13.0, 29.8) 1.6 -34.7 (-62.8, 2.7)
Wright County 6 stable similar 5 19.9 (13.0, 29.5) 1.5 -0.4 (-2.3, 1.4)
Ray County 6 stable similar 6 19.8 (13.4, 28.4) 1.5 -1.3 (-3.9, 1.4)
Douglas County 6 stable similar 3 19.5 (10.9, 32.9) 1.5 -2.0 (-5.4, 1.0)
Pike County 6 stable similar 5 19.4 (12.2, 29.7) 1.5 -2.0 (-4.5, 0.3)
Gasconade County 6 stable similar 5 19.2 (12.0, 30.0) 1.5 -0.7 (-4.7, 3.0)
Dent County 8 falling similar 4 19.1 (11.2, 31.0) 1.5 -2.8 (-5.8, -0.3)
New Madrid County 6 stable similar 5 18.9 (11.9, 29.1) 1.5 0.3 (-3.1, 4.0)
Marion County 8 falling similar 7 18.5 (12.7, 26.3) 1.4 -1.9 (-3.8, -0.2)
Lafayette County 6 stable similar 8 18.5 (12.9, 25.7) 1.4 -1.4 (-4.1, 0.9)
Phelps County 6 stable similar 9 17.9 (12.9, 24.2) 1.4 0.2 (-2.5, 3.1)
Barry County 6 stable similar 9 17.6 (12.7, 24.0) 1.4 -1.0 (-4.2, 2.2)
Saline County 6 stable similar 5 17.3 (11.0, 26.1) 1.3 -1.1 (-5.1, 2.3)
Christian County 4 stable higher 18 16.9 (13.5, 20.8) 1.3 9.6 (-1.4, 28.3)
St. Francois County 8 falling similar 14 16.3 (12.6, 20.8) 1.3 -1.7 (-3.3, -0.2)
Bates County 6 stable similar 4 16.1 (9.4, 26.3) 1.3 -1.5 (-5.1, 1.7)
Randolph County 6 stable similar 5 16.1 (10.3, 24.2) 1.3 -1.2 (-3.6, 1.2)
Stoddard County 6 stable similar 7 16.1 (11.3, 22.6) 1.3 -1.7 (-4.3, 0.8)
Pettis County 6 stable similar 9 15.9 (11.4, 21.7) 1.2 -2.0 (-4.7, 0.6)
Buchanan County 6 stable similar 17 15.8 (12.5, 19.7) 1.2 -1.5 (-3.3, 0.1)
Audrain County 6 stable similar 5 15.7 (10.3, 23.3) 1.2 -0.3 (-4.2, 3.4)
Benton County 6 stable similar 6 15.7 (10.3, 23.9) 1.2 -2.9 (-6.1, 0.2)
Jasper County 6 stable similar 22 15.5 (12.7, 18.7) 1.2 -0.5 (-2.0, 1.0)
Andrew County 6 stable similar 4 15.5 (9.4, 24.5) 1.2 -2.3 (-5.1, 0.2)
Lawrence County 6 stable similar 7 15.2 (10.4, 21.4) 1.2 -1.1 (-3.2, 1.0)
Callaway County 6 stable similar 9 15.1 (10.9, 20.5) 1.2 0.1 (-2.2, 10.0)
St. Louis City 8 falling similar 48 14.7 (12.9, 16.8) 1.1 -3.7 (-8.7, -2.8)
Warren County 6 stable similar 7 14.7 (9.9, 21.0) 1.1 25.9 (-1.5, 50.4)
Polk County 6 stable similar 6 14.6 (9.5, 21.5) 1.1 -2.1 (-4.6, 0.3)
Stone County 6 stable similar 8 14.6 (9.9, 21.1) 1.1 27.1 (-0.8, 52.3)
Cooper County 6 stable similar 3 14.6 (8.3, 24.1) 1.1 -1.8 (-4.5, 0.7)
Taney County 6 stable similar 12 14.5 (11.1, 18.9) 1.1 -0.3 (-2.1, 1.8)
Johnson County 6 stable similar 8 14.5 (10.2, 20.0) 1.1 -1.6 (-4.0, 0.7)
Cedar County 6 stable similar 3 14.5 (7.7, 25.3) 1.1 -2.3 (-6.2, 1.0)
Howell County 6 stable similar 8 14.3 (10.2, 19.6) 1.1 -0.6 (-2.9, 1.7)
Crawford County 6 stable similar 5 14.3 (8.9, 21.9) 1.1 -1.1 (-3.7, 1.4)
Newton County 6 stable similar 11 14.0 (10.5, 18.4) 1.1 -1.3 (-3.0, 0.5)
Clay County 6 stable similar 39 13.8 (11.9, 15.9) 1.1 4.9 (-0.5, 15.2)
Camden County 8 falling similar 10 13.6 (9.9, 18.7) 1.1 -3.1 (-5.2, -1.1)
Webster County 6 stable similar 6 13.6 (9.1, 19.6) 1.1 -2.4 (-5.6, 1.0)
Boone County 6 stable similar 24 13.5 (11.2, 16.2) 1.0 -0.6 (-2.1, 0.9)
Lincoln County 8 falling similar 9 13.5 (9.8, 18.2) 1.0 -3.0 (-5.2, -0.8)
Jackson County 8 falling similar 112 13.3 (12.2, 14.5) 1.0 -2.0 (-2.6, -1.5)
Scott County 8 falling similar 7 13.0 (8.9, 18.6) 1.0 -2.4 (-4.6, -0.3)
Henry County 6 stable similar 5 13.0 (8.5, 19.7) 1.0 -1.3 (-3.5, 0.9)
St. Louis County 6 stable similar 174 13.0 (12.1, 13.9) 1.0 0.3 (-2.5, 7.3)
Cass County 6 stable similar 18 12.9 (10.3, 15.9) 1.0 -1.0 (-2.5, 0.7)
Platte County 8 falling similar 17 12.8 (10.2, 16.0) 1.0 -2.4 (-4.4, -0.2)
Jefferson County 8 falling similar 33 12.6 (10.7, 14.8) 1.0 -2.9 (-4.1, -1.7)
Greene County 8 falling similar 46 12.4 (10.8, 14.2) 1.0 -1.7 (-2.8, -0.6)
Cole County 8 falling similar 12 12.2 (9.2, 15.9) 0.9 -2.7 (-5.2, -0.5)
Franklin County 8 falling similar 16 11.7 (9.2, 14.7) 0.9 -3.9 (-7.7, -2.8)
Cape Girardeau County 8 falling similar 11 10.9 (8.0, 14.4) 0.8 -3.7 (-5.4, -2.2)
St. Charles County 9 falling lower 46 9.1 (7.9, 10.3) 0.7 -3.9 (-5.0, -2.8)
Clinton County
**
 		** similar 3 12.1 (6.9, 19.9) 0.9
**
Dallas County
**
 		** similar 4 17.0 (10.5, 26.4) 1.3
**
Hickory County
**
 		** similar 4 18.5 (11.1, 32.6) 1.4
**
McDonald County
**
 		** similar 5 19.7 (12.7, 29.2) 1.5
**
Miller County
**
 		** similar 4 12.6 (7.7, 19.8) 1.0
**
Morgan County
**
 		** similar 4 13.6 (8.2, 21.7) 1.1
**
Perry County
**
 		** similar 3 11.5 (6.6, 19.1) 0.9
**
Pulaski County
**
 		** similar 8 18.9 (13.2, 26.1) 1.5
**
Ralls County
**
 		** similar 3 21.7 (12.2, 36.7) 1.7
**
Washington County
**
 		** similar 5 17.0 (10.8, 25.7) 1.3
**
Atchison County
**
 		**
*
3 or fewer
*
*
**
Barton County
**
 		**
*
3 or fewer
*
*
**
Bollinger County
**
 		**
*
3 or fewer
*
*
**
Caldwell County
**
 		**
*
3 or fewer
*
*
**
Carroll County
**
 		**
*
3 or fewer
*
*
**
Carter County
**
 		**
*
3 or fewer
*
*
**
Chariton County
**
 		**
*
3 or fewer
*
*
**
Clark County
**
 		**
*
3 or fewer
*
*
**
Dade County
**
 		**
*
3 or fewer
*
*
**
Daviess County
**
 		**
*
3 or fewer
*
*
**
DeKalb County
**
 		**
*
3 or fewer
*
*
**
Gentry County
**
 		**
*
3 or fewer
*
*
**
Grundy County
**
 		**
*
3 or fewer
*
*
**
Harrison County
**
 		**
*
3 or fewer
*
*
**
Holt County
**
 		**
*
3 or fewer
*
*
**
Howard County
**
 		**
*
3 or fewer
*
*
**
Iron County
**
 		**
*
3 or fewer
*
*
**
Knox County
**
 		**
*
3 or fewer
*
*
**
Lewis County
**
 		**
*
3 or fewer
*
*
**
Linn County
**
 		**
*
3 or fewer
*
*
**
Livingston County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Maries County
**
 		**
*
3 or fewer
*
*
**
Mercer County
**
 		**
*
3 or fewer
*
*
**
Mississippi County
**
 		**
*
3 or fewer
*
*
**
Moniteau County
**
 		**
*
3 or fewer
*
*
**
Monroe County
**
 		**
*
3 or fewer
*
*
**
Oregon County
**
 		**
*
3 or fewer
*
*
**
Osage County
**
 		**
*
3 or fewer
*
*
**
Ozark County
**
 		**
*
3 or fewer
*
*
**
Putnam County
**
 		**
*
3 or fewer
*
*
**
Reynolds County
**
 		**
*
3 or fewer
*
*
**
Schuyler County
**
 		**
*
3 or fewer
*
*
**
Scotland County
**
 		**
*
3 or fewer
*
*
**
Shannon County
**
 		**
*
3 or fewer
*
*
**
Shelby County
**
 		**
*
3 or fewer
*
*
**
Sullivan County
**
 		**
*
3 or fewer
*
*
**
Worth County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 5:45 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

* 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.

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