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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Iowa Counties versus United States

Colon & Rectum

All Races, Both Sexes

Sorted by priority index
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 descending 		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 falling trend - 52,152 13.1 (13.1, 13.2) - -1.9 (-2.1, -1.8)
Iowa - falling falling trend - 564 13.6 (13.1, 14.2) - -2.3 (-2.4, -2.1)
Emmet County 1 rising rising trend higher 4 28.9 (17.5, 46.2) 2.2 2.0 (0.4, 3.6)
Appanoose County 6 stable stable trend similar 5 20.1 (12.6, 31.6) 1.5 -1.2 (-3.2, 0.8)
Calhoun County 6 stable stable trend similar 4 24.2 (14.4, 39.6) 1.8 -0.8 (-2.9, 1.3)
Cass County 6 stable stable trend similar 5 21.7 (13.3, 34.3) 1.7 0.1 (-2.1, 2.2)
Cherokee County 6 stable stable trend similar 3 15.2 (8.2, 27.1) 1.2 -1.6 (-3.8, 0.7)
Dickinson County 6 stable stable trend similar 5 15.5 (9.7, 24.5) 1.2 -1.8 (-3.7, 0.2)
Howard County 6 stable stable trend similar 3 21.3 (12.3, 35.9) 1.6 -1.4 (-3.9, 1.1)
Jackson County 6 stable stable trend similar 5 16.5 (10.3, 25.5) 1.3 -1.3 (-2.9, 0.4)
Jones County 6 stable stable trend similar 6 18.5 (12.4, 27.0) 1.4 -1.6 (-3.3, 0.2)
Madison County 6 stable stable trend similar 4 17.4 (10.3, 28.1) 1.3 -0.9 (-2.5, 0.8)
Mahaska County 6 stable stable trend similar 4 14.4 (8.9, 22.3) 1.1 -1.3 (-2.7, 0.1)
Marion County 6 stable stable trend similar 8 18.9 (13.5, 26.0) 1.4 -0.5 (-1.7, 0.8)
Montgomery County 6 stable stable trend similar 4 20.8 (11.9, 35.0) 1.6 -0.9 (-3.0, 1.3)
Muscatine County 6 stable stable trend similar 9 16.9 (12.3, 22.7) 1.3 -1.0 (-2.0, 0.0)
Sac County 6 stable stable trend similar 4 23.4 (13.1, 39.7) 1.8 -1.7 (-3.4, 0.1)
Tama County 6 stable stable trend similar 4 14.6 (8.8, 23.5) 1.1 -1.5 (-3.2, 0.3)
Union County 6 stable stable trend similar 3 19.4 (10.8, 32.7) 1.5 -1.2 (-3.1, 0.7)
Webster County 6 stable stable trend similar 8 17.0 (11.9, 23.6) 1.3 -1.2 (-2.7, 0.2)
Black Hawk County 8 falling falling trend similar 19 11.6 (9.3, 14.3) 0.9 -2.5 (-3.1, -1.9)
Boone County 8 falling falling trend similar 6 15.9 (10.5, 23.4) 1.2 -2.2 (-3.7, -0.7)
Bremer County 8 falling falling trend similar 4 11.9 (7.4, 18.6) 0.9 -3.0 (-4.4, -1.5)
Buchanan County 8 falling falling trend similar 3 11.9 (6.9, 19.5) 0.9 -2.6 (-4.0, -1.1)
Buena Vista County 8 falling falling trend similar 5 19.3 (12.0, 29.4) 1.5 -2.2 (-3.6, -0.8)
Butler County 8 falling falling trend similar 4 13.5 (8.0, 22.5) 1.0 -2.8 (-4.4, -1.2)
Carroll County 8 falling falling trend similar 6 15.6 (10.0, 23.7) 1.2 -2.6 (-4.1, -1.2)
Cerro Gordo County 8 falling falling trend similar 7 10.5 (7.1, 15.2) 0.8 -2.3 (-3.6, -1.0)
Clay County 8 falling falling trend similar 4 16.8 (10.0, 27.0) 1.3 -1.8 (-3.2, -0.3)
Clayton County 8 falling falling trend similar 6 18.7 (12.1, 28.2) 1.4 -1.8 (-3.3, -0.1)
Clinton County 8 falling falling trend similar 9 13.0 (9.4, 17.7) 1.0 -2.8 (-3.8, -1.7)
Delaware County 8 falling falling trend similar 5 16.7 (10.5, 26.0) 1.3 -2.8 (-4.1, -1.5)
Des Moines County 8 falling falling trend similar 7 12.6 (8.7, 17.8) 1.0 -3.7 (-5.0, -2.4)
Dubuque County 8 falling falling trend similar 13 10.6 (8.1, 13.6) 0.8 -3.7 (-4.7, -2.8)
Fayette County 8 falling falling trend similar 5 14.3 (8.9, 22.3) 1.1 -2.9 (-4.6, -1.3)
Hardin County 8 falling falling trend similar 3 11.3 (6.2, 19.7) 0.9 -3.5 (-5.0, -2.0)
Jasper County 8 falling falling trend similar 7 12.1 (8.4, 17.1) 0.9 -1.8 (-3.2, -0.5)
Johnson County 8 falling falling trend similar 15 11.3 (8.8, 14.2) 0.9 -2.2 (-3.3, -1.1)
Lee County 8 falling falling trend similar 9 16.3 (11.7, 22.4) 1.2 -2.6 (-3.6, -1.5)
Linn County 8 falling falling trend similar 35 13.0 (11.1, 15.2) 1.0 -3.2 (-3.7, -2.6)
Marshall County 8 falling falling trend similar 7 12.7 (8.7, 18.0) 1.0 -3.0 (-4.0, -2.0)
Polk County 8 falling falling trend similar 69 13.9 (12.5, 15.5) 1.1 -1.7 (-2.1, -1.3)
Pottawattamie County 8 falling falling trend similar 18 14.2 (11.3, 17.6) 1.1 -1.5 (-2.5, -0.5)
Poweshiek County 8 falling falling trend similar 5 16.2 (10.3, 25.1) 1.2 -1.8 (-3.3, -0.4)
Scott County 8 falling falling trend similar 28 13.2 (11.0, 15.6) 1.0 -3.0 (-3.8, -2.2)
Story County 8 falling falling trend similar 11 11.4 (8.5, 15.0) 0.9 -2.7 (-3.9, -1.6)
Wapello County 8 falling falling trend similar 6 12.4 (8.4, 17.9) 0.9 -2.9 (-4.4, -1.3)
Warren County 8 falling falling trend similar 7 11.7 (8.1, 16.4) 0.9 -2.8 (-4.2, -1.3)
Washington County 8 falling falling trend similar 5 15.3 (9.7, 23.3) 1.2 -2.3 (-4.0, -0.6)
Woodbury County 8 falling falling trend similar 17 13.7 (10.9, 17.1) 1.0 -1.4 (-2.2, -0.5)
Dallas County 9 falling falling trend lower 8 9.9 (7.1, 13.4) 0.8 -3.8 (-5.2, -2.4)
Sioux County 9 falling falling trend lower 3 7.1 (4.1, 11.7) 0.5 -4.0 (-5.4, -2.5)
Benton County
**
 		** similar 5 13.5 (8.4, 20.9) 1.0
**
Cedar County
**
 		** similar 3 12.0 (6.8, 20.2) 0.9
**
Grundy County
**
 		** similar 4 21.2 (12.4, 34.6) 1.6
**
Hamilton County
**
 		** similar 3 14.1 (7.8, 24.2) 1.1
**
Harrison County
**
 		** similar 4 16.0 (9.4, 26.3) 1.2
**
Keokuk County
**
 		** similar 4 23.8 (13.7, 39.4) 1.8
**
Page County
**
 		** similar 3 11.0 (6.2, 19.2) 0.8
**
Plymouth County
**
 		** similar 4 12.5 (7.6, 19.7) 1.0
**
Van Buren County
**
 		** higher 3 29.0 (16.3, 49.4) 2.2
**
Winneshiek County
**
 		** similar 4 11.1 (6.7, 18.2) 0.8
**
Adair County
**
 		**
*
3 or fewer
*
*
**
Adams County
**
 		**
*
3 or fewer
*
*
**
Allamakee County
**
 		**
*
3 or fewer
*
*
**
Audubon County
**
 		**
*
3 or fewer
*
*
**
Chickasaw County
**
 		**
*
3 or fewer
*
*
**
Clarke County
**
 		**
*
3 or fewer
*
*
**
Crawford County
**
 		**
*
3 or fewer
*
*
**
Davis County
**
 		**
*
3 or fewer
*
*
**
Decatur County
**
 		**
*
3 or fewer
*
*
**
Floyd County
**
 		**
*
3 or fewer
*
*
**
Franklin County
**
 		**
*
3 or fewer
*
*
**
Fremont County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Guthrie County
**
 		**
*
3 or fewer
*
*
**
Hancock County
**
 		**
*
3 or fewer
*
*
**
Henry County
**
 		**
*
3 or fewer
*
*
**
Humboldt County
**
 		**
*
3 or fewer
*
*
**
Ida County
**
 		**
*
3 or fewer
*
*
**
Iowa County
**
 		**
*
3 or fewer
*
*
**
Jefferson County
**
 		**
*
3 or fewer
*
*
**
Kossuth County
**
 		**
*
3 or fewer
*
*
**
Louisa County
**
 		**
*
3 or fewer
*
*
**
Lucas County
**
 		**
*
3 or fewer
*
*
**
Lyon County
**
 		**
*
3 or fewer
*
*
**
Mills County
**
 		**
*
3 or fewer
*
*
**
Mitchell County
**
 		**
*
3 or fewer
*
*
**
Monona County
**
 		**
*
3 or fewer
*
*
**
Monroe County
**
 		**
*
3 or fewer
*
*
**
O'Brien County
**
 		**
*
3 or fewer
*
*
**
Osceola County
**
 		**
*
3 or fewer
*
*
**
Palo Alto County
**
 		**
*
3 or fewer
*
*
**
Pocahontas County
**
 		**
*
3 or fewer
*
*
**
Ringgold County
**
 		**
*
3 or fewer
*
*
**
Shelby County
**
 		**
*
3 or fewer
*
*
**
Taylor County
**
 		**
*
3 or fewer
*
*
**
Wayne County
**
 		**
*
3 or fewer
*
*
**
Winnebago County
**
 		**
*
3 or fewer
*
*
**
Worth County
**
 		**
*
3 or fewer
*
*
**
Wright County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 04/28/2024 10:55 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 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:
Adair County, Adams County, Allamakee County, Audubon County, Chickasaw County, Clarke County, Crawford County, Davis County, Decatur County, Floyd County, Franklin County, Fremont County, Greene County, Guthrie County, Hancock County, Henry County, Humboldt County, Ida County, Iowa County, Jefferson County, Kossuth County, Louisa County, Lucas County, Lyon County, Mills County, Mitchell County, Monona County, Monroe County, O'Brien County, Osceola County, Palo Alto County, Pocahontas County, Ringgold County, Shelby County, Taylor County, Wayne County, Winnebago County, Worth County, Wright County

Trend for the following could not be reliably determined due to small number of deaths per year:
Benton County, Cedar County, Grundy County, Hamilton County, Harrison County, Keokuk County, Page County, Plymouth County, Van Buren County, Winneshiek 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.

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