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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Missouri Counties versus United States

Colon & Rectum

All Races, Both Sexes

Sorted by count
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 ascending 		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)
Missouri - falling falling trend - 1,073 13.8 (13.4, 14.1) - -2.5 (-2.8, -2.2)
St. Louis County 8 falling falling trend similar 168 12.3 (11.5, 13.2) 0.9 -2.8 (-3.1, -2.4)
Jackson County 8 falling falling trend similar 111 13.4 (12.3, 14.6) 1.0 -2.0 (-2.4, -1.5)
St. Louis City 5 falling falling trend higher 54 15.8 (13.9, 17.9) 1.2 -2.0 (-2.4, -1.6)
St. Charles County 9 falling falling trend lower 45 9.4 (8.2, 10.8) 0.7 -3.8 (-4.4, -3.2)
Greene County 8 falling falling trend similar 42 12.1 (10.5, 13.9) 0.9 -2.2 (-2.8, -1.6)
Jefferson County 8 falling falling trend similar 36 14.3 (12.2, 16.6) 1.1 -2.4 (-3.1, -1.6)
Clay County 8 falling falling trend similar 31 11.7 (9.9, 13.8) 0.9 -2.5 (-3.2, -1.7)
Jasper County 5 falling falling trend higher 23 16.4 (13.5, 19.8) 1.3 -2.1 (-2.9, -1.3)
Boone County 8 falling falling trend similar 22 12.5 (10.2, 15.2) 1.0 -1.5 (-2.3, -0.7)
Cass County 8 falling falling trend similar 21 15.1 (12.3, 18.4) 1.1 -0.9 (-1.8, -0.1)
Franklin County 8 falling falling trend similar 17 12.8 (10.2, 15.9) 1.0 -2.2 (-3.2, -1.2)
Cape Girardeau County 8 falling falling trend similar 15 14.8 (11.6, 18.8) 1.1 -2.6 (-3.6, -1.7)
St. Francois County 5 falling falling trend higher 14 17.5 (13.6, 22.1) 1.3 -1.8 (-3.1, -0.4)
Newton County 5 falling falling trend higher 14 17.9 (13.9, 22.7) 1.4 -1.0 (-2.0, 0.0)
Buchanan County 8 falling falling trend similar 12 10.6 (8.1, 13.7) 0.8 -2.7 (-3.6, -1.8)
Christian County 8 falling falling trend similar 12 12.0 (9.1, 15.5) 0.9 -3.1 (-4.4, -1.7)
Cole County 8 falling falling trend similar 12 11.7 (8.8, 15.3) 0.9 -3.2 (-4.2, -2.2)
Platte County 9 falling falling trend lower 11 9.7 (7.3, 12.6) 0.7 -3.2 (-4.4, -2.1)
Barry County 4 stable stable trend higher 11 19.8 (14.8, 26.2) 1.5 -0.9 (-2.0, 0.2)
Taney County 8 falling falling trend similar 11 12.6 (9.4, 16.7) 1.0 -2.3 (-3.2, -1.3)
Butler County 8 falling falling trend similar 10 16.8 (12.4, 22.4) 1.3 -1.2 (-2.2, -0.2)
Dunklin County 1 rising rising trend higher 10 25.5 (18.8, 34.0) 1.9 1.3 (0.0, 2.6)
Camden County 8 falling falling trend similar 10 11.3 (8.3, 15.5) 0.9 -3.4 (-4.7, -2.2)
Pettis County 8 falling falling trend similar 10 18.0 (13.3, 24.0) 1.4 -2.2 (-3.6, -0.7)
Phelps County 8 falling falling trend similar 9 16.2 (11.7, 22.1) 1.2 -2.9 (-4.5, -1.3)
Stoddard County 4 stable stable trend higher 9 20.5 (14.7, 28.1) 1.6 -0.4 (-1.7, 0.9)
Johnson County 6 stable stable trend similar 8 15.9 (11.4, 21.6) 1.2 -1.1 (-2.6, 0.4)
Howell County 8 falling falling trend similar 8 13.7 (9.8, 18.9) 1.0 -1.7 (-3.1, -0.3)
Lawrence County 8 falling falling trend similar 8 16.3 (11.5, 22.5) 1.2 -2.2 (-3.4, -1.0)
Laclede County 8 falling falling trend similar 8 17.2 (12.1, 23.8) 1.3 -1.6 (-3.0, -0.1)
Callaway County 8 falling falling trend similar 8 13.6 (9.5, 18.9) 1.0 -2.4 (-3.4, -1.3)
Benton County 8 falling falling trend similar 7 18.9 (13.0, 27.8) 1.4 -2.4 (-4.0, -0.7)
Lincoln County 8 falling falling trend similar 7 11.7 (8.1, 16.3) 0.9 -2.1 (-3.4, -0.8)
Texas County 6 stable stable trend similar 7 18.4 (12.6, 26.2) 1.4 -0.4 (-2.2, 1.4)
Marion County 6 stable stable trend similar 7 19.3 (13.2, 27.5) 1.5 -0.7 (-1.7, 0.4)
Scott County 6 stable stable trend similar 7 12.9 (8.9, 18.3) 1.0 -1.2 (-2.5, 0.2)
Polk County 8 falling falling trend similar 7 15.6 (10.6, 22.3) 1.2 -2.0 (-3.6, -0.3)
Pike County 4 stable stable trend higher 6 24.3 (16.3, 35.3) 1.9 -1.5 (-3.2, 0.1)
Henry County 8 falling falling trend similar 6 16.1 (10.5, 24.1) 1.2 -2.8 (-4.4, -1.2)
Lafayette County 6 stable stable trend similar 5 13.3 (8.5, 19.8) 1.0 -1.3 (-2.8, 0.2)
Pemiscot County 4 stable stable trend higher 5 24.4 (15.9, 36.3) 1.9 -0.7 (-2.0, 0.6)
Stone County 8 falling falling trend similar 5 9.8 (5.9, 15.7) 0.7 -4.7 (-6.3, -3.0)
Webster County 8 falling falling trend similar 5 12.2 (8.0, 17.9) 0.9 -2.7 (-4.2, -1.1)
Audrain County 6 stable stable trend similar 5 15.9 (10.3, 23.7) 1.2 -1.5 (-3.0, 0.0)
Nodaway County 6 stable stable trend similar 5 17.9 (11.6, 26.9) 1.4 0.1 (-2.4, 2.7)
Vernon County 2 rising rising trend similar 5 17.5 (11.3, 26.3) 1.3 4.6 (0.2, 9.2)
Adair County 8 falling falling trend similar 5 16.9 (10.9, 25.4) 1.3 -2.1 (-3.7, -0.5)
Macon County 4 stable stable trend higher 5 23.3 (14.4, 36.2) 1.8 -1.5 (-3.4, 0.5)
Bates County 6 stable stable trend similar 5 20.3 (12.7, 31.4) 1.5 -1.3 (-3.1, 0.6)
Randolph County 6 stable stable trend similar 5 15.1 (9.5, 23.1) 1.2 -1.1 (-2.8, 0.7)
Ray County 6 stable stable trend similar 5 14.3 (9.0, 22.0) 1.1 -0.7 (-2.3, 0.9)
Ripley County 6 stable stable trend similar 5 20.9 (13.2, 32.3) 1.6 -0.5 (-1.7, 0.8)
Crawford County 8 falling falling trend similar 4 13.4 (8.3, 20.8) 1.0 -2.1 (-3.3, -0.8)
Dent County 8 falling falling trend similar 4 20.1 (12.0, 31.9) 1.5 -1.9 (-3.7, 0.0)
New Madrid County 6 stable stable trend similar 4 17.5 (10.9, 27.1) 1.3 -0.3 (-2.3, 1.7)
Wright County 6 stable stable trend similar 4 16.7 (10.2, 26.2) 1.3 -0.9 (-1.9, 0.2)
Andrew County 6 stable stable trend similar 4 15.8 (9.6, 25.2) 1.2 -1.4 (-3.1, 0.3)
Bollinger County 6 stable stable trend similar 4 23.6 (13.9, 38.1) 1.8 -0.5 (-2.6, 1.6)
Linn County 6 stable stable trend similar 4 20.8 (11.9, 34.4) 1.6 -1.1 (-2.6, 0.4)
Saline County 8 falling falling trend similar 4 11.7 (6.9, 18.9) 0.9 -2.3 (-3.9, -0.6)
Wayne County 8 falling falling trend similar 4 17.7 (9.9, 30.1) 1.4 -2.4 (-4.3, -0.5)
Warren County 9 falling falling trend lower 3 7.8 (4.4, 12.9) 0.6 -3.4 (-5.2, -1.5)
Douglas County 8 falling falling trend similar 3 13.7 (7.7, 23.7) 1.0 -2.0 (-4.0, 0.0)
Barton County
**
 		** higher 5 28.2 (17.3, 43.9) 2.1
**
Clinton County
**
 		** similar 3 11.8 (6.8, 19.6) 0.9
**
DeKalb County
**
 		** similar 4 22.3 (13.0, 36.3) 1.7
**
Gasconade County
**
 		** similar 4 16.1 (9.2, 27.0) 1.2
**
Hickory County
**
 		** similar 4 19.4 (12.1, 32.9) 1.5
**
Lewis County
**
 		** similar 3 23.5 (13.2, 39.5) 1.8
**
McDonald County
**
 		** higher 7 24.6 (16.8, 34.9) 1.9
**
Miller County
**
 		** similar 3 9.4 (5.3, 15.7) 0.7
**
Morgan County
**
 		** similar 4 12.1 (7.2, 19.8) 0.9
**
Oregon County
**
 		** similar 3 17.7 (10.3, 30.2) 1.4
**
Perry County
**
 		** similar 4 12.8 (7.5, 21.1) 1.0
**
Pulaski County
**
 		** similar 4 10.5 (6.3, 16.4) 0.8
**
Ste. Genevieve County
**
 		** similar 5 19.0 (12.0, 29.0) 1.4
**
Washington County
**
 		** similar 5 15.7 (10.0, 23.7) 1.2
**
Atchison County
**
 		**
*
3 or fewer
*
*
**
Caldwell County
**
 		**
*
3 or fewer
*
*
**
Carroll County
**
 		**
*
3 or fewer
*
*
**
Carter County
**
 		**
*
3 or fewer
*
*
**
Cedar County
**
 		**
*
3 or fewer
*
*
**
Chariton County
**
 		**
*
3 or fewer
*
*
**
Clark County
**
 		**
*
3 or fewer
*
*
**
Cooper County
**
 		**
*
3 or fewer
*
*
**
Dade County
**
 		**
*
3 or fewer
*
*
**
Dallas County
**
 		**
*
3 or fewer
*
*
**
Daviess 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
*
*
**
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
*
*
**
Montgomery County
**
 		**
*
3 or fewer
*
*
**
Osage County
**
 		**
*
3 or fewer
*
*
**
Ozark County
**
 		**
*
3 or fewer
*
*
**
Putnam County
**
 		**
*
3 or fewer
*
*
**
Ralls 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
*
*
**
St. Clair County
**
 		**
*
3 or fewer
*
*
**
Sullivan County
**
 		**
*
3 or fewer
*
*
**
Worth County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/17/2024 4:16 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 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:
Atchison County, Caldwell County, Carroll County, Carter County, Cedar County, Chariton County, Clark County, Cooper County, Dade County, Dallas County, Daviess County, Gentry County, Grundy County, Harrison County, Holt County, Howard County, Iron County, Knox County, Livingston County, Madison County, Maries County, Mercer County, Mississippi County, Moniteau County, Monroe County, Montgomery County, Osage County, Ozark County, Putnam County, Ralls County, Reynolds County, Schuyler County, Scotland County, Shannon County, Shelby County, St. Clair County, Sullivan County, Worth County

Trend for the following could not be reliably determined due to small number of deaths per year:
Barton County, Clinton County, DeKalb County, Gasconade County, Hickory County, Lewis County, McDonald County, Miller County, Morgan County, Oregon County, Perry County, Pulaski County, Ste. Genevieve 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 does not include Puerto Rico.

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