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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

Liver & Bile Duct

All Races, Both Sexes

Sorted by priority index

Counties
sort alphabetically by name ascending 		Priority Index1
1=highest
9=lowest
sort by priority index ascending 		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 - 28,750 6.6 (6.6, 6.7) - -0.3 (-0.5, -0.1)
Missouri - stable - 566 6.8 (6.5, 7.0) - 1.0 (-0.4, 1.7)
Boone County 6 stable similar 11 6.0 (4.5, 7.9) 0.9 1.2 (-0.4, 3.2)
Buchanan County 6 stable similar 8 7.0 (4.9, 9.8) 1.1 -8.7 (-29.2, 4.5)
Butler County 6 stable similar 4 7.1 (4.5, 11.1) 1.1 1.2 (-2.1, 5.0)
Cass County 6 stable similar 10 6.0 (4.4, 8.1) 0.9 0.3 (-1.5, 2.7)
Christian County 6 stable similar 8 7.2 (5.1, 9.9) 1.1 1.7 (-0.8, 5.7)
Greene County 6 stable similar 24 6.2 (5.1, 7.5) 0.9 1.2 (-0.9, 3.7)
Phelps County 6 stable similar 3 5.6 (3.2, 9.3) 0.8 0.5 (-3.8, 5.7)
Platte County 6 stable similar 7 5.1 (3.5, 7.1) 0.8 0.9 (-1.8, 5.0)
Jackson County 4 stable higher 68 7.6 (6.8, 8.4) 1.1 -0.6 (-8.7, 1.2)
St. Louis City 4 stable higher 33 8.9 (7.6, 10.5) 1.3 0.0 (-1.6, 1.6)
St. Charles County 3 rising lower 25 4.9 (4.0, 5.8) 0.7 1.6 (0.2, 3.4)
Clay County 2 rising similar 22 7.5 (6.1, 9.0) 1.1 2.6 (0.5, 5.6)
Franklin County 2 rising similar 9 6.3 (4.6, 8.5) 0.9 3.2 (1.0, 6.3)
Jasper County 2 rising similar 13 8.5 (6.5, 10.9) 1.3 2.2 (0.6, 4.1)
Jefferson County 2 rising similar 21 7.1 (5.8, 8.7) 1.1 2.5 (0.1, 5.8)
Newton County 2 rising similar 6 7.6 (5.1, 11.0) 1.1 3.7 (0.6, 8.3)
St. Louis County 2 rising similar 91 6.5 (5.9, 7.1) 1.0 2.1 (1.3, 3.1)
Benton County
**
 		** similar 5 11.0 (7.0, 17.8) 1.7
**
Callaway County
**
 		** similar 5 7.6 (4.8, 11.8) 1.2
**
Camden County
**
 		** similar 6 6.5 (4.4, 9.8) 1.0
**
Cape Girardeau County
**
 		** lower 4 3.9 (2.4, 6.1) 0.6
**
Cole County
**
 		** similar 7 6.3 (4.3, 9.0) 0.9
**
Dunklin County
**
 		** higher 5 11.7 (7.4, 17.8) 1.8
**
Howell County
**
 		** similar 4 7.2 (4.3, 11.5) 1.1
**
Johnson County
**
 		** similar 5 8.4 (5.3, 12.7) 1.3
**
Laclede County
**
 		** similar 4 8.5 (5.2, 13.4) 1.3
**
Lawrence County
**
 		** similar 3 6.1 (3.5, 10.0) 0.9
**
Lincoln County
**
 		** similar 6 7.8 (5.1, 11.6) 1.2
**
McDonald County
**
 		** similar 3 10.2 (5.8, 17.1) 1.5
**
Pettis County
**
 		** similar 4 7.7 (4.8, 11.9) 1.2
**
Pulaski County
**
 		** similar 4 11.2 (6.9, 17.0) 1.7
**
Ray County
**
 		** similar 3 9.3 (5.4, 15.4) 1.4
**
St. Francois County
**
 		** similar 8 8.5 (6.0, 11.7) 1.3
**
Taney County
**
 		** similar 7 8.2 (5.7, 11.6) 1.2
**
Texas County
**
 		** similar 3 8.9 (5.2, 14.8) 1.3
**
Warren County
**
 		** similar 3 6.2 (3.5, 10.5) 0.9
**
Washington County
**
 		** similar 4 11.8 (7.0, 18.9) 1.8
**
Webster County
**
 		** similar 3 7.0 (4.0, 11.4) 1.1
**
Adair County
**
 		**
*
3 or fewer
*
*
**
Andrew County
**
 		**
*
3 or fewer
*
*
**
Atchison County
**
 		**
*
3 or fewer
*
*
**
Audrain County
**
 		**
*
3 or fewer
*
*
**
Barry County
**
 		**
*
3 or fewer
*
*
**
Barton County
**
 		**
*
3 or fewer
*
*
**
Bates County
**
 		**
*
3 or fewer
*
*
**
Bollinger 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
*
*
**
Clinton County
**
 		**
*
3 or fewer
*
*
**
Cooper County
**
 		**
*
3 or fewer
*
*
**
Crawford County
**
 		**
*
3 or fewer
*
*
**
Dade County
**
 		**
*
3 or fewer
*
*
**
Dallas County
**
 		**
*
3 or fewer
*
*
**
Daviess County
**
 		**
*
3 or fewer
*
*
**
DeKalb County
**
 		**
*
3 or fewer
*
*
**
Dent County
**
 		**
*
3 or fewer
*
*
**
Douglas County
**
 		**
*
3 or fewer
*
*
**
Gasconade County
**
 		**
*
3 or fewer
*
*
**
Gentry County
**
 		**
*
3 or fewer
*
*
**
Grundy County
**
 		**
*
3 or fewer
*
*
**
Harrison County
**
 		**
*
3 or fewer
*
*
**
Henry County
**
 		**
*
3 or fewer
*
*
**
Hickory County
**
 		**
*
3 or fewer
*
*
**
Holt County
**
 		**
*
3 or fewer
*
*
**
Howard County
**
 		**
*
3 or fewer
*
*
**
Iron County
**
 		**
*
3 or fewer
*
*
**
Knox County
**
 		**
*
3 or fewer
*
*
**
Lafayette County
**
 		**
*
3 or fewer
*
*
**
Lewis County
**
 		**
*
3 or fewer
*
*
**
Linn County
**
 		**
*
3 or fewer
*
*
**
Livingston County
**
 		**
*
3 or fewer
*
*
**
Macon County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Maries County
**
 		**
*
3 or fewer
*
*
**
Marion County
**
 		**
*
3 or fewer
*
*
**
Mercer County
**
 		**
*
3 or fewer
*
*
**
Miller County
**
 		**
*
3 or fewer
*
*
**
Mississippi County
**
 		**
*
3 or fewer
*
*
**
Moniteau County
**
 		**
*
3 or fewer
*
*
**
Monroe County
**
 		**
*
3 or fewer
*
*
**
Montgomery County
**
 		**
*
3 or fewer
*
*
**
Morgan County
**
 		**
*
3 or fewer
*
*
**
New Madrid County
**
 		**
*
3 or fewer
*
*
**
Nodaway County
**
 		**
*
3 or fewer
*
*
**
Oregon County
**
 		**
*
3 or fewer
*
*
**
Osage County
**
 		**
*
3 or fewer
*
*
**
Ozark County
**
 		**
*
3 or fewer
*
*
**
Pemiscot County
**
 		**
*
3 or fewer
*
*
**
Perry County
**
 		**
*
3 or fewer
*
*
**
Pike County
**
 		**
*
3 or fewer
*
*
**
Polk County
**
 		**
*
3 or fewer
*
*
**
Putnam County
**
 		**
*
3 or fewer
*
*
**
Ralls County
**
 		**
*
3 or fewer
*
*
**
Randolph County
**
 		**
*
3 or fewer
*
*
**
Reynolds County
**
 		**
*
3 or fewer
*
*
**
Ripley County
**
 		**
*
3 or fewer
*
*
**
Saline County
**
 		**
*
3 or fewer
*
*
**
Schuyler County
**
 		**
*
3 or fewer
*
*
**
Scotland County
**
 		**
*
3 or fewer
*
*
**
Scott County
**
 		**
*
3 or fewer
*
*
**
Shannon County
**
 		**
*
3 or fewer
*
*
**
Shelby County
**
 		**
*
3 or fewer
*
*
**
St. Clair County
**
 		**
*
3 or fewer
*
*
**
Ste. Genevieve County
**
 		**
*
3 or fewer
*
*
**
Stoddard County
**
 		**
*
3 or fewer
*
*
**
Stone County
**
 		**
*
3 or fewer
*
*
**
Sullivan County
**
 		**
*
3 or fewer
*
*
**
Vernon County
**
 		**
*
3 or fewer
*
*
**
Wayne County
**
 		**
*
3 or fewer
*
*
**
Worth County
**
 		**
*
3 or fewer
*
*
**
Wright County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 11:53 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:
Adair County, Andrew County, Atchison County, Audrain County, Barry County, Barton County, Bates County, Bollinger County, Caldwell County, Carroll County, Carter County, Cedar County, Chariton County, Clark County, Clinton County, Cooper County, Crawford County, Dade County, Dallas County, Daviess County, DeKalb County, Dent County, Douglas County, Gasconade County, Gentry County, Grundy County, Harrison County, Henry County, Hickory County, Holt County, Howard County, Iron County, Knox County, Lafayette County, Lewis County, Linn County, Livingston County, Macon County, Madison County, Maries County, Marion County, Mercer County, Miller County, Mississippi County, Moniteau County, Monroe County, Montgomery County, Morgan County, New Madrid County, Nodaway County, Oregon County, Osage County, Ozark County, Pemiscot County, Perry County, Pike County, Polk County, Putnam County, Ralls County, Randolph County, Reynolds County, Ripley County, Saline County, Schuyler County, Scotland County, Scott County, Shannon County, Shelby County, St. Clair County, Ste. Genevieve County, Stoddard County, Stone County, Sullivan County, Vernon County, Wayne County, Worth County, Wright County

Trend for the following could not be reliably determined due to small number of deaths per year:
Benton County, Callaway County, Camden County, Cape Girardeau County, Cole County, Dunklin County, Howell County, Johnson County, Laclede County, Lawrence County, Lincoln County, McDonald County, Pettis County, Pulaski County, Ray County, St. Francois County, Taney County, Texas County, Warren County, Washington County, Webster 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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