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Interpretation of Rate/Trend Comparison by Cancer Data

Death Rate/Trend Comparison by Cancer, 2014-2018

Kentucky Counties versus United States

Liver & Bile Duct

All Races, Both Sexes

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


Jefferson County

Fayette County

Kenton County

McCracken County

Warren County

Laurel County

Campbell County

Hardin County

Pike County

Barren County Bell County Boone County Boyd County Boyle County Bullitt County Carter County Christian County Clark County Daviess County Floyd County Graves County Henderson County Hopkins County Logan County Madison County Muhlenberg County Nelson County Ohio County Oldham County Perry County Pulaski County Scott County Shelby County Whitley County Woodford County Adair County Allen County Anderson County Ballard County Bath County Bourbon County Bracken County Breathitt County Breckinridge County Butler County Caldwell County Calloway County Carlisle County Carroll County Casey County Clay County Clinton County Crittenden County Cumberland County Edmonson County Elliott County Estill County Fleming County Franklin County Fulton County Gallatin County Garrard County Grant County Grayson County Green County Greenup County Hancock County Harlan County Harrison County Hart County Henry County Hickman County Jackson County Jessamine County Johnson County Knott County Knox County Larue County Lawrence County Lee County Leslie County Letcher County Lewis County Lincoln County Livingston County Lyon County Magoffin County Marion County Marshall County Martin County Mason County McCreary County McLean County Meade County Menifee County Mercer County Metcalfe County Monroe County Montgomery County Morgan County Nicholas County Owen County Owsley County Pendleton County Powell County Robertson County Rockcastle County Rowan County Russell County Simpson County Spencer County Taylor County Todd County Trigg County Trimble County Union County Washington County Wayne County Webster County Wolfe County

Created by on 03/08/2021 5:43 pm.

     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 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 1969-2017 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, Allen County, Anderson County, Ballard County, Bath County, Bourbon County, Bracken County, Breathitt County, Breckinridge County, Butler County, Caldwell County, Calloway County, Carlisle County, Carroll County, Casey County, Clay County, Clinton County, Crittenden County, Cumberland County, Edmonson County, Elliott County, Estill County, Fleming County, Franklin County, Fulton County, Gallatin County, Garrard County, Grant County, Grayson County, Green County, Greenup County, Hancock County, Harlan County, Harrison County, Hart County, Henry County, Hickman County, Jackson County, Jessamine County, Johnson County, Knott County, Knox County, Larue County, Lawrence County, Lee County, Leslie County, Letcher County, Lewis County, Lincoln County, Livingston County, Lyon County, Magoffin County, Marion County, Marshall County, Martin County, Mason County, McCreary County, McLean County, Meade County, Menifee County, Mercer County, Metcalfe County, Monroe County, Montgomery County, Morgan County, Nicholas County, Owen County, Owsley County, Pendleton County, Powell County, Robertson County, Rockcastle County, Rowan County, Russell County, Simpson County, Spencer County, Taylor County, Todd County, Trigg County, Trimble County, Union County, Washington County, Wayne County, Webster County, Wolfe County

Trend for the following could not be reliably determined due to small number of deaths per year:
Barren County, Bell County, Boone County, Boyd County, Boyle County, Bullitt County, Carter County, Christian County, Clark County, Daviess County, Floyd County, Graves County, Henderson County, Hopkins County, Logan County, Madison County, Muhlenberg County, Nelson County, Ohio County, Oldham County, Perry County, Pulaski County, Scott County, Shelby County, Whitley County, Woodford 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.