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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Pennsylvania Counties versus United States

Liver & Bile Duct

All Races, Both Sexes

Sorted by name
Counties
sort alphabetically by name descending 		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 - 27,509 6.6 (6.6, 6.7) - -0.6 (-1.2, 0.0)
Pennsylvania - rising rising trend - 1,179 6.5 (6.3, 6.6) - 2.3 (2.0, 2.5)
Adams County
**
 		** similar 8 5.5 (3.9, 7.6) 0.8
**
Allegheny County 2 rising rising trend similar 120 6.8 (6.2, 7.4) 1.0 2.5 (2.1, 3.0)
Armstrong County 6 stable stable trend similar 6 5.0 (3.3, 7.6) 0.8 1.4 (-0.3, 3.1)
Beaver County 2 rising rising trend similar 19 6.6 (5.3, 8.2) 1.0 3.3 (1.8, 4.8)
Bedford County
**
 		** similar 7 8.2 (5.6, 11.8) 1.2
**
Berks County 2 rising rising trend similar 34 5.8 (4.9, 6.7) 0.9 2.9 (1.7, 4.1)
Blair County 2 rising rising trend similar 11 5.9 (4.5, 7.8) 0.9 2.3 (0.6, 4.0)
Bradford County
**
 		** similar 5 5.3 (3.5, 7.9) 0.8
**
Bucks County 3 rising rising trend lower 51 5.5 (4.8, 6.2) 0.8 1.6 (0.9, 2.4)
Butler County 2 rising rising trend similar 18 6.7 (5.3, 8.3) 1.0 2.5 (1.1, 3.9)
Cambria County 2 rising rising trend similar 14 6.5 (5.0, 8.4) 1.0 2.4 (1.1, 3.7)
Cameron County
**
 		**
*
3 or fewer
*
*
**
Carbon County 6 stable stable trend similar 5 5.1 (3.3, 7.7) 0.8 1.1 (-1.2, 3.4)
Centre County
**
 		** lower 8 4.1 (2.9, 5.8) 0.6
**
Chester County 3 rising rising trend lower 37 5.3 (4.6, 6.2) 0.8 1.7 (0.6, 2.8)
Clarion County
**
 		**
*
3 or fewer
*
*
**
Clearfield County
**
 		** similar 9 7.7 (5.6, 10.5) 1.2
**
Clinton County
**
 		**
*
3 or fewer
*
*
**
Columbia County
**
 		** similar 5 5.1 (3.2, 7.8) 0.8
**
Crawford County 7 stable stable trend lower 6 4.4 (2.9, 6.5) 0.7 0.6 (-1.2, 2.4)
Cumberland County 2 rising rising trend similar 20 5.6 (4.6, 6.9) 0.9 2.2 (0.9, 3.6)
Dauphin County 1 rising rising trend higher 30 8.1 (6.8, 9.5) 1.2 3.1 (2.1, 4.1)
Delaware County 2 rising rising trend similar 51 6.7 (5.9, 7.6) 1.0 2.0 (1.2, 2.8)
Elk County
**
 		** similar 4 9.4 (5.7, 14.9) 1.4
**
Erie County 3 rising rising trend lower 21 5.5 (4.4, 6.7) 0.8 2.1 (1.1, 3.1)
Fayette County 2 rising rising trend similar 13 6.1 (4.6, 7.9) 0.9 2.7 (1.4, 4.0)
Forest County
**
 		**
*
3 or fewer
*
*
**
Franklin County 6 stable stable trend similar 13 5.5 (4.2, 7.1) 0.8 1.3 (-0.2, 2.7)
Fulton County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		** similar 3 6.3 (3.5, 10.6) 1.0
**
Huntingdon County
**
 		** similar 4 5.7 (3.3, 9.3) 0.9
**
Indiana County 6 stable stable trend similar 7 5.7 (3.9, 8.0) 0.9 0.9 (-0.9, 2.6)
Jefferson County
**
 		** similar 4 5.1 (3.0, 8.4) 0.8
**
Juniata County
**
 		**
*
3 or fewer
*
*
**
Lackawanna County 2 rising rising trend similar 19 5.9 (4.8, 7.3) 0.9 2.3 (1.3, 3.3)
Lancaster County 3 rising rising trend lower 38 5.0 (4.3, 5.8) 0.8 2.9 (1.9, 3.8)
Lawrence County 2 rising rising trend similar 10 7.1 (5.2, 9.5) 1.1 2.7 (1.2, 4.2)
Lebanon County 7 stable stable trend lower 10 5.1 (3.8, 6.8) 0.8 1.6 (-0.1, 3.4)
Lehigh County 2 rising rising trend similar 30 6.4 (5.4, 7.5) 1.0 2.2 (1.1, 3.4)
Luzerne County 2 rising rising trend similar 28 5.9 (4.9, 7.1) 0.9 1.8 (0.9, 2.8)
Lycoming County
**
 		** similar 13 8.1 (6.2, 10.5) 1.2
**
McKean County
**
 		** similar 4 6.9 (4.2, 10.9) 1.0
**
Mercer County 2 rising rising trend similar 12 6.4 (4.8, 8.5) 1.0 2.7 (1.4, 4.0)
Mifflin County
**
 		**
*
3 or fewer
*
*
**
Monroe County 2 rising rising trend similar 16 6.2 (4.9, 7.8) 0.9 2.9 (1.2, 4.6)
Montgomery County 2 rising rising trend similar 70 6.1 (5.5, 6.8) 0.9 2.9 (2.4, 3.5)
Montour County
**
 		**
*
3 or fewer
*
*
**
Northampton County 2 rising rising trend similar 33 7.6 (6.4, 8.9) 1.1 2.7 (1.8, 3.6)
Northumberland County
**
 		** similar 9 6.2 (4.5, 8.5) 0.9
**
Perry County
**
 		** similar 5 7.2 (4.5, 11.1) 1.1
**
Philadelphia County 4 stable stable trend higher 181 10.1 (9.5, 10.8) 1.5 -1.3 (-3.5, 1.0)
Pike County 7 stable stable trend lower 4 3.8 (2.3, 6.3) 0.6 -1.1 (-3.2, 1.1)
Potter County
**
 		**
*
3 or fewer
*
*
**
Schuylkill County 2 rising rising trend similar 16 7.1 (5.6, 8.9) 1.1 2.2 (0.9, 3.5)
Snyder County
**
 		**
*
3 or fewer
*
*
**
Somerset County 2 rising rising trend similar 8 6.5 (4.6, 9.1) 1.0 2.4 (0.7, 4.1)
Sullivan County
**
 		**
*
3 or fewer
*
*
**
Susquehanna County
**
 		** similar 4 5.6 (3.5, 9.1) 0.9
**
Tioga County
**
 		** similar 4 5.9 (3.4, 9.8) 0.9
**
Union County
**
 		**
*
3 or fewer
*
*
**
Venango County 2 rising rising trend similar 6 6.5 (4.4, 9.7) 1.0 4.0 (2.2, 5.9)
Warren County
**
 		** similar 4 5.9 (3.7, 9.5) 0.9
**
Washington County 2 rising rising trend similar 22 6.7 (5.5, 8.2) 1.0 2.8 (1.7, 3.8)
Wayne County
**
 		** similar 5 4.8 (3.0, 7.6) 0.7
**
Westmoreland County 2 rising rising trend similar 36 6.0 (5.2, 7.1) 0.9 2.2 (1.1, 3.3)
Wyoming County
**
 		**
*
3 or fewer
*
*
**
York County 2 rising rising trend similar 37 6.0 (5.1, 6.9) 0.9 4.3 (2.9, 5.6)
Notes:
Created by statecancerprofiles.cancer.gov on 05/09/2024 6:36 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:
Cameron County, Clarion County, Clinton County, Forest County, Fulton County, Juniata County, Mifflin County, Montour County, Potter County, Snyder County, Sullivan County, Union County, Wyoming County

Trend for the following could not be reliably determined due to small number of deaths per year:
Adams County, Bedford County, Bradford County, Centre County, Clearfield County, Columbia County, Elk County, Greene County, Huntingdon County, Jefferson County, Lycoming County, McKean County, Northumberland County, Perry County, Susquehanna County, Tioga County, Warren County, Wayne 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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