Interpretation of Rate/Trend Comparison by Cancer Data
Death Rate/Trend Comparison by Cancer, 2016-2020
Iowa Counties versus United States
Pancreas
All Races, Both Sexes
Sorted by priority index
Explanation of Column HeadersState/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:
- 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.
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
- Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
- Data is currently being suppressed if there are fewer than 16 counts for the time period.
Line by Line Interpretation of the Report
United States
- Recent Trend(2) : The trend is rising because the trend is 0.1 with a 95% confidence interval from 0.0 to 0.2.
- Rate : The death rate is 11.1 with a 95% confidence interval from 11.0 to 11.1 and 44,868 average annual deaths.
Iowa
- Recent Trend(2) : The trend is rising because the trend is 0.6 with a 95% confidence interval from 0.4 to 0.8.
- Rate : The death rate is 11.1 with a 95% confidence interval from 10.6 to 11.6 and 461 average annual deaths.
Pottawattamie County
- Priority Index(1) : The priority index is 2.
- Recent Trend(2) : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.3 to 2.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 14.0 with a 95% confidence interval from 11.2 to 17.3 and 18 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Lee County
- Priority Index(1) : The priority index is 4.
- Recent Trend(2) : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.1 to 2.8.
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 16.7 with a 95% confidence interval from 12.0 to 22.9 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
Black Hawk County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.5 to 1.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.5 with a 95% confidence interval from 9.3 to 14.2 and 19 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Boone County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.7 to 2.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 12.6 with a 95% confidence interval from 7.8 to 19.5 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Cerro Gordo County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.4 to 2.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 9.1 with a 95% confidence interval from 6.2 to 13.2 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Des Moines County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.4 to 1.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 10.4 with a 95% confidence interval from 7.0 to 15.2 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Dubuque County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.6 to 1.7.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.3 with a 95% confidence interval from 8.9 to 14.2 and 16 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Jackson County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.7 to 3.5.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 12.4 with a 95% confidence interval from 7.3 to 20.3 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Jasper County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.6 to 3.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 13.3 with a 95% confidence interval from 9.2 to 18.9 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Johnson County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.8 to 0.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 9.7 with a 95% confidence interval from 7.5 to 12.4 and 14 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Linn County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.0 with a 95% confidence interval from 9.3 to 13.0 and 31 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Plymouth County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.8 to 1.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.8 with a 95% confidence interval from 7.2 to 18.5 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Polk County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.2 to 0.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.1 with a 95% confidence interval from 9.8 to 12.5 and 54 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Scott County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.3 to 1.8.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 12.4 with a 95% confidence interval from 10.3 to 14.7 and 27 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Webster County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.0 to 2.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 10.6 with a 95% confidence interval from 7.1 to 15.6 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Woodbury County
- Priority Index(1) : The priority index is 6.
- Recent Trend(2) : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 10.7 with a 95% confidence interval from 8.2 to 13.7 and 13 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Story County
- Priority Index(1) : The priority index is 7.
- Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.9 to 0.6.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 8.3 with a 95% confidence interval from 5.9 to 11.4 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Warren County
- Priority Index(1) : The priority index is 7.
- Recent Trend(2) : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.4 to 0.4.
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 5.7 with a 95% confidence interval from 3.4 to 9.0 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.5
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 12.6 with a 95% confidence interval from 8.0 to 19.2 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 14.6 with a 95% confidence interval from 9.4 to 22.0 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 13.5 with a 95% confidence interval from 7.8 to 21.8 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 10.4 with a 95% confidence interval from 5.9 to 17.7 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.4 with a 95% confidence interval from 6.5 to 19.4 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.7 with a 95% confidence interval from 6.7 to 19.9 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 10.9 with a 95% confidence interval from 7.6 to 15.3 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 9.6 with a 95% confidence interval from 6.9 to 13.0 and 8 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 12.6 with a 95% confidence interval from 7.4 to 20.8 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 15.2 with a 95% confidence interval from 9.0 to 24.9 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 15.7 with a 95% confidence interval from 9.6 to 24.9 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 15.5 with a 95% confidence interval from 9.9 to 23.6 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.4
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 13.5 with a 95% confidence interval from 9.1 to 19.5 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 8.7 with a 95% confidence interval from 5.6 to 13.2 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 10.8 with a 95% confidence interval from 7.3 to 15.5 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 20.9 with a 95% confidence interval from 11.8 to 35.6 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 11.7 with a 95% confidence interval from 7.5 to 17.5 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 14.8 with a 95% confidence interval from 10.1 to 21.0 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
- Priority Index(1) : The priority index cannot be determined.
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- Rate : *
- Rate Ratio(3) County to US : *
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : *
- Rate : *
- Rate Ratio(3) County to US : *
Notes:
Created by statecancerprofiles.cancer.gov on 05/05/2024 6:32 am.
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, Appanoose County, Audubon County, Buena Vista County, Butler County, Calhoun County, Cass County, Cherokee County, Chickasaw County, Clarke County, Clayton County, Crawford County, Davis County, Decatur County, Delaware County, Emmet County, Fayette County, Franklin County, Fremont County, Greene County, Grundy County, Guthrie County, Hamilton County, Hancock County, Harrison County, Henry County, Howard County, Humboldt County, Ida County, Iowa County, Jefferson County, Jones County, Keokuk County, Kossuth County, Louisa County, Lucas County, Lyon County, Madison County, Mills County, Mitchell County, Monona County, Monroe County, Montgomery County, O'Brien County, Osceola County, Page County, Palo Alto County, Pocahontas County, Poweshiek County, Ringgold County, Shelby County, Tama County, Taylor County, Union County, Van Buren County, Washington County, Wayne County, Winnebago County, Winneshiek County, Worth County, Wright County
Trend for the following could not be reliably determined due to small number of deaths per year:
Benton County, Bremer County, Buchanan County, Carroll County, Cedar County, Clay County, Clinton County, Dallas County, Dickinson County, Floyd County, Hardin County, Mahaska County, Marion County, Marshall County, Muscatine County, Sac County, Sioux County, Wapello 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.