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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Virginia Counties versus United States

Pancreas

All Races, Both Sexes

Sorted by priority index
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 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 - rising rising trend - 44,868 11.1 (11.0, 11.1) - 0.1 (0.0, 0.2)
Virginia - stable stable trend - 1,141 11.1 (10.8, 11.4) - 0.1 (-0.1, 0.3)
Henrico County 1 rising rising trend higher 50 12.7 (11.1, 14.4) 1.1 4.1 (1.7, 6.5)
Smyth County 1 rising rising trend higher 8 16.1 (11.5, 22.3) 1.5 2.5 (0.3, 4.7)
Roanoke County 2 rising rising trend similar 16 10.4 (8.2, 13.0) 0.9 1.7 (0.4, 3.1)
Salem City 2 rising rising trend similar 4 12.9 (7.9, 20.1) 1.2 2.2 (0.4, 4.1)
Stafford County 2 rising rising trend similar 18 13.2 (10.5, 16.4) 1.2 2.4 (1.1, 3.8)
Chesapeake City 4 stable stable trend higher 35 13.3 (11.4, 15.5) 1.2 0.2 (-0.8, 1.2)
Norfolk City 4 stable stable trend higher 35 15.6 (13.3, 18.2) 1.4 -0.3 (-1.1, 0.5)
Portsmouth City 4 stable stable trend higher 17 14.8 (11.8, 18.5) 1.3 -0.2 (-1.2, 0.9)
Roanoke City 4 stable stable trend higher 18 14.8 (11.9, 18.4) 1.3 0.7 (-0.4, 1.8)
Albemarle County 6 stable stable trend similar 17 11.1 (8.8, 13.8) 1.0 -6.8 (-39.7, 44.2)
Amherst County 6 stable stable trend similar 6 12.6 (8.3, 18.6) 1.1 0.0 (-1.7, 1.6)
Arlington County 6 stable stable trend similar 21 10.2 (8.3, 12.4) 0.9 -0.2 (-1.2, 0.7)
Augusta County 6 stable stable trend similar 13 10.9 (8.4, 14.1) 1.0 0.1 (-1.3, 1.6)
Bedford City and County 6 stable stable trend similar 12 9.9 (7.5, 12.9) 0.9 -0.7 (-2.0, 0.5)
Buchanan County 6 stable stable trend similar 3 9.0 (5.2, 15.3) 0.8 -0.1 (-1.9, 1.7)
Campbell County 6 stable stable trend similar 11 13.5 (10.1, 17.9) 1.2 0.0 (-1.5, 1.7)
Chesterfield County 6 stable stable trend similar 45 11.4 (9.9, 13.0) 1.0 0.6 (-0.4, 1.6)
Danville City 6 stable stable trend similar 7 11.0 (7.5, 15.9) 1.0 1.1 (-0.5, 2.7)
Dinwiddie County 6 stable stable trend similar 5 13.0 (8.2, 19.8) 1.2 0.0 (-2.3, 2.4)
Fauquier County 6 stable stable trend similar 10 10.8 (8.0, 14.4) 1.0 -0.6 (-2.3, 1.1)
Franklin County 6 stable stable trend similar 8 8.8 (6.2, 12.4) 0.8 0.3 (-1.5, 2.1)
Frederick County 6 stable stable trend similar 13 11.4 (8.8, 14.6) 1.0 -2.0 (-4.6, 0.8)
Halifax County with South Boston City 6 stable stable trend similar 8 14.1 (9.7, 20.1) 1.3 0.4 (-1.3, 2.2)
Hampton City 6 stable stable trend similar 20 12.5 (10.1, 15.2) 1.1 0.0 (-1.0, 1.1)
Henry County 6 stable stable trend similar 9 10.2 (7.3, 14.1) 0.9 0.0 (-1.7, 1.6)
James City County 6 stable stable trend similar 16 11.2 (8.9, 14.1) 1.0 0.0 (-1.7, 1.8)
Loudoun County 6 stable stable trend similar 36 11.5 (9.9, 13.4) 1.0 0.6 (-0.6, 1.8)
Lynchburg City 6 stable stable trend similar 9 9.8 (7.2, 13.3) 0.9 0.8 (-0.8, 2.4)
Mecklenburg County 6 stable stable trend similar 6 10.7 (7.2, 15.9) 1.0 0.1 (-1.3, 1.4)
Newport News City 6 stable stable trend similar 21 11.3 (9.2, 13.8) 1.0 0.0 (-1.1, 1.1)
Orange County 6 stable stable trend similar 8 14.2 (10.1, 19.7) 1.3 1.0 (-0.9, 3.0)
Petersburg City 6 stable stable trend similar 7 15.9 (10.9, 22.6) 1.4 0.1 (-1.6, 1.8)
Pittsylvania County 6 stable stable trend similar 9 9.6 (6.9, 13.2) 0.9 0.1 (-1.2, 1.4)
Prince Edward County 6 stable stable trend similar 5 16.6 (10.5, 25.5) 1.5 0.8 (-1.3, 3.0)
Pulaski County 6 stable stable trend similar 6 10.2 (6.8, 15.1) 0.9 -0.8 (-2.4, 0.9)
Russell County 6 stable stable trend similar 5 11.3 (7.3, 17.4) 1.0 0.1 (-1.5, 1.7)
Shenandoah County 6 stable stable trend similar 9 13.3 (9.7, 18.0) 1.2 1.3 (-0.3, 3.0)
Staunton City 6 stable stable trend similar 4 9.8 (5.8, 16.0) 0.9 -1.0 (-3.1, 1.1)
Suffolk City 6 stable stable trend similar 15 14.1 (11.0, 17.7) 1.3 0.3 (-0.9, 1.5)
Virginia Beach City 6 stable stable trend similar 54 10.6 (9.3, 11.9) 1.0 -0.1 (-0.8, 0.6)
Washington County 6 stable stable trend similar 9 10.4 (7.5, 14.2) 0.9 0.8 (-0.6, 2.3)
Wise County 6 stable stable trend similar 6 12.3 (8.3, 17.7) 1.1 0.4 (-1.3, 2.2)
Wythe County 6 stable stable trend similar 6 14.3 (9.6, 20.9) 1.3 1.2 (-0.9, 3.4)
York County 6 stable stable trend similar 10 11.4 (8.4, 15.1) 1.0 -0.1 (-2.0, 1.7)
Botetourt County 7 stable stable trend lower 4 6.9 (4.2, 11.3) 0.6 -1.4 (-3.7, 0.8)
Carroll County 7 stable stable trend lower 4 7.5 (4.5, 12.3) 0.7 8.7 (-26.3, 60.3)
Rockingham County 7 stable stable trend lower 10 8.2 (6.0, 10.9) 0.7 0.2 (-1.2, 1.6)
Alexandria City 8 falling falling trend similar 14 10.3 (7.9, 13.1) 0.9 -1.3 (-2.5, -0.1)
Hanover County 8 falling falling trend similar 15 10.4 (8.2, 13.2) 0.9 -1.2 (-2.2, -0.1)
Richmond City 8 falling falling trend similar 29 11.5 (9.6, 13.6) 1.0 -0.7 (-1.4, -0.1)
Accomack County 9 falling falling trend lower 4 7.2 (4.5, 11.6) 0.7 -1.8 (-3.5, 0.0)
Fairfax County 9 falling falling trend lower 108 8.8 (8.1, 9.6) 0.8 -0.5 (-1.0, 0.0)
Prince William County 9 falling falling trend lower 32 8.5 (7.1, 9.9) 0.8 -9.5 (-14.9, -3.6)
Amelia County
**
 		** similar 3 15.6 (8.8, 26.5) 1.4
**
Appomattox County
**
 		** similar 3 13.9 (7.8, 23.4) 1.3
**
Caroline County
**
 		** similar 6 15.7 (10.6, 22.6) 1.4
**
Charlottesville City
**
 		** similar 4 9.3 (5.5, 14.7) 0.8
**
Culpeper County
**
 		** similar 9 14.0 (10.1, 19.0) 1.3
**
Dickenson County
**
 		** similar 4 15.5 (9.0, 25.8) 1.4
**
Fairfax City
**
 		** similar 4 14.1 (8.4, 22.4) 1.3
**
Falls Church City
**
 		** similar 3 21.5 (12.1, 35.4) 1.9
**
Fluvanna County
**
 		** higher 7 18.4 (12.8, 25.9) 1.7
**
Franklin City
**
 		** higher 3 28.2 (15.3, 48.4) 2.6
**
Gloucester County
**
 		** similar 8 14.8 (10.4, 20.6) 1.3
**
Goochland County
**
 		** similar 5 12.0 (7.5, 18.9) 1.1
**
Grayson County
**
 		** similar 4 16.1 (9.2, 26.7) 1.5
**
Harrisonburg City
**
 		** similar 5 12.9 (8.4, 18.9) 1.2
**
Hopewell City
**
 		** similar 4 15.5 (9.7, 23.8) 1.4
**
Isle of Wight County
**
 		** similar 6 10.9 (7.3, 15.9) 1.0
**
Lee County
**
 		** similar 3 9.7 (5.5, 16.3) 0.9
**
Louisa County
**
 		** similar 5 9.7 (6.3, 14.6) 0.9
**
Manassas City
**
 		** similar 5 15.7 (9.9, 23.4) 1.4
**
Montgomery County
**
 		** similar 9 8.7 (6.3, 11.9) 0.8
**
Page County
**
 		** similar 6 15.4 (10.3, 22.5) 1.4
**
Patrick County
**
 		** similar 4 13.4 (8.1, 21.9) 1.2
**
Powhatan County
**
 		** similar 4 10.8 (6.5, 17.0) 1.0
**
Rockbridge County
**
 		** similar 4 9.4 (5.8, 15.4) 0.9
**
Scott County
**
 		** similar 4 9.1 (5.4, 15.2) 0.8
**
Southampton County
**
 		** similar 3 11.9 (6.7, 20.2) 1.1
**
Spotsylvania County
**
 		** similar 19 12.1 (9.7, 14.9) 1.1
**
Tazewell County
**
 		** similar 8 12.0 (8.6, 16.5) 1.1
**
Warren County
**
 		** similar 4 8.4 (5.2, 13.0) 0.8
**
Waynesboro City
**
 		** similar 3 9.9 (5.7, 16.6) 0.9
**
Westmoreland County
**
 		** similar 5 14.1 (9.0, 22.1) 1.3
**
Winchester City
**
 		** similar 6 16.5 (10.9, 24.1) 1.5
**
Alleghany County and Clifton Forge City
**
 		**
*
3 or fewer
*
*
**
Bath County
**
 		**
*
3 or fewer
*
*
**
Bland County
**
 		**
*
3 or fewer
*
*
**
Bristol City
**
 		**
*
3 or fewer
*
*
**
Brunswick County
**
 		**
*
3 or fewer
*
*
**
Buckingham County
**
 		**
*
3 or fewer
*
*
**
Buena Vista City
**
 		**
*
3 or fewer
*
*
**
Charles City County
**
 		**
*
3 or fewer
*
*
**
Charlotte County
**
 		**
*
3 or fewer
*
*
**
Clarke County
**
 		**
*
3 or fewer
*
*
**
Colonial Heights City
**
 		**
*
3 or fewer
*
*
**
Covington City
**
 		**
*
3 or fewer
*
*
**
Craig County
**
 		**
*
3 or fewer
*
*
**
Cumberland County
**
 		**
*
3 or fewer
*
*
**
Emporia City
**
 		**
*
3 or fewer
*
*
**
Essex County
**
 		**
*
3 or fewer
*
*
**
Floyd County
**
 		**
*
3 or fewer
*
*
**
Fredericksburg City
**
 		**
*
3 or fewer
*
*
**
Galax City
**
 		**
*
3 or fewer
*
*
**
Giles County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Greensville County
**
 		**
*
3 or fewer
*
*
**
Highland County
**
 		**
*
3 or fewer
*
*
**
King George County
**
 		**
*
3 or fewer
*
*
**
King William County
**
 		**
*
3 or fewer
*
*
**
King and Queen County
**
 		**
*
3 or fewer
*
*
**
Lancaster County
**
 		**
*
3 or fewer
*
*
**
Lexington City
**
 		**
*
3 or fewer
*
*
**
Lunenburg County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Manassas Park City
**
 		**
*
3 or fewer
*
*
**
Martinsville City
**
 		**
*
3 or fewer
*
*
**
Mathews County
**
 		**
*
3 or fewer
*
*
**
Middlesex County
**
 		**
*
3 or fewer
*
*
**
Nelson County
**
 		**
*
3 or fewer
*
*
**
New Kent County
**
 		**
*
3 or fewer
*
*
**
Northampton County
**
 		**
*
3 or fewer
*
*
**
Northumberland County
**
 		**
*
3 or fewer
*
*
**
Norton City
**
 		**
*
3 or fewer
*
*
**
Nottoway County
**
 		**
*
3 or fewer
*
*
**
Poquoson City
**
 		**
*
3 or fewer
*
*
**
Prince George County
**
 		**
*
3 or fewer
*
*
**
Radford City
**
 		**
*
3 or fewer
*
*
**
Rappahannock County
**
 		**
*
3 or fewer
*
*
**
Richmond County
**
 		**
*
3 or fewer
*
*
**
Surry County
**
 		**
*
3 or fewer
*
*
**
Sussex County
**
 		**
*
3 or fewer
*
*
**
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 04/26/2024 2:30 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:
Alleghany County and Clifton Forge City, Bath County, Bland County, Bristol City, Brunswick County, Buckingham County, Buena Vista City, Charles City County, Charlotte County, Clarke County, Colonial Heights City, Covington City, Craig County, Cumberland County, Emporia City, Essex County, Floyd County, Fredericksburg City, Galax City, Giles County, Greene County, Greensville County, Highland County, King George County, King William County, King and Queen County, Lancaster County, Lexington City, Lunenburg County, Madison County, Manassas Park City, Martinsville City, Mathews County, Middlesex County, Nelson County, New Kent County, Northampton County, Northumberland County, Norton City, Nottoway County, Poquoson City, Prince George County, Radford City, Rappahannock County, Richmond County, Surry County, Sussex County, Williamsburg City

Trend for the following could not be reliably determined due to small number of deaths per year:
Amelia County, Appomattox County, Caroline County, Charlottesville City, Culpeper County, Dickenson County, Fairfax City, Falls Church City, Fluvanna County, Franklin City, Gloucester County, Goochland County, Grayson County, Harrisonburg City, Hopewell City, Isle of Wight County, Lee County, Louisa County, Manassas City, Montgomery County, Page County, Patrick County, Powhatan County, Rockbridge County, Scott County, Southampton County, Spotsylvania County, Tazewell County, Warren County, Waynesboro City, Westmoreland County, Winchester City


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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