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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

Texas Counties versus United States

Bladder

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 - falling falling trend - 16,684 4.2 (4.1, 4.2) - -2.5 (-3.2, -1.7)
Texas - falling falling trend - 986 3.6 (3.5, 3.7) - -0.2 (-0.4, -0.1)
Henderson County 1 rising rising trend higher 8 6.8 (4.8, 9.4) 1.6 17.0 (6.9, 28.1)
Taylor County 2 rising rising trend similar 8 5.4 (3.9, 7.4) 1.3 2.8 (1.1, 4.6)
Williamson County 2 rising rising trend similar 18 3.6 (2.9, 4.4) 0.9 2.9 (0.0, 6.0)
Wichita County 4 stable stable trend higher 9 6.0 (4.4, 8.0) 1.4 1.3 (-0.2, 2.9)
Angelina County 6 stable stable trend similar 4 4.1 (2.6, 6.3) 1.0 -0.2 (-2.3, 1.9)
Bell County 6 stable stable trend similar 12 4.1 (3.2, 5.3) 1.0 0.3 (-1.1, 1.8)
Brazoria County 6 stable stable trend similar 15 4.6 (3.6, 5.8) 1.1 -0.8 (-2.2, 0.6)
Collin County 6 stable stable trend similar 29 3.7 (3.1, 4.3) 0.9 -0.4 (-1.4, 0.5)
Denton County 6 stable stable trend similar 27 4.4 (3.6, 5.2) 1.0 0.5 (-0.7, 1.8)
Ellis County 6 stable stable trend similar 8 4.4 (3.1, 6.1) 1.1 -0.5 (-2.3, 1.3)
Galveston County 6 stable stable trend similar 17 4.7 (3.7, 5.8) 1.1 0.1 (-0.9, 1.1)
Grayson County 6 stable stable trend similar 8 4.6 (3.3, 6.3) 1.1 -0.4 (-1.9, 1.1)
Gregg County 6 stable stable trend similar 6 3.8 (2.5, 5.5) 0.9 -0.3 (-1.9, 1.3)
Hardin County 6 stable stable trend similar 3 4.7 (2.7, 7.7) 1.1 -1.3 (-3.6, 0.9)
Jefferson County 6 stable stable trend similar 13 4.1 (3.2, 5.3) 1.0 0.3 (-1.0, 1.5)
Johnson County 6 stable stable trend similar 7 3.6 (2.5, 5.1) 0.9 -0.6 (-2.4, 1.1)
McLennan County 6 stable stable trend similar 10 3.4 (2.5, 4.5) 0.8 0.4 (-1.2, 2.2)
Montgomery County 6 stable stable trend similar 20 3.6 (2.9, 4.4) 0.9 -1.1 (-2.2, 0.0)
Orange County 6 stable stable trend similar 4 4.1 (2.6, 6.3) 1.0 -0.8 (-3.1, 1.6)
Potter County 6 stable stable trend similar 6 5.2 (3.5, 7.4) 1.2 1.0 (-0.8, 2.8)
Randall County 6 stable stable trend similar 7 4.5 (3.1, 6.4) 1.1 1.4 (-0.4, 3.1)
Smith County 6 stable stable trend similar 12 4.0 (3.0, 5.2) 1.0 19.5 (-13.5, 65.0)
Tarrant County 6 stable stable trend similar 71 3.9 (3.5, 4.4) 0.9 0.0 (-0.6, 0.6)
Tom Green County 6 stable stable trend similar 4 3.0 (1.9, 4.7) 0.7 -24.6 (-50.6, 15.1)
Wood County 6 stable stable trend similar 5 6.2 (4.0, 9.5) 1.5 0.1 (-1.6, 1.9)
Bexar County 7 stable stable trend lower 63 3.5 (3.1, 3.9) 0.8 -0.2 (-0.8, 0.5)
Hidalgo County 7 stable stable trend lower 18 2.4 (1.9, 2.9) 0.6 -0.7 (-1.8, 0.5)
Nueces County 7 stable stable trend lower 13 3.2 (2.5, 4.1) 0.8 -0.6 (-1.7, 0.6)
Travis County 7 stable stable trend lower 25 2.8 (2.3, 3.4) 0.7 -0.8 (-1.9, 0.4)
Cameron County 9 falling falling trend lower 10 2.2 (1.6, 2.9) 0.5 -1.4 (-2.7, 0.0)
Dallas County 9 falling falling trend lower 78 3.6 (3.3, 4.0) 0.9 -0.6 (-1.1, -0.1)
El Paso County 9 falling falling trend lower 19 2.4 (1.9, 2.9) 0.6 -1.3 (-2.4, -0.2)
Harris County 9 falling falling trend lower 120 3.3 (3.0, 3.5) 0.8 -0.8 (-1.3, -0.3)
Lubbock County 9 falling falling trend lower 7 2.3 (1.6, 3.2) 0.6 -2.7 (-4.0, -1.4)
Anderson County
**
** similar 3 5.2 (3.0, 8.4) 1.2
**
Aransas County
**
** higher 4 7.8 (4.7, 13.2) 1.9
**
Bastrop County
**
** similar 4 4.7 (2.9, 7.3) 1.1
**
Bowie County
**
** similar 5 4.0 (2.5, 6.0) 1.0
**
Brazos County
**
** similar 7 4.6 (3.2, 6.4) 1.1
**
Comal County
**
** similar 10 5.2 (3.8, 6.9) 1.2
**
Coryell County
**
** similar 4 6.8 (4.0, 10.5) 1.6
**
Ector County
**
** similar 4 3.2 (2.0, 5.0) 0.8
**
Fort Bend County
**
** lower 17 2.7 (2.2, 3.4) 0.7
**
Guadalupe County
**
** similar 7 4.3 (3.0, 6.0) 1.0
**
Hays County
**
** similar 6 3.3 (2.2, 4.8) 0.8
**
Hood County
**
** similar 7 6.1 (4.2, 8.9) 1.5
**
Hopkins County
**
** similar 3 6.1 (3.5, 10.2) 1.5
**
Hunt County
**
** similar 5 4.2 (2.7, 6.3) 1.0
**
Kaufman County
**
** higher 8 6.7 (4.7, 9.2) 1.6
**
Kerr County
**
** similar 5 4.3 (2.7, 6.8) 1.0
**
Lamar County
**
** similar 3 4.5 (2.6, 7.6) 1.1
**
Liberty County
**
** similar 4 5.7 (3.4, 8.7) 1.4
**
Midland County
**
** lower 3 2.3 (1.3, 3.7) 0.5
**
Parker County
**
** similar 7 4.4 (3.0, 6.3) 1.1
**
San Jacinto County
**
** similar 3 7.4 (4.2, 12.6) 1.8
**
San Patricio County
**
** similar 4 5.5 (3.3, 8.5) 1.3
**
Van Zandt County
**
** higher 6 7.0 (4.7, 10.3) 1.7
**
Walker County
**
** similar 4 5.4 (3.2, 8.7) 1.3
**
Webb County
**
** lower 4 1.8 (1.1, 2.8) 0.4
**
Wise County
**
** similar 3 4.5 (2.5, 7.3) 1.1
**
Andrews County
**
**
*
3 or fewer
*
*
**
Archer County
**
**
*
3 or fewer
*
*
**
Armstrong County
**
**
*
3 or fewer
*
*
**
Atascosa County
**
**
*
3 or fewer
*
*
**
Austin County
**
**
*
3 or fewer
*
*
**
Bailey County
**
**
*
3 or fewer
*
*
**
Bandera County
**
**
*
3 or fewer
*
*
**
Baylor County
**
**
*
3 or fewer
*
*
**
Bee County
**
**
*
3 or fewer
*
*
**
Blanco County
**
**
*
3 or fewer
*
*
**
Borden County
**
**
*
3 or fewer
*
*
**
Bosque County
**
**
*
3 or fewer
*
*
**
Brewster County
**
**
*
3 or fewer
*
*
**
Briscoe County
**
**
*
3 or fewer
*
*
**
Brooks County
**
**
*
3 or fewer
*
*
**
Brown County
**
**
*
3 or fewer
*
*
**
Burleson County
**
**
*
3 or fewer
*
*
**
Burnet County
**
**
*
3 or fewer
*
*
**
Caldwell County
**
**
*
3 or fewer
*
*
**
Calhoun County
**
**
*
3 or fewer
*
*
**
Callahan County
**
**
*
3 or fewer
*
*
**
Camp County
**
**
*
3 or fewer
*
*
**
Carson County
**
**
*
3 or fewer
*
*
**
Cass County
**
**
*
3 or fewer
*
*
**
Castro County
**
**
*
3 or fewer
*
*
**
Chambers County
**
**
*
3 or fewer
*
*
**
Cherokee County
**
**
*
3 or fewer
*
*
**
Childress County
**
**
*
3 or fewer
*
*
**
Clay County
**
**
*
3 or fewer
*
*
**
Cochran County
**
**
*
3 or fewer
*
*
**
Coke County
**
**
*
3 or fewer
*
*
**
Coleman County
**
**
*
3 or fewer
*
*
**
Collingsworth County
**
**
*
3 or fewer
*
*
**
Colorado County
**
**
*
3 or fewer
*
*
**
Comanche County
**
**
*
3 or fewer
*
*
**
Concho County
**
**
*
3 or fewer
*
*
**
Cooke County
**
**
*
3 or fewer
*
*
**
Cottle County
**
**
*
3 or fewer
*
*
**
Crane County
**
**
*
3 or fewer
*
*
**
Crockett County
**
**
*
3 or fewer
*
*
**
Crosby County
**
**
*
3 or fewer
*
*
**
Culberson County
**
**
*
3 or fewer
*
*
**
Dallam County
**
**
*
3 or fewer
*
*
**
Dawson County
**
**
*
3 or fewer
*
*
**
DeWitt County
**
**
*
3 or fewer
*
*
**
Deaf Smith County
**
**
*
3 or fewer
*
*
**
Delta County
**
**
*
3 or fewer
*
*
**
Dickens County
**
**
*
3 or fewer
*
*
**
Dimmit County
**
**
*
3 or fewer
*
*
**
Donley County
**
**
*
3 or fewer
*
*
**
Duval County
**
**
*
3 or fewer
*
*
**
Eastland County
**
**
*
3 or fewer
*
*
**
Edwards County
**
**
*
3 or fewer
*
*
**
Erath County
**
**
*
3 or fewer
*
*
**
Falls County
**
**
*
3 or fewer
*
*
**
Fannin County
**
**
*
3 or fewer
*
*
**
Fayette County
**
**
*
3 or fewer
*
*
**
Fisher County
**
**
*
3 or fewer
*
*
**
Floyd County
**
**
*
3 or fewer
*
*
**
Foard County
**
**
*
3 or fewer
*
*
**
Franklin County
**
**
*
3 or fewer
*
*
**
Freestone County
**
**
*
3 or fewer
*
*
**
Frio County
**
**
*
3 or fewer
*
*
**
Gaines County
**
**
*
3 or fewer
*
*
**
Garza County
**
**
*
3 or fewer
*
*
**
Gillespie County
**
**
*
3 or fewer
*
*
**
Glasscock County
**
**
*
3 or fewer
*
*
**
Goliad County
**
**
*
3 or fewer
*
*
**
Gonzales County
**
**
*
3 or fewer
*
*
**
Gray County
**
**
*
3 or fewer
*
*
**
Grimes County
**
**
*
3 or fewer
*
*
**
Hale County
**
**
*
3 or fewer
*
*
**
Hall County
**
**
*
3 or fewer
*
*
**
Hamilton County
**
**
*
3 or fewer
*
*
**
Hansford County
**
**
*
3 or fewer
*
*
**
Hardeman County
**
**
*
3 or fewer
*
*
**
Harrison County
**
**
*
3 or fewer
*
*
**
Hartley County
**
**
*
3 or fewer
*
*
**
Haskell County
**
**
*
3 or fewer
*
*
**
Hemphill County
**
**
*
3 or fewer
*
*
**
Hill County
**
**
*
3 or fewer
*
*
**
Hockley County
**
**
*
3 or fewer
*
*
**
Houston County
**
**
*
3 or fewer
*
*
**
Howard County
**
**
*
3 or fewer
*
*
**
Hudspeth County
**
**
*
3 or fewer
*
*
**
Hutchinson County
**
**
*
3 or fewer
*
*
**
Irion County
**
**
*
3 or fewer
*
*
**
Jack County
**
**
*
3 or fewer
*
*
**
Jackson County
**
**
*
3 or fewer
*
*
**
Jasper County
**
**
*
3 or fewer
*
*
**
Jeff Davis County
**
**
*
3 or fewer
*
*
**
Jim Hogg County
**
**
*
3 or fewer
*
*
**
Jim Wells County
**
**
*
3 or fewer
*
*
**
Jones County
**
**
*
3 or fewer
*
*
**
Karnes County
**
**
*
3 or fewer
*
*
**
Kendall County
**
**
*
3 or fewer
*
*
**
Kenedy County
**
**
*
3 or fewer
*
*
**
Kent County
**
**
*
3 or fewer
*
*
**
Kimble County
**
**
*
3 or fewer
*
*
**
King County
**
**
*
3 or fewer
*
*
**
Kinney County
**
**
*
3 or fewer
*
*
**
Kleberg County
**
**
*
3 or fewer
*
*
**
Knox County
**
**
*
3 or fewer
*
*
**
La Salle County
**
**
*
3 or fewer
*
*
**
Lamb County
**
**
*
3 or fewer
*
*
**
Lampasas County
**
**
*
3 or fewer
*
*
**
Lavaca County
**
**
*
3 or fewer
*
*
**
Lee County
**
**
*
3 or fewer
*
*
**
Leon County
**
**
*
3 or fewer
*
*
**
Limestone County
**
**
*
3 or fewer
*
*
**
Lipscomb County
**
**
*
3 or fewer
*
*
**
Live Oak County
**
**
*
3 or fewer
*
*
**
Llano County
**
**
*
3 or fewer
*
*
**
Loving County
**
**
*
3 or fewer
*
*
**
Lynn County
**
**
*
3 or fewer
*
*
**
Madison County
**
**
*
3 or fewer
*
*
**
Marion County
**
**
*
3 or fewer
*
*
**
Martin County
**
**
*
3 or fewer
*
*
**
Mason County
**
**
*
3 or fewer
*
*
**
Matagorda County
**
**
*
3 or fewer
*
*
**
Maverick County
**
**
*
3 or fewer
*
*
**
McCulloch County
**
**
*
3 or fewer
*
*
**
McMullen County
**
**
*
3 or fewer
*
*
**
Medina County
**
**
*
3 or fewer
*
*
**
Menard County
**
**
*
3 or fewer
*
*
**
Milam County
**
**
*
3 or fewer
*
*
**
Mills County
**
**
*
3 or fewer
*
*
**
Mitchell County
**
**
*
3 or fewer
*
*
**
Montague County
**
**
*
3 or fewer
*
*
**
Moore County
**
**
*
3 or fewer
*
*
**
Morris County
**
**
*
3 or fewer
*
*
**
Motley County
**
**
*
3 or fewer
*
*
**
Nacogdoches County
**
**
*
3 or fewer
*
*
**
Navarro County
**
**
*
3 or fewer
*
*
**
Newton County
**
**
*
3 or fewer
*
*
**
Nolan County
**
**
*
3 or fewer
*
*
**
Ochiltree County
**
**
*
3 or fewer
*
*
**
Oldham County
**
**
*
3 or fewer
*
*
**
Palo Pinto County
**
**
*
3 or fewer
*
*
**
Panola County
**
**
*
3 or fewer
*
*
**
Parmer County
**
**
*
3 or fewer
*
*
**
Pecos County
**
**
*
3 or fewer
*
*
**
Polk County
**
**
*
3 or fewer
*
*
**
Presidio County
**
**
*
3 or fewer
*
*
**
Rains County
**
**
*
3 or fewer
*
*
**
Reagan County
**
**
*
3 or fewer
*
*
**
Real County
**
**
*
3 or fewer
*
*
**
Red River County
**
**
*
3 or fewer
*
*
**
Reeves County
**
**
*
3 or fewer
*
*
**
Refugio County
**
**
*
3 or fewer
*
*
**
Roberts County
**
**
*
3 or fewer
*
*
**
Robertson County
**
**
*
3 or fewer
*
*
**
Rockwall County
**
**
*
3 or fewer
*
*
**
Runnels County
**
**
*
3 or fewer
*
*
**
Rusk County
**
**
*
3 or fewer
*
*
**
Sabine County
**
**
*
3 or fewer
*
*
**
San Augustine County
**
**
*
3 or fewer
*
*
**
San Saba County
**
**
*
3 or fewer
*
*
**
Schleicher County
**
**
*
3 or fewer
*
*
**
Scurry County
**
**
*
3 or fewer
*
*
**
Shackelford County
**
**
*
3 or fewer
*
*
**
Shelby County
**
**
*
3 or fewer
*
*
**
Sherman County
**
**
*
3 or fewer
*
*
**
Somervell County
**
**
*
3 or fewer
*
*
**
Starr County
**
**
*
3 or fewer
*
*
**
Stephens County
**
**
*
3 or fewer
*
*
**
Sterling County
**
**
*
3 or fewer
*
*
**
Stonewall County
**
**
*
3 or fewer
*
*
**
Sutton County
**
**
*
3 or fewer
*
*
**
Swisher County
**
**
*
3 or fewer
*
*
**
Terrell County
**
**
*
3 or fewer
*
*
**
Terry County
**
**
*
3 or fewer
*
*
**
Throckmorton County
**
**
*
3 or fewer
*
*
**
Titus County
**
**
*
3 or fewer
*
*
**
Trinity County
**
**
*
3 or fewer
*
*
**
Tyler County
**
**
*
3 or fewer
*
*
**
Upshur County
**
**
*
3 or fewer
*
*
**
Upton County
**
**
*
3 or fewer
*
*
**
Uvalde County
**
**
*
3 or fewer
*
*
**
Val Verde County
**
**
*
3 or fewer
*
*
**
Victoria County
**
**
*
3 or fewer
*
*
**
Waller County
**
**
*
3 or fewer
*
*
**
Ward County
**
**
*
3 or fewer
*
*
**
Washington County
**
**
*
3 or fewer
*
*
**
Wharton County
**
**
*
3 or fewer
*
*
**
Wheeler County
**
**
*
3 or fewer
*
*
**
Wilbarger County
**
**
*
3 or fewer
*
*
**
Willacy County
**
**
*
3 or fewer
*
*
**
Wilson County
**
**
*
3 or fewer
*
*
**
Winkler County
**
**
*
3 or fewer
*
*
**
Yoakum County
**
**
*
3 or fewer
*
*
**
Young County
**
**
*
3 or fewer
*
*
**
Zapata County
**
**
*
3 or fewer
*
*
**
Zavala County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/28/2024 8:30 pm.

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:
Andrews County, Archer County, Armstrong County, Atascosa County, Austin County, Bailey County, Bandera County, Baylor County, Bee County, Blanco County, Borden County, Bosque County, Brewster County, Briscoe County, Brooks County, Brown County, Burleson County, Burnet County, Caldwell County, Calhoun County, Callahan County, Camp County, Carson County, Cass County, Castro County, Chambers County, Cherokee County, Childress County, Clay County, Cochran County, Coke County, Coleman County, Collingsworth County, Colorado County, Comanche County, Concho County, Cooke County, Cottle County, Crane County, Crockett County, Crosby County, Culberson County, Dallam County, Dawson County, DeWitt County, Deaf Smith County, Delta County, Dickens County, Dimmit County, Donley County, Duval County, Eastland County, Edwards County, Erath County, Falls County, Fannin County, Fayette County, Fisher County, Floyd County, Foard County, Franklin County, Freestone County, Frio County, Gaines County, Garza County, Gillespie County, Glasscock County, Goliad County, Gonzales County, Gray County, Grimes County, Hale County, Hall County, Hamilton County, Hansford County, Hardeman County, Harrison County, Hartley County, Haskell County, Hemphill County, Hill County, Hockley County, Houston County, Howard County, Hudspeth County, Hutchinson County, Irion County, Jack County, Jackson County, Jasper County, Jeff Davis County, Jim Hogg County, Jim Wells County, Jones County, Karnes County, Kendall County, Kenedy County, Kent County, Kimble County, King County, Kinney County, Kleberg County, Knox County, La Salle County, Lamb County, Lampasas County, Lavaca County, Lee County, Leon County, Limestone County, Lipscomb County, Live Oak County, Llano County, Loving County, Lynn County, Madison County, Marion County, Martin County, Mason County, Matagorda County, Maverick County, McCulloch County, McMullen County, Medina County, Menard County, Milam County, Mills County, Mitchell County, Montague County, Moore County, Morris County, Motley County, Nacogdoches County, Navarro County, Newton County, Nolan County, Ochiltree County, Oldham County, Palo Pinto County, Panola County, Parmer County, Pecos County, Polk County, Presidio County, Rains County, Reagan County, Real County, Red River County, Reeves County, Refugio County, Roberts County, Robertson County, Rockwall County, Runnels County, Rusk County, Sabine County, San Augustine County, San Saba County, Schleicher County, Scurry County, Shackelford County, Shelby County, Sherman County, Somervell County, Starr County, Stephens County, Sterling County, Stonewall County, Sutton County, Swisher County, Terrell County, Terry County, Throckmorton County, Titus County, Trinity County, Tyler County, Upshur County, Upton County, Uvalde County, Val Verde County, Victoria County, Waller County, Ward County, Washington County, Wharton County, Wheeler County, Wilbarger County, Willacy County, Wilson County, Winkler County, Yoakum County, Young County, Zapata County, Zavala County

Trend for the following could not be reliably determined due to small number of deaths per year:
Anderson County, Aransas County, Bastrop County, Bowie County, Brazos County, Comal County, Coryell County, Ector County, Fort Bend County, Guadalupe County, Hays County, Hood County, Hopkins County, Hunt County, Kaufman County, Kerr County, Lamar County, Liberty County, Midland County, Parker County, San Jacinto County, San Patricio County, Van Zandt County, Walker County, Webb County, Wise 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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