Data from the Missouri Cancer
Registry's 1996-2008 database.
Cases include all tumors that
were reportable under both ICD-O-2 and ICD-O-3 (SEER Behavior Recode for
Analysis equal to "Malignant", see http://seer.cancer.gov/behavrecode/index.html).
Cancer sites are based on
SEER Site Recode ICD-O-3 (1/27/2003) Definition with separate groupings for
Kaposi Sarcoma and Mesothelioma (see http://seer.cancer.gov/siterecode/icdo3_d01272003/).
Rates are per 100,000 and
age-adjusted in 19 groups (<1, 1-4, 5-9, ...,
80-84, & 85+) to the 2000 US Population (Census P25-1130 standard).
The Lower and Upper Limits
(LL & UL) of the confidence intervals for the rates are shown in the bar
chart. These confidence intervals
(Tiwari, et al. 2006) are 95%.
The values in the
"SE" column of the table are the Standard Errors of the rates.
Each county rate was compared
to the state-wide rate by testing if the rate ratio differed from 1 (Tiwari, et
al. 2006). Due to the geographic
overlap in the numerator and denominator of the rate ratio, these tests will be
more conservative (lower Type I Error rate) than the nominal Type I Error rate
of 5%. The results are reported in
the "Sig." column of the table:
statistically significant difference,
"L": county rate is
statistically significantly lower than the state rate (p-value <= 0.05), and
"H": county rate is
statistically significantly higher than the state rate (p-value <= 0.05).
Case counts, rates, and
standard errors are suppressed if the case count was less than 6 to protect
Note, rates corresponding to
a case count of less than 16 are very unstable and especially should not be
interpreted without regard to its confidence interval and/or standard error.
Missouri has 115 counties
(including the City of St. Louis, an Independent City not contained in any
report is based on a demonstration by John Bartholomew of GeoWise