Selected Chronic Disease Indicators,
Berrien County Health Department Residents 2012-2014

CANCER MORTALITY, 2012-2014
   
CANCER INCIDENCE, 2011-2013
Cause of Death and
ICD-10 Codes
Mortality
 
  Primary Site and
ICD-O-3 Codes
Incidence
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
  Average
Number
Age-
adjusted
Rate
All Cancer (C00-C97) 392    251.8    185.7      All Cancer (C00-C97) 936    464.5      
  Bladder (C67) 11    7.1    5.1        Bladder (C67) 52    24.9      
  Breast (C50) 27    34.3    23.6        Breast (C50) 138    134.3      
  Cervix (C53) 2    2.5    *        Cervix (C53) 5    *      
  Colon & Rectum (C18C20, C26.0) 35    22.3    16.3        Colon & Rectum ( C18C20, C26.0) 91    43.4      
  Lung and Bronchus ( C34) 108    69.7    51.5        Lung & Bronchus ( C34) 137    65.5      
  Melanoma (C43) 6    3.6    *        Melanoma (C43) 31    15.8      
  Oral Cavity & Pharynx (C00C14) 7    4.3    3.1        Oral Cavity & Pharynx (C00C14) 23    10.9      
  Prostate (C61) 14    18.9    16.1        Prostate (C61) 130    130.4      
CARDIOVASCULAR DISEASE MORTALITY, 2012-2014

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Major Cardiovascular Diseases (I00-I78) 561    360.5    255.9   
  Heart Disease (II00I09, I11, I13, I20I51)   397    255.5    181.3   
    Congestive Heart Failure (I50.0) 56    36.2    25.3   
    Congestive Heart Failure (Any Mention) 243    156.4    109.3   
    Coronary Heart Disease (I11, I20I25) 263    169.1    119.2   
  Stroke (I60I69) 110    70.7    49.7   
CARDIOVASCULAR DISEASE HOSPITAL DISCHARGES, 2012-2014

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted Rate
Acute Myocardial Infarction (410) 359    230.6    176.8      4.4   
Congestive Heart Failure1          
  All Ages 610    392.4    292.7      5.0   
  Ages 65 & Over 438    1,622.2    ---      4.9   
Stroke ( 430434 & 436438 )          
  All Ages 488    313.8    238.4      4.4   
  Ages 65 & Over 340    1,259.5    ---      3.9   
OTHER SELECTED CAUSES, MORTALITY, 2012-2014

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Asthma (J45-J46) 3    1.7    *   
Chronic Liver Disease (K70 or K73K74 ) 22    14.4    12.1   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
108    151.3    ---   
Diabetes (E10E14) 62    39.6    29.6   
  Any Mention2 175    112.3    82.1   
Nephritis, Hydronephrosis & Renal Failure3
39    24.9    17.8   
  Any Mention4 204    131.4    17.8   
OTHER SELECTED HOSPITAL DISCHARGES, 2012-2014

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted
Rate
Arthritis --Ages 45 & over5 943    1,321.9    ---      2.6   
Asthma (493) 160    103.1    98.5      3.1   
Diabetes (250)          
  All 344    221.4    202.9      4.9   
  with Lower Extremity Amputation6 43    27.4    21.9      6.8   

Hip Fractures-Ages 65 & over (820)

153    567.5    ---      5.2   
Osteoporosis Any Mention- Ages 65 & over7 639    2,366.1    ---      ---   

Notes:
1In 2010, the code grouping for congestive heart failure was changed from ICD-9CM code 428.0 to ICD-9CM codes 402.01, 402.11, 402.91, 428 or 518.4.
2Deaths were considered "Diabetes, any-mention", if either the underlying or related-cause of death were coded E10-E14.
3Chronic kidney disease with ICD-10 codes N03N05, N13.0N13.3, N17N19, N25N26, N28.0, and N28.8.
4Deaths were considered Nephritis, Hydronephrosis & Renal Failure, any mention", if either the underlying or related-cause of death were coded N03N05, N13.0N13.3, N17N19, N25N26, N28.0, and N28.8.
5Discharges with a diagnosis of Arthritis, are defined in the National Arthritis Data Workgroup ICD-9-CM diagnostic codes for
arthritis and other rheumatic conditions
.
6Discharges with a diagnosis of Diabetes mellitus (ICD-9CM code 250) without mention of traumatic injury (895-897), and with procedures for major or minor lower extremity amputation (84.1).
7Primary or secondary discharge diagnosis with ICD-9CM codes 733.00 - 733.03, 733.09 and 733.90.

Causes of death are classified in accordance with the Tenth Revision of the International Classifications of Diseases (ICD-10) ; cancer incidence with Third Revision of the International Classifications of Diseases (ICD-O-3) ; and hospital discharges with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Codes are grouped into broader categories for the causes listed in these tables in order to classify the causes of death or incidence of disease. The Council of State and Territorial Epidemiologists under the sponsorship of the National Center for Chronic Disease Prevention and Health Promotion defined code groupings in order to classify diseases with substantial public health burden and consistent with Healthy People 2010 goals. See the Chronic Disease Indicators Home for code-grouping definitions and further indicator statistics.