Selected Chronic Disease Indicators,
Berrien County Health Department Residents 2016-2018

CANCER MORTALITY, 2016-2018
   
CANCER INCIDENCE, 2015-2017
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) 384    248.9    171.3      All Cancer (C00-C97) 984    462.9      
  Bladder (C67) 17    11.0    7.3        Bladder (C67) 54    24.4      
  Breast (C50) 29    36.5    24.2        Breast (C50) 134    121.2      
  Cervix (C53) 2    *     *        Cervix (C53) 9    10.3      
  Colon & Rectum (C18C20, C26.0) 35    22.9    16.1        Colon & Rectum ( C18C20, C26.0) 97    47.0      
  Lung and Bronchus ( C34) 102    66.4    44.8        Lung & Bronchus ( C34) 162    71.8      
  Melanoma (C43) 4    2.6    *        Melanoma (C43) 39    19.7      
  Oral Cavity & Pharynx (C00C14) 6    3.7    *        Oral Cavity & Pharynx (C00C14) 25    11.4      
  Prostate (C61) 21    28.2    22.4        Prostate (C61) 111    101.8      
CARDIOVASCULAR DISEASE MORTALITY, 2016-2018

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Major Cardiovascular Diseases (I00-I78) 669    433.8    292.0   
  Heart Disease (II00I09, I11, I13, I20I51)   518    335.8    226.0   
    Congestive Heart Failure (I50.0) 120    78.1    51.3   
    Congestive Heart Failure (Any Mention) 250    162.4    108.2   
    Coronary Heart Disease (I11, I20I25) 309    200.5    135.6   
  Stroke (I60I69) 119    77.2    51.8   
CARDIOVASCULAR DISEASE HOSPITAL DISCHARGES, 2015-2017

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted Rate
Acute Myocardial Infarction (410) 372    241.0    178.5      4.4   
Congestive Heart Failure1          
  All Ages 384    248.6    179.9      4.6   
  Ages 65 & Over 284    1,000.1    ---      4.4   
Stroke ( 430434 & 436438 )          
  All Ages 618    400.1    292.1      6.1   
  Ages 65 & Over 416    1,464.3    ---      5.6   
OTHER SELECTED CAUSES, MORTALITY, 2016-2018

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Asthma (J45-J46) 1    *     *   
Chronic Liver Disease (K70 or K73K74 ) 19    12.5    9.4   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
103    142.7    ---   
Diabetes (E10E14) 59    38.5    28.1   
  Any Mention2 152    98.6    69.4   
Nephritis, Hydronephrosis & Renal Failure3
42    27.5    18.6   
  Any Mention4 176    114.2    18.6   
OTHER SELECTED HOSPITAL DISCHARGES, 2015-2017

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted
Rate
Arthritis --Ages 45 & over5 911    1,269.7    ---      2.1   
Asthma (493) 90    58.5    57.1      3.0   
Diabetes (250)          
  All 344    222.5    213.6      4.7   
  with Lower Extremity Amputation6 31    20.1    16.6      6.8   

Hip Fractures-Ages 65 & over (820)

110    386.9    ---      5.0   
Osteoporosis Any Mention- Ages 65 & over7 488    1,715.2    ---      ---   

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.