Selected Chronic Disease Indicators,
Michigan Residents 2008-2010

CANCER MORTALITY, 2008-2010
    
CANCER INCIDENCE, 2008-2010
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) 20,317    204.3    181.7      All Cancer (C00-C97) 53,432    486.6      
  Bladder (C67) 538    5.4    4.8        Bladder (C67) 2,481    22.7      
  Breast (C50) 1,456    28.7    23.5        Breast (C50) 7,023    119.6      
  Cervix (C53) 117    2.3    2.1        Cervix (C53) 361    6.9      
  Colon & Rectum (C18–C20, C26.0) 1,858    18.7    16.6        Colon & Rectum ( C18–C20, C26.0) 4,856    44.2      
  Lung and Bronchus ( C34) 5,924    59.6    52.9        Lung & Bronchus ( C34) 7,783    71.1      
  Melanoma (C43) 272    2.7    2.4        Melanoma (C43) 2,094    19.5      
  Oral Cavity & Pharynx (C00–C14) 279    2.8    2.5        Oral Cavity & Pharynx (C00–C14) 1,297    11.5      
  Prostate (C61) 922    18.9    21.0        Prostate (C61) 8,172    158.9      
CARDIOVASCULAR DISEASE MORTALITY, 2008-2010
Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Major Cardiovascular Diseases (I00-I78) 30,023    301.8    265.3   
  Heart Disease (II00–I09, I11, I13, I20–I51)   23,578    237.0    208.1   
    Congestive Heart Failure (I50.0) 2,496    25.1    21.8   
    Congestive Heart Failure (Any Mention) 11,092    111.5    97.8   
    Coronary Heart Disease (I11, I20–I25) 17,263    173.6    152.1   
  Stroke (I60–I69) 4,513    45.4    40.1   
CARDIOVASCULAR DISEASE HOSPITAL DISCHARGES, 2009-2011

Diagnosis and
ICD-9 Codes
Discharges
 
   Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted Rate
Acute Myocardial Infarction (410) 23,985    242.2    211.7      4.8   
Congestive Heart Failure1          
  All Ages 36,907    372.7    329.1      5.2   
  Ages 65 & Over 26,894    1,969.2    ---      5.2   
Stroke ( 430–434 & 436–438 )          
  All Ages 26,986    272.5    240.1      4.8   
  Ages 65 & Over 17,930    1,312.8    ---      4.5   
OTHER SELECTED CAUSES, MORTALITY, 2008-2010
Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Asthma (J45-J46) 111    1.1    1.1   
Chronic Liver Disease (K70 or K73–K74 ) 1,094    11.0    9.7   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
5,004    122.2    ---   
Diabetes (E10–E14) 2,711    27.3    24.3   
  Any Mention2 8,664    87.1    77.5   
Nephritis, Hydronephrosis & Renal Failure3
 1,712    17.2    15.3   
  Any Mention4 8,765    88.1    15.3   
OTHER SELECTED HOSPITAL DISCHARGES, 2009-2011

Diagnosis and
ICD-9 Codes
Discharges
 
   Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted
Rate
Arthritis --Ages 45 & over5 49,615    1,201.8    ---      3.3   
Asthma (493) 15,602    157.6    153.4      3.5   
Diabetes (250)          
  All 18,443    186.2    177.5      4.7   
  with Lower Extremity Amputation6 1,416    14.3    12.6      9.8   

Hip Fractures-Ages 65 & over (820)

7,867    576.1    ---      5.8   
Osteoporosis Any Mention- Ages 65 & over7 40,046    2,932.2    ---      ---   

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 N03–N05, N13.0–N13.3, N17–N19, N25–N26, 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 N03–N05, N13.0–N13.3, N17–N19, N25–N26, 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.