Selected Chronic Disease Indicators,
Michigan Residents 2013-2015

CANCER MORTALITY, 2013-2015
   
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) 20,603    207.8    169.7      All Cancer (C00-C97) 53,649    460.3      
  Bladder (C67) 575    5.8    4.7        Bladder (C67) 2,631    22.4      
  Breast (C50) 1,397    27.7    21.3        Breast (C50) 7,598    124.7      
  Cervix (C53) 114    2.3    2.0        Cervix (C53) 343    6.7      
  Colon & Rectum (C18C20, C26.0) 1,802    18.2    14.9        Colon & Rectum ( C18C20, C26.0) 4,608    39.7      
  Lung and Bronchus ( C34) 5,761    58.1    47.0        Lung & Bronchus ( C34) 7,746    65.6      
  Melanoma (C43) 282    2.8    2.4        Melanoma (C43) 2,082    18.6      
  Oral Cavity & Pharynx (C00C14) 324    3.3    2.6        Oral Cavity & Pharynx (C00C14) 1,361    11.4      
  Prostate (C61) 926    19.0    18.7        Prostate (C61) 7,210    125.5      
CARDIOVASCULAR DISEASE MORTALITY, 2013-2015

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Major Cardiovascular Diseases (I00-I78) 30,874    311.4    252.0   
  Heart Disease (II00I09, I11, I13, I20I51)   24,359    245.7    198.6   
    Congestive Heart Failure (I50.0) 2,990    30.2    24.1   
    Congestive Heart Failure (Any Mention) 12,035    121.4    97.8   
    Coronary Heart Disease (I11, I20I25) 16,920    170.7    137.7   
  Stroke (I60I69) 4,499    45.4    37.0   
CARDIOVASCULAR DISEASE HOSPITAL DISCHARGES, 2013-2015

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted Rate
Acute Myocardial Infarction (410) 23,741    239.9    298.8      4.6   
Congestive Heart Failure1          
  All Ages 33,559    339.1    424.6      5.2   
  Ages 65 & Over 24,564    1,652.4    ---      5.1   
Stroke ( 430434 & 436438 )          
  All Ages 26,705    269.8    337.4      4.8   
  Ages 65 & Over 17,715    1,191.7    ---      4.5   
OTHER SELECTED CAUSES, MORTALITY, 2013-2015

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Asthma (J45-J46) 103    1.0    1.0   
Chronic Liver Disease (K70 or K73K74 ) 1,208    12.2    10.2   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
5,492    127.9    ---   
Diabetes (E10E14) 2,790    28.1    23.2   
  Any Mention2 8,643    87.2    71.4   
Nephritis, Hydronephrosis & Renal Failure3
1,902    19.2    15.7   
  Any Mention4 9,181    92.6    15.7   
OTHER SELECTED HOSPITAL DISCHARGES, 2013-2015

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted
Rate
Arthritis --Ages 45 & over5 52,916    1,243.4    ---      3.0   
Asthma (493) 13,109    132.4    191.9      3.5   
Diabetes (250)          
  All 19,315    195.1    274.6      4.5   
  with Lower Extremity Amputation6 1,695    17.1    21.7      9.0   

Hip Fractures-Ages 65 & over (820)

8,075    543.2    ---      5.4   
Osteoporosis Any Mention- Ages 65 & over7 34,934    2,350.0    ---      ---   

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.