Selected Chronic Disease Indicators,
Central Michigan District Health Department Residents 2015-2017

CANCER MORTALITY, 2015-2017
   
CANCER INCIDENCE, 2013-2015
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) 502    265.7    186.8      All Cancer (C00-C97) 1,161    459.3      
  Bladder (C67) 14    7.6    5.3        Bladder (C67) 65    24.3      
  Breast (C50) 26    27.7    19.6        Breast (C50) 143    117.3      
  Cervix (C53) 0.3    *     *        Cervix (C53) 7    7.3      
  Colon & Rectum (C18C20, C26.0) 50    26.5    19.4        Colon & Rectum ( C18C20, C26.0) 108    43.5      
  Lung and Bronchus ( C34) 152    80.3    54.8        Lung & Bronchus ( C34) 210    78.0      
  Melanoma (C43) 7    3.7    3.0        Melanoma (C43) 44    18.7      
  Oral Cavity & Pharynx (C00C14) 6    3.2    *        Oral Cavity & Pharynx (C00C14) 30    12.1      
  Prostate (C61) 18    19.6    15.8        Prostate (C61) 128    90.7      
CARDIOVASCULAR DISEASE MORTALITY, 2015-2017

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Major Cardiovascular Diseases (I00-I78) 725    384.1    277.4   
  Heart Disease (II00I09, I11, I13, I20I51)   587    310.7    224.4   
    Congestive Heart Failure (I50.0) 91    48.2    35.1   
    Congestive Heart Failure (Any Mention) 306    162.1    117.5   
    Coronary Heart Disease (I11, I20I25) 400    211.7    151.3   
  Stroke (I60I69) 105    55.8    40.8   
CARDIOVASCULAR DISEASE HOSPITAL DISCHARGES, 2014-2016

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted Rate
Acute Myocardial Infarction (410) 723    383.1    283.6      4.4   
Congestive Heart Failure1          
  All Ages 693    366.9    262.9      4.3   
  Ages 65 & Over 571    1,573.2    ---      4.1   
Stroke ( 430434 & 436438 )          
  All Ages 597    316.4    229.6      4.3   
  Ages 65 & Over 419    1,156.0    ---      4.0   
OTHER SELECTED CAUSES, MORTALITY, 2015-2017

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 ) 36    18.9    14.7   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
165    188.2    ---   
Diabetes (E10E14) 63    33.5    24.2   
  Any Mention2 173    91.6    64.4   
Nephritis, Hydronephrosis & Renal Failure3
56    29.7    22.0   
  Any Mention4 208    110.0    22.0   
OTHER SELECTED HOSPITAL DISCHARGES, 2014-2016

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted
Rate
Arthritis --Ages 45 & over5 1,052    1,207.0    ---      2.6   
Asthma (493) 119    63.0    61.6      2.8   
Diabetes (250)          
  All 299    158.5    149.5      3.9   
  with Lower Extremity Amputation6 21    11.3    9.0      7.6   

Hip Fractures-Ages 65 & over (820)

140    386.0    ---      4.7   
Osteoporosis Any Mention- Ages 65 & over7 518    1,429.0    ---      ---   

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.