Selected Chronic Disease Indicators,
Central Michigan District 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) 511    270.5    186.4      All Cancer (C00-C97) 1,212    464.2      
  Bladder (C67) 12    6.2    4.3        Bladder (C67) 69    24.3      
  Breast (C50) 28    29.8    21.7        Breast (C50) 146    114.4      
  Cervix (C53) 1    *     *        Cervix (C53) 6    *      
  Colon & Rectum (C18C20, C26.0) 52    27.3    19.9        Colon & Rectum ( C18C20, C26.0) 118    47.0      
  Lung and Bronchus ( C34) 154    81.3    54.1        Lung & Bronchus ( C34) 227    81.5      
  Melanoma (C43) 7    3.7    2.9        Melanoma (C43) 40    16.5      
  Oral Cavity & Pharynx (C00C14) 6    3.2    *        Oral Cavity & Pharynx (C00C14) 33    12.7      
  Prostate (C61) 18    19.2    15.5        Prostate (C61) 140    94.6      
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) 723    382.5    273.4   
  Heart Disease (II00I09, I11, I13, I20I51)   572    302.8    216.7   
    Congestive Heart Failure (I50.0) 94    49.8    35.9   
    Congestive Heart Failure (Any Mention) 301    159.5    114.2   
    Coronary Heart Disease (I11, I20I25) 379    200.8    142.0   
  Stroke (I60I69) 117    62.1    44.6   
CARDIOVASCULAR DISEASE HOSPITAL DISCHARGES, 2016-2018

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted Rate
Acute Myocardial Infarction (410) 762    403.8    296.8      4.5   
Congestive Heart Failure1          
  All Ages 533    282.6    199.5      4.3   
  Ages 65 & Over 442    1,199.6    ---      4.1   
Stroke ( 430434 & 436438 )          
  All Ages 636    336.9    241.7      4.8   
  Ages 65 & Over 438    1,188.8    ---      4.5   
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) 2    1.1    *   
Chronic Liver Disease (K70 or K73K74 ) 30    15.9    12.7   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
174    196.8    ---   
Diabetes (E10E14) 68    35.8    25.6   
  Any Mention2 169    89.5    62.2   
Nephritis, Hydronephrosis & Renal Failure3
54    28.8    20.4   
  Any Mention4 205    108.7    20.4   
OTHER SELECTED HOSPITAL DISCHARGES, 2016-2018

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted
Rate
Arthritis --Ages 45 & over5 1,115    1,274.5    ---      2.4   
Asthma (493) 87    45.9    46.8      2.8   
Diabetes (250)          
  All 313    165.7    152.6      3.9   
  with Lower Extremity Amputation6 21    11.3    9.2      6.9   

Hip Fractures-Ages 65 & over (820)

97    264.4    ---      4.7   
Osteoporosis Any Mention- Ages 65 & over7 494    1,341.8    ---      ---   

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.