Selected Chronic Disease Indicators,
Macomb County 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) 1,928    221.3    170.0      All Cancer (C00-C97) 4,986    456.6      
  Bladder (C67) 57    6.5    5.0        Bladder (C67) 243    21.9      
  Breast (C50) 134    30.0    21.2        Breast (C50) 704    123.6      
  Cervix (C53) 10    2.2    1.9        Cervix (C53) 25    5.2      
  Colon & Rectum (C18C20, C26.0) 170    19.5    15.1        Colon & Rectum ( C18C20, C26.0) 428    39.6      
  Lung and Bronchus ( C34) 517    59.3    45.1        Lung & Bronchus ( C34) 773    69.4      
  Melanoma (C43) 21    2.4    2.0        Melanoma (C43) 213    20.3      
  Oral Cavity & Pharynx (C00C14) 32    3.7    2.8        Oral Cavity & Pharynx (C00C14) 139    12.4      
  Prostate (C61) 81    19.1    17.6        Prostate (C61) 555    102.0      
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) 2,964    340.2    256.2   
  Heart Disease (II00I09, I11, I13, I20I51)   2,294    263.3    198.0   
    Congestive Heart Failure (I50.0) 382    43.8    32.4   
    Congestive Heart Failure (Any Mention) 1,154    132.5    98.9   
    Coronary Heart Disease (I11, I20I25) 1,475    169.3    127.3   
  Stroke (I60I69) 400    45.9    34.9   
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) 2,302    265.3    209.0      4.6   
Congestive Heart Failure1          
  All Ages 1,935    223.0    175.3      5.6   
  Ages 65 & Over 1,502    1,065.7    ---      5.3   
Stroke ( 430434 & 436438 )          
  All Ages 2,803    322.9    256.0      5.9   
  Ages 65 & Over 1,887    1,339.5    ---      5.8   
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) 10    1.2    1.0   
Chronic Liver Disease (K70 or K73K74 ) 100    11.5    9.0   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
461    116.9    ---   
Diabetes (E10E14) 288    33.1    25.4   
  Any Mention2 658    75.5    58.1   
Nephritis, Hydronephrosis & Renal Failure3
165    19.0    14.3   
  Any Mention4 770    88.4    14.3   
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 4,634    1,186.6    ---      2.5   
Asthma (493) 642    73.9    72.7      3.2   
Diabetes (250)          
  All 1,837    211.7    191.4      4.6   
  with Lower Extremity Amputation6 111    12.8    10.1      8.1   

Hip Fractures-Ages 65 & over (820)

447    317.5    ---      5.3   
Osteoporosis Any Mention- Ages 65 & over7 2,542    1,803.8    ---      ---   

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.