Selected Chronic Disease Indicators,
St. Clair County 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) 374    233.7    176.1      All Cancer (C00-C97) 894    445.5      
  Bladder (C67) 9    5.8    4.2        Bladder (C67) 48    23.0      
  Breast (C50) 26    32.2    22.7        Breast (C50) 125    119.4      
  Cervix (C53) 2    2.5    *        Cervix (C53) 7    8.1      
  Colon & Rectum (C18C20, C26.0) 38    24.0    18.2        Colon & Rectum ( C18C20, C26.0) 93    46.0      
  Lung and Bronchus ( C34) 116    72.7    54.6        Lung & Bronchus ( C34) 135    65.5      
  Melanoma (C43) 5    2.9    *        Melanoma (C43) 43    22.7      
  Oral Cavity & Pharynx (C00C14) 7    4.2    3.0        Oral Cavity & Pharynx (C00C14) 23    10.7      
  Prostate (C61) 14    17.6    16.0        Prostate (C61) 99    96.5      
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) 603    377.0    289.2   
  Heart Disease (II00I09, I11, I13, I20I51)   494    308.9    237.5   
    Congestive Heart Failure (I50.0) 27    17.1    13.1   
    Congestive Heart Failure (Any Mention) 178    111.4    86.1   
    Coronary Heart Disease (I11, I20I25) 391    244.1    187.6   
  Stroke (I60I69) 68    42.3    32.6   
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) 492    306.9    358.6      4.3   
Congestive Heart Failure1          
  All Ages 490    305.7    360.9      5.2   
  Ages 65 & Over 381    1,472.8    ---      5.1   
Stroke ( 430434 & 436438 )          
  All Ages 507    316.1    373.8      4.6   
  Ages 65 & Over 345    1,333.7    ---      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) 1    *     *   
Chronic Liver Disease (K70 or K73K74 ) 22    13.5    10.4   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
132    174.6    ---   
Diabetes (E10E14) 79    49.6    38.3   
  Any Mention2 191    119.3    92.4   
Nephritis, Hydronephrosis & Renal Failure3
26    16.2    12.6   
  Any Mention4 150    93.7    12.6   
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 1,067    1,419.6    ---      3.1   
Asthma (493) 216    134.5    184.8      4.2   
Diabetes (250)          
  All 308    192.4    274.9      4.0   
  with Lower Extremity Amputation6 32    19.8    23.8      7.6   

Hip Fractures-Ages 65 & over (820)

160    616.7    ---      5.6   
Osteoporosis Any Mention- Ages 65 & over7 504    1,947.8    ---      ---   

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.