Selected Chronic Disease Indicators,
Berrien County Health Department Residents 2017-2019

CANCER MORTALITY, 2017-2019
   
CANCER INCIDENCE, 2016-2018
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) 377    244.7    164.9      All Cancer (C00-C97) 998    466.4      
  Bladder (C67) 15    9.7    6.3        Bladder (C67) 50    21.3      
  Breast (C50) 27    34.4    22.7        Breast (C50) 133    122.8      
  Cervix (C53) 2    2.5    *        Cervix (C53) 7    *      
  Colon & Rectum (C18C20, C26.0) 41    26.4    18.1        Colon & Rectum ( C18C20, C26.0) 98    46.4      
  Lung and Bronchus ( C34) 104    67.6    44.6        Lung & Bronchus ( C34) 174    76.5      
  Melanoma (C43) 3    1.7    *        Melanoma (C43) 35    17.6      
  Oral Cavity & Pharynx (C00C14) 6    4.1    *        Oral Cavity & Pharynx (C00C14) 29    13.0      
  Prostate (C61) 19    25.2    19.9        Prostate (C61) 107    96.8      
CARDIOVASCULAR DISEASE MORTALITY, 2017-2019

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Major Cardiovascular Diseases (I00-I78) 659    428.3    282.3   
  Heart Disease (II00I09, I11, I13, I20I51)   511    331.7    218.9   
    Congestive Heart Failure (I50.0) 118    76.9    49.3   
    Congestive Heart Failure (Any Mention) 232    150.5    97.9   
    Coronary Heart Disease (I11, I20I25) 295    191.6    127.5   
  Stroke (I60I69) 116    75.6    49.3   
CARDIOVASCULAR DISEASE HOSPITAL DISCHARGES, 2017-2019

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted Rate
Acute Myocardial Infarction (410) 335    217.1    159.7      4.0   
Congestive Heart Failure1          
  All Ages 121    78.7    56.8      5.7   
  Ages 65 & Over 88    292.6    ---      5.2   
Stroke ( 430434 & 436438 )          
  All Ages 644    417.6    295.5      6.5   
  Ages 65 & Over 438    1,463.2    ---      6.4   
OTHER SELECTED CAUSES, MORTALITY, 2017-2019

Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Asthma (J45-J46) 2    1.5    *   
Chronic Liver Disease (K70 or K73K74 ) 20    13.0    10.2   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
100    138.6    ---   
Diabetes (E10E14) 55    35.7    25.5   
  Any Mention2 140    90.7    62.2   
Nephritis, Hydronephrosis & Renal Failure3
42    27.3    18.3   
  Any Mention4 156    101.3    18.3   
OTHER SELECTED HOSPITAL DISCHARGES, 2017-2019

Diagnosis and
ICD-9 Codes
Discharges
 
  Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted
Rate
Arthritis --Ages 45 & over5 850    1,174.5    ---      1.8   
Asthma (493) 82    53.2    57.2      2.5   
Diabetes (250)          
  All 376    243.7    225.9      4.5   
  with Lower Extremity Amputation6 30    19.2    15.4      6.7   

Hip Fractures-Ages 65 & over (820)

82    272.6    ---      5.3   
Osteoporosis Any Mention- Ages 65 & over7 665    2,219.8    ---      ---   

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.