Selected Chronic Disease Indicators,
Allegan County Health Department Residents 2020-2022

CANCER MORTALITY, 2020-2022
    
CANCER INCIDENCE, 2018-2020
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) 255    210.5    162.9      All Cancer (C00-C97) 604    398.2      
  Bladder (C67) 7    5.5    4.5        Bladder (C67) 27    17.5      
  Breast (C50) 20    33.3    23.8        Breast (C50) 97    132.3      
  Cervix (C53) 1    *     *        Cervix (C53) 3    *      
  Colon & Rectum (C18–C20, C26.0) 22    18.2    14.7        Colon & Rectum ( C18–C20, C26.0) 46    31.8      
  Lung and Bronchus ( C34) 56    46.6    34.2        Lung & Bronchus ( C34) 88    53.3      
  Melanoma (C43) 2    1.9    *        Melanoma (C43) 33    23.4      
  Oral Cavity & Pharynx (C00–C14) 6    5.0    *        Oral Cavity & Pharynx (C00–C14) 19    12.2      
  Prostate (C61) 12    19.1    18.2        Prostate (C61) 76    89.2      
CARDIOVASCULAR DISEASE MORTALITY, 2020-2022
Cause of Death and
ICD-10 Codes
Mortality
 
Average
Number
Crude
Death
Rate
Age-
adjusted
Rate
Major Cardiovascular Diseases (I00-I78) 324    268.1    225.7   
  Heart Disease (II00–I09, I11, I13, I20–I51)   256    211.4    178.1   
    Congestive Heart Failure (I50.0) 52    43.3    38.3   
    Congestive Heart Failure (Any Mention) 168    138.9    121.1   
    Coronary Heart Disease (I11, I20–I25) 149    123.5    100.7   
  Stroke (I60–I69) 50    41.1    34.6   
CARDIOVASCULAR DISEASE HOSPITAL DISCHARGES, 2020-2022

Diagnosis and
ICD-9 Codes
Discharges
 
   Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted Rate
Acute Myocardial Infarction (410) 209    122.3    133.9      3.9   
Congestive Heart Failure1          
  All Ages 42    24.3    28.6      6.6   
  Ages 65 & Over 26    81.2    ---      5.8   
Stroke ( 430–434 & 436–438 )          
  All Ages 282    164.9    186.5      5.7   
  Ages 65 & Over 176    555.6    ---      5.3   
OTHER SELECTED CAUSES, MORTALITY, 2020-2022
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 K73–K74 ) 19    16.0    14.1   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
66    123.3    ---   
Diabetes (E10–E14) 32    26.2    20.2   
  Any Mention2 131    108.3    85.7   
Nephritis, Hydronephrosis & Renal Failure3
 18    15.2    12.3   
  Any Mention4 111    91.8    12.3   
OTHER SELECTED HOSPITAL DISCHARGES, 2020-2022

Diagnosis and
ICD-9 Codes
Discharges
 
   Average
Length
of Stay
Average
Crude
Rate
Age-
adjusted
Rate
Arthritis --Ages 45 & over5 212    273.8    ---      1.5   
Asthma (493) 15    8.6    13.4      2.7   
Diabetes (250)          
  All 155    90.7    120.5      5.1   
  with Lower Extremity Amputation6 15    8.8    10.8      7.0   

Hip Fractures-Ages 65 & over (820)

54    171.8    ---      5.2   
Osteoporosis Any Mention- Ages 65 & over7 204    644.1    ---      ---   

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 N03–N05, N13.0–N13.3, N17–N19, N25–N26, 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 N03–N05, N13.0–N13.3, N17–N19, N25–N26, 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.