Selected Chronic Disease Indicators,
Macomb County 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) 1,895    216.0    160.5      All Cancer (C00-C97) 5,249    459.5      
  Bladder (C67) 54    6.2    4.6        Bladder (C67) 239    20.0      
  Breast (C50) 123    27.6    19.3        Breast (C50) 767    130.8      
  Cervix (C53) 10    2.2    1.9        Cervix (C53) 32    6.8      
  Colon & Rectum (C18–C20, C26.0) 155    17.7    13.2        Colon & Rectum ( C18–C20, C26.0) 429    38.4      
  Lung and Bronchus ( C34) 485    55.3    39.9        Lung & Bronchus ( C34) 766    63.8      
  Melanoma (C43) 21    2.4    1.8        Melanoma (C43) 209    19.0      
  Oral Cavity & Pharynx (C00–C14) 29    3.3    2.5        Oral Cavity & Pharynx (C00–C14) 138    11.8      
  Prostate (C61) 88    20.4    18.2        Prostate (C61) 707    123.7      
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) 3,083    351.5    265.5   
  Heart Disease (II00–I09, I11, I13, I20–I51)   2,333    266.0    200.9   
    Congestive Heart Failure (I50.0) 267    30.4    22.9   
    Congestive Heart Failure (Any Mention) 1,325    151.0    114.2   
    Coronary Heart Disease (I11, I20–I25) 1,547    176.3    132.8   
  Stroke (I60–I69) 503    57.3    43.5   
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) 1,782    203.1    155.4      4.8   
Congestive Heart Failure1          
  All Ages 169    19.3    15.3      5.8   
  Ages 65 & Over 98    62.7    ---      5.7   
Stroke ( 430–434 & 436–438 )          
  All Ages 2,981    339.8    258.9      6.9   
  Ages 65 & Over 1,984    1,265.4    ---      6.8   
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) 10    1.1    1.0   
Chronic Liver Disease (K70 or K73–K74 ) 138    15.7    13.1   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
437    109.7    ---   
Diabetes (E10–E14) 367    41.9    31.6   
  Any Mention2 967    110.2    82.9   
Nephritis, Hydronephrosis & Renal Failure3
206    23.4    17.8   
  Any Mention4 1,208    137.7    17.8   
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 1,120    280.8    ---      2.8   
Asthma (493) 407    46.4    50.2      2.9   
Diabetes (250)          
  All 2,074    236.5    206.3      5.3   
  with Lower Extremity Amputation6 111    12.7    9.7      7.8   

Hip Fractures-Ages 65 & over (820)

353    225.1    ---      6.0   
Osteoporosis Any Mention- Ages 65 & over7 2,816    1,796.0    ---      ---   

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.