Selected Chronic Disease Indicators,
Oakland 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) 2,301    181.0    134.6      All Cancer (C00-C97) 7,181    438.8      
  Bladder (C67) 69    5.4    4.1        Bladder (C67) 309    18.6      
  Breast (C50) 164    25.5    17.8        Breast (C50) 1,084    129.2      
  Cervix (C53) 13    2.1    1.6        Cervix (C53) 35    4.9      
  Colon & Rectum (C18–C20, C26.0) 218    17.1    12.9        Colon & Rectum ( C18–C20, C26.0) 571    35.5      
  Lung and Bronchus ( C34) 482    37.9    27.7        Lung & Bronchus ( C34) 827    48.6      
  Melanoma (C43) 31    2.5    1.9        Melanoma (C43) 381    24.1      
  Oral Cavity & Pharynx (C00–C14) 41    3.3    2.4        Oral Cavity & Pharynx (C00–C14) 191    11.2      
  Prostate (C61) 123    19.6    17.8        Prostate (C61) 1,109    133.8      
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) 4,215    331.5    252.5   
  Heart Disease (II00–I09, I11, I13, I20–I51)   3,167    249.1    189.4   
    Congestive Heart Failure (I50.0) 354    27.8    21.3   
    Congestive Heart Failure (Any Mention) 1,777    139.8    106.9   
    Coronary Heart Disease (I11, I20–I25) 2,254    177.3    134.1   
  Stroke (I60–I69) 777    61.1    47.0   
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) 2,347    184.7    140.8      4.6   
Congestive Heart Failure1          
  All Ages 213    16.7    13.4      6.4   
  Ages 65 & Over 141    62.1    ---      6.0   
Stroke ( 430–434 & 436–438 )          
  All Ages 3,739    294.3    223.8      6.9   
  Ages 65 & Over 2,605    1,144.8    ---      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) 13    1.0    0.9   
Chronic Liver Disease (K70 or K73–K74 ) 192    15.1    12.4   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
491    85.0    ---   
Diabetes (E10–E14) 351    27.6    20.9   
  Any Mention2 1,129    88.8    67.0   
Nephritis, Hydronephrosis & Renal Failure3
 232    18.3    13.9   
  Any Mention4 1,479    116.3    13.9   
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 1,808    313.1    ---      2.4   
Asthma (493) 473    37.2    38.7      3.0   
Diabetes (250)          
  All 2,297    180.8    154.7      5.3   
  with Lower Extremity Amputation6 139    10.9    8.5      8.6   

Hip Fractures-Ages 65 & over (820)

566    248.6    ---      6.0   
Osteoporosis Any Mention- Ages 65 & over7 3,894    1,711.2    ---      ---   

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.