Selected Chronic Disease Indicators,
Wayne 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) 3,496    197.2    161.6      All Cancer (C00-C97) 9,617    452.7      
  Bladder (C67) 88    5.0    4.1        Bladder (C67) 399    18.4      
  Breast (C50) 252    27.6    21.6        Breast (C50) 1,369    123.6      
  Cervix (C53) 25    2.8    2.6        Cervix (C53) 73    7.9      
  Colon & Rectum (C18–C20, C26.0) 335    18.9    16.0        Colon & Rectum ( C18–C20, C26.0) 848    40.7      
  Lung and Bronchus ( C34) 849    47.9    38.3        Lung & Bronchus ( C34) 1,407    64.1      
  Melanoma (C43) 24    1.4    1.1        Melanoma (C43) 276    13.3      
  Oral Cavity & Pharynx (C00–C14) 58    3.3    2.6        Oral Cavity & Pharynx (C00–C14) 249    11.5      
  Prostate (C61) 180    20.9    20.7        Prostate (C61) 1,343    128.4      
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) 6,964    392.7    328.3   
  Heart Disease (II00–I09, I11, I13, I20–I51)   5,519    311.3    259.5   
    Congestive Heart Failure (I50.0) 609    34.3    28.9   
    Congestive Heart Failure (Any Mention) 2,423    136.7    115.1   
    Coronary Heart Disease (I11, I20–I25) 3,953    222.9    184.4   
  Stroke (I60–I69) 1,016    57.3    48.3   
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) 4,160    234.5    197.3      4.9   
Congestive Heart Failure1          
  All Ages 481    27.1    24.2      6.8   
  Ages 65 & Over 212    73.7    ---      6.4   
Stroke ( 430–434 & 436–438 )          
  All Ages 6,506    366.7    309.1      8.1   
  Ages 65 & Over 3,751    1,304.5    ---      7.8   
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) 31    1.7    1.7   
Chronic Liver Disease (K70 or K73–K74 ) 278    15.7    13.7   
Chronic Lower Respiratory Diseases-
Ages 45 & Over (J40-J47)
719    97.8    ---   
Diabetes (E10–E14) 642    36.2    30.4   
  Any Mention2 1,954    110.2    92.0   
Nephritis, Hydronephrosis & Renal Failure3
 443    25.0    20.9   
  Any Mention4 2,441    137.7    20.9   
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 2,275    308.2    ---      2.9   
Asthma (493) 1,480    83.4    87.2      2.6   
Diabetes (250)          
  All 6,426    362.2    340.4      5.2   
  with Lower Extremity Amputation6 407    22.9    19.8      8.4   

Hip Fractures-Ages 65 & over (820)

588    204.6    ---      6.6   
Osteoporosis Any Mention- Ages 65 & over7 3,765    1,309.2    ---      ---   

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.