Missouri Resident Chronic Disease Comparisons Profile

Heart Disease

Deaths

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as heart disease.

This category of "heart disease" is one of the National Center for Health Statistics standard categories for ranking the leading causes of death. In addition to "Ischemic Heart Disease" (below), some of the causes included are: rheumatic heart disease, hypertensive heart disease, pulmonary embolism, various valve disorders, cardiomyopathy, atrial fibrillation, and congestive heart failure.

International Classification of Diseases (ICD-10) codes: I00-I09.9, I11-I11.9, I13-I13.9, and I20-I51.9.

Hospitalizations

Resident hospitalizations with a primary diagnosis solely of the heart itself. Includes any pathological condition of the heart, including "ischemic heart disease" - a temporary and local deficiency of blood supply to the heart or heart muscle.

Clinical Classifications Software Refined (CCSR) Category: CIR011-CIR018.

International Classification of Diseases (ICD-10) codes: Heart Disease Inpatient ICD-10-CM List.

Emergency Room Visits

Resident emergency room visits with a primary diagnosis solely of the heart itself. This category includes any pathological condition of the heart, including “ischemic heart disease” – a temporary and local deficiency of blood supply to the heart or heart muscle.

Clinical Classifications Software Refined (CCSR) Category: CIR011-CIR018.

International Classification of Diseases (ICD-10) codes: Heart Disease ER ICD-10-CM List.

Coronary Atherosclerosis and Other Heart Disease

Deaths

Resident deaths for which the underlying cause of death was given on the death certificate as coronary atherosclerosis and other heart disease. This category of "coronary atherosclerosis and other heart disease" is a subset of "heart disease".

International Classification of Diseases (ICD-10) codes: I20, I24-I25.9.

Hospitalizations

Resident hospitalizations with a primary diagnosis of coronary atherosclerosis and other heart disease. This category of "coronary atherosclerosis and other heart disease" is a subset of "heart disease".

Clinical Classifications Software Refined (CCSR) Category: CIR011.

International Classification of Diseases (ICD-10) codes: Coronary Atherosclerosis and Other Heart Disease Inpatient ICD-10-CM List.

Emergency Room Visits

Resident emergency room visits with a primary diagnosis of coronary atherosclerosis and other heart disease. This category of "coronary atherosclerosis and other heart disease" is a subset of "heart disease".

Clinical Classifications Software Refined (CCSR) Category: CIR011.

International Classification of Diseases (ICD-10) codes: Coronary Atherosclerosis and Other Heart Disease ER ICD-10-CM List.

Heart Failure

Deaths

Resident deaths for which the underlying cause of death was given on the death certificate as heart failure. This category of "heart failure" is a subset of "heart disease".

International Classification of Diseases (ICD-10) codes: I09, I11, I13, I50-I50.9.

Hospitalizations

Resident hospitalizations with a primary diagnosis of heart failure. This category of "heart failure" is a subset of "heart disease".

Clinical Classifications Software Refined (CCSR) Category: CIR019.

International Classification of Diseases (ICD-10) codes: Heart Failure Inpatient ICD-10-CM List.

Emergency Room Visits

Resident emergency room visits with a primary diagnosis of heart failure. This category of "heart failure" is a subset of "heart disease".

Clinical Classifications Software Refined (CCSR) Category: CIR019.

International Classification of Diseases (ICD-10) codes: Heart Failure ER ICD-10-CM List.

Stroke/Other Cerebrovascular Disease

Deaths

Resident deaths for which the underlying cause of death was given on the death certificate as cerebrovascular disease (stroke), whether due to bleeding or to blockage of arteries in the brain. Late effects of strokes are also included.

International Classification of Diseases (ICD-10) codes: I60-I69.8.

Hospitalizations

Resident hospitalizations with a primary diagnosis of stroke or other diseases involving blood vessels to the brain, whether due to bleeding or to blockage of arteries in the brain. This category also includes hospitalizations due to transient cerebral ischemia (TIA) and the late effects of strokes.

Clinical Classifications Software Refined (CCSR) Category: CIR020-CIR025.

International Classification of Diseases (ICD-10) codes: Stroke Inpatient ICD-10-CM List.

Emergency Room Visits

Resident emergency room visits with a primary diagnosis of stroke or other diseases involving blood vessels to the brain, whether due to bleeding or to blockage of arteries in the brain. This category also includes emergency room visits due to transient cerebral ischemia (TIA) and the late effects of strokes.

Clinical Classifications Software Refined (CCSR) Category: CIR020-CIR025.

International Classification of Diseases (ICD-10) codes: Stroke ER ICD-10-CM List.

All Cancers (Malignant Neoplasms)

Deaths

Resident neoplasm (cancer). This includes leukemia and cancers of various organs, but excludes benign neoplasms, carcinoma in situ, and neoplasms of uncertain behavior.

International Classification of Diseases (ICD-10) codes: C00-C97.

Hospitalizations

Resident hospitalizations with a primary diagnosis in this category suffer from an uncontrolled growth of cells derived from normal tissues. Includes leukemia, cancers of various organs, and carcinomas in situ but excludes benign neoplasms, and neoplasms of unspecified nature or uncertain behavior.

Clinical Classifications Software Refined (CCSR) Categories: NEO001-NEO074.

International Classification of Diseases (ICD-10) codes: Malignant Neoplasms ICD-10-CM List.

Colorectal Cancer

Deaths

Resident deaths for which the underlying cause of death was given on the death certificate as malignant neoplasm (cancer) of the colon, rectum, or anus.

This grouping is used by the National Center for Health Statistics; it is slightly different from “Colon and Rectum Cancer” (next indicator below). The differences are that this NCHS definition includes cancers of the anus but does not include those of the “intestinal tract, part unspecified.” Those two differences approximately offset each other in statewide data but, for counties and cities, the difference can be in either direction.

International Classification of Diseases (ICD-10) codes: C18-C21.8.

Hospitalizations

Resident hospitalizations with a primary diagnosis in this category suffer from an uncontrolled growth of cells derived from normal tissues. Includes malignant neoplasms (cancers) of the colon, rectum, or anus; also includes cancer of the intestinal tract, part unspecified.

Clinical Classifications Software Refined (CCSR) Categories: NEO015

International Classification of Diseases (ICD-10) codes: Colorectal Cancer ICD-10-CM List.

Colon and Rectum Cancer (SEER)

Deaths

Resident deaths for which the underlying cause of death was given on the death certificate as malignant neoplasm (cancer) of the colon, rectum, or recto sigmoid junction.

This set of criteria is from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program. It is slightly different from the criteria used in "Cancer of colon, rectum, and anus" (above) because SEER excludes cancer of the anus and anal canal and includes cancers of "intestinal tract, part unspecified.”

International Classification of Diseases (ICD-10) codes: C18-C20, C26.0.

Lung Cancer (SEER)

Deaths

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as malignant neoplasm (cancer) of the lung and/or bronchus.

This set of criteria is from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program. Note that some sources, including Healthy People 2010 and the National Center for Health Statistics, include cancer of the trachea with "lung cancer."

International Classification of Diseases (ICD-10) code: C34-C34.9.

Breast Cancer

Deaths

Missouri resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as breast cancer. This includes deaths to both male and female residents. Rates based on females alone are available from the Women's Health Profile  and the Death MICA .

International Classification of Diseases (ICD-10) code: C50-C50.9.

Hospitalizations

Resident hospitalizations, both male and female, with a primary diagnosis of breast cancer. The hospitalization rate for this indicator will differ from that for a similarly named indicator found in the Women’s Health Profile, because it not only includes male breast cancer but also uses the entire population to calculate the age-adjusted rate.

Clinical Classifications Software Refined (CCSR) Category: NEO029-NEO030.

International Classification of Diseases (ICD-10) codes: Breast Cancer ICD-10-CM List.

Cervical Cancer

Deaths

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as cervical cancer. Although only females are subject to this cancer, rates are annualized per 100,000 total residents, age-adjusted to the 2000 U.S. Standard Population. Gender-specific rates for females are available from the Women's Health Profile and the Death MICA.

International Classification of Diseases (ICD-10) code: C53-C53.9.

Hospitalizations

Resident hospitalizations of female patients with a primary diagnosis of cervical cancer. The cervix is the lower and narrow end (neck) of the uterus. The hospitalization rate for this indicator will differ from that for a similarly named indicator found in the Women’s Health Profile, because it uses the entire population to calculate the age-adjusted rate rather than only the female population.

Clinical Classifications Software Refined (CCSR) Category: NEO032.

International Classification of Diseases (ICD-10) codes: Cervical Cancer ICD-10-CM List.

Prostate Cancer

Deaths

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as prostate cancer. Although only males are subject to this cancer, rates are annualized per 100,000 total residents, age-adjusted to the 2000 U.S. Standard Population. Gender-specific rates for males can be calculated using the Death MICA.

International Classification of Diseases (ICD-10) code: C61-C61.9.

Hospitalizations

Resident hospitalizations of male patients with a primary diagnosis of prostate cancer. The prostate is a gland in males which surrounds the neck of the bladder and the urethra. It uses the entire population to calculate the age-adjusted rate rather than the male population only.

Clinical Classifications Software Refined (CCSR) Category: NEO039.

International Classification of Diseases (ICD-10) codes: C61, D07.5.

Pancreatic Cancer

Deaths

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as pancreatic cancer. Rates are annualized per 100,000 total residents, age-adjusted to the 2000 U.S. Standard Population.

International Classification of Diseases (ICD-10) code: C25-C25.9.

Hospitalizations

Resident hospitalizations of male patients with a primary diagnosis of prostate cancer. The prostate is a gland in males which surrounds the neck of the bladder and the urethra. It uses the entire population to calculate the age-adjusted rate rather than the male population only.

Clinical Classifications Software Refined (CCSR) Category: NEO051.

International Classification of Diseases (ICD-10) codes: C25-C25.9.

Diabetes Mellitus

Deaths

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as diabetes.

International Classification of Diseases (ICD-10) codes: E10-E14.9.

Hospitalizations

Resident hospitalizations with a primary diagnosis of diabetes mellitus. This disease is characterized by an excessive urine excretion and an inability to metabolize carbohydrates, proteins and fats with insufficient secretion of insulin. Symptoms may be unremarkable, with long-term complications involving kidneys, nerves, blood vessels and eyes. Included in this category is diabetes both with and without complications.

Clinical Classifications Software Refined (CCSR) Categories: END002-END003.

International Classification of Diseases (ICD-10) codes: Diabetes Inpatient ICD-10-CM List.

Emergency Room Visits

Resident emergency room visits with a primary diagnosis of diabetes mellitus. This disease is characterized by an excessive urine excretion and an inability to metabolize carbohydrates, proteins and fats with insufficient secretion of insulin. Symptoms may be unremarkable with long-term complications involving kidneys, nerves, blood vessels, and eyes. Included in this category is diabetes both with and without complications.

Clinical Classifications Software Refined (CCSR) Categories: END002-END003.

International Classification of Diseases (ICD-10) codes: Diabetes ER ICD-10-CM List.

Chronic Obstructive Pulmonary Disease Excluding Asthma

Deaths

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as a chronic lower respiratory disease other than asthma. This category is based on "Chronic lower respiratory diseases" in the National Center for Health Statistics' current listing of leading causes of death, except that the NCHS grouping includes asthma, which is counted separately in this profile. Included here are: bronchitis (unless it is specified as acute bronchitis), emphysema, bronchiectasis, and chronic obstructive pulmonary disease, unspecified. The vast majority of the deaths in this category are attributed to "Chronic obstructive pulmonary disease, unspecified."

Included are: bronchitis (unless it is specified as acute bronchitis), emphysema, asthma, bronchiectasis, and chronic airway obstruction not elsewhere classified. The vast majority of the deaths in this category are attributed to "Chronic airway obstruction not elsewhere classified."

International Classification of Diseases (ICD-10) codes: J40-J44.9, J47-J47.9.

Hospitalizations

Resident hospitalizations with a primary diagnosis of chronic obstructive pulmonary disease (COPD). This category includes chronic (non-acute) bronchitis, emphysema, bronchiectasis, and chronic airway obstruction not elsewhere classified. Hospitalizations for asthma are not included in this definition.

Clinical Classifications Software Refined (CCSR) Category: RSP008.

International Classification of Diseases (ICD-10) codes: COPD Inpatient ICD-10-CM List.

Emergency Room Visits

Resident emergency room visits with a primary diagnosis of chronic obstructive pulmonary disease (COPD). This category includes chronic (non-acute) bronchitis, emphysema, bronchiectasis, and chronic airway obstruction not elsewhere classified. Emergency room visits for asthma are not included in this definition.

Clinical Classifications Software Refined (CCSR) Category: RSP008.

International Classification of Diseases (ICD-10) codes: COPD ER ICD-10-CM List.

Asthma

Deaths

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as asthma.

International Classification of Diseases (ICD-10) codes: J45-J46.9.

Hospitalizations

Resident emergency room visits with a primary diagnosis of asthma.

Clinical Classifications Software Refined (CCSR) Category: RSP009.

International Classification of Diseases (ICD-10) codes: Asthma Inpatient ICD-10-CM List.

Emergency Room Visits

Resident hospitalizations with a primary diagnosis of asthma.

Clinical Classifications Software Refined (CCSR) Category: RSP009.

International Classification of Diseases (ICD-10) codes: Asthma ER ICD-10-CM List.

Tobacco-Related

Deaths

An estimate of the number of resident deaths over the eleven-year period which were attributable to tobacco and tobacco related products. This metric is calculated by aggregating responses from a section of death certificates, in which a decedent can have their death recorded as ‘Yes’, or ‘Probably’ related to tobacco. These are both considered positive responses, and this is what is recorded under Tobacco-Related Deaths (with percent of all deaths as the percent).

Non-traumatic Joint Disorders (Arthritis)

Deaths

The total number of deaths of Missouri residents over the eleven-year period for which the underlying cause of death was given on the death certificate as one of the diagnoses in a grouping of ICD-10 codes for arthritis and other rheumatic conditions.

Most deaths in this indicator are attributed to diffuse disease of connective tissue (including systemic lupus erythematosus), rheumatoid arthritis (RA), osteoarthrosis, and various forms of arteritis. Many of the RA deaths involve pneumonia.

International Classification of Diseases (ICD-10) codes: A54.4, D69.0, E79.8- E79.9, G54.0, G56.0, G57.5, G83.4, I00 - I01.9, I67.7, I73.0, I77.6, L40.5, M00-M03.6, M05-M06.9, M08-M08.9, M10- M13.9, M15-M19.9, M20.1, M25.4, M25.5- M25.9, M30-M35.9, M36-M36.9, M45-M47.9, M48.1- M48.3, M48.9, M60-M62.9, M65- M67.9, M70-M71.9, M72.0- M72.5, M72.8- M72.9, M75 -M77.9, M79.0, M79.1, R26.2.

Hospitalizations

Resident hospitalizations with a primary diagnosis of arthritis, joint disorders, or associated conditions.

Clinical Classifications Software Refined (CCSR) Category: MUS001-MUS007.

International Classification of Diseases (ICD-10) codes: Arthritis Inpatient ICD-10-CM List.

Emergency Room Visits

Resident emergency room visits with a primary diagnosis of arthritis, joint disorders, or associated conditions.

Clinical Classifications Software Refined (CCSR) Category: MUS001-MUS007.

International Classification of Diseases (ICD-10) codes: Arthritis ER ICD-10-CM List.