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Table 3 Quality indicator trends by Brazilian macro-region from 2006 to 2013

From: Trend analysis of the quality indicators for the Brazilian cervical cancer screening programme by region and state from 2006 to 2013

Macro-region

Indicator

Trend 1

APC

CI 95%

Trend 2

APC

CI 95%

North

Productivity rate (%)a

2006–2012

− 1.7

−8.1,5.2

   

Unsatisfactory exams (%)

2006–2011

− 11.3*

− 17.5,-4.7

2011–2013

39.7*

1.3,92.7

Positivity index (%)

2006–2010

−9.6*

−15.3,-3.6

2010–2013

10.3

−0.3,22.1

ASC-US (%)

2006–2010

−7.7*

−14.0,-1.0

2010–2013

11.8

0.0,25.1

HSIL (%)

2006–2009

−13.4

−25.2,0.3

2009–2013

10.5*

0.7,21.2

ASC/SIL

2006–2013

5.6*

3.0,8.3

   

Productivity rate (%)a

2006–2012

− 3.5*

− 6.4,-0.5

   

Northeast

Unsatisfactory exams (%)

2006–2013

0.1

−1.7,1.9

   

Positivity index (%)

2006–2013

0.6

−2.4,0.9

   

ASC-US (%)

2006–2013

2.8*

1.2,4.4

   

HSIL (%)

2006–2013

−1.1

−3.5,1.5

   

ASC/SIL

2006–2013

−4.7

−9.9,0.9

   

Productivity rate (%)a

2006–2008

15.1*

0.2,32.2

2008–2012

−5.7*

−9.7,-1.4

Midwest Southeast

Unsatisfactory exams (%)

2006–2010

−14.9*

−27.1,-7.5

2010–2013

5.9

−7.2,20.8

Positivity index (%)

2006–2010

−5.3

−11.9,1.9

2010–2013

7.4

−4.3,20.5

ASC-US (%)

2006–2010

−6.8

−15.8,3.3

2010–2013

9.3

−7.1,28.6

HSIL (%)

2006–2013

1.0

−0.8,2.9

   

ASC/SIL

2006–2011

0.3

−2.1,2.7

2011–2013

12.7*

1.3,25.4

Productivity rate (%)a

2006–2012

0.8

−0.7,2.3

   

Unsatisfactory exams (%)

2006–2013

−1.5

−5.2,2.4

   

Positivity index (%)

2006–2013

0.6

−1.3,2.4

   

ASC-US (%)

2006–2013

2.0

−0.5,4.6

   

HSIL (%)

2006–2013

−3.7*

−6.8,-0.4

   

ASC/SIL

2006–2013

7.4*

4.1,10.0

   

Productivity rate (%)a

2006–2012

0.3

−3.6,4.4

   

South

Unsatisfactory exams (%)

2006–2013

−3.5*

−6.1,-0.9

   

Positivity index (%)

2006–2013

0.6

−1.3,2.6

   

ASC-US (%)

2006–2013

0.6

−2.9,4.2

   

HSIL (%)

2006–2013

−1.8

−4.5,1.0

   

ASC/SIL

2006–2013

4.7*

0.5,8.9

   
  1. Abbreviations: APC Annual Percentage Change, ASC Atypical Squamous Cells, ASC-US Atypical Squamous Cells of Undetermined Significance, CI confidence interval, HSIL High-grade Squamous Intraepithelial Lesion SIL Squamous Intraepithelial Lesion
  2. *APC is significantly different from 0 (P < 0.05)
  3. aOnly data until 2012 were available