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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