Table 5. - Percentage variation (PV) in cancer screening, diagnosis and treatment procedures in SUSa services, by national macro-regions, between the pre-COVID-19 pandemic period (2019) and the COVID-19 pandemic period (2020), Brazil, 2019-2020.
Procedure | North | Northeast | Midwest | Southeast | South | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2019 | 2020 | PV | 2019 | 2020 | PV | 2019 | 2020 | PV | 2019 | 2020 | PV | 2019 | 2020 | PV | |||||
N | N | % | N | N | % | N | N | % | N | N | % | N | N | % | |||||
Screening | |||||||||||||||||||
Cytology test | 521,566 | 264,348 | -49.3 | 2,130,037 | 1,089,737 | -48.8 | 517,272 | 245,265 | -52.6 | 3,701,627 | 2,209,464 | -40.3 | 1,578,235 | 872,237 | -44.7 | ||||
Screening mammography | 109,897 | 86,003 | -21.7 | 865,870 | 476,306 | -45.0 | 155,810 | 83,333 | -46.5 | 1,909,072 | 1,099,763 | -42.4 | 769,778 | 440,966 | -42.7 | ||||
Diagnosis | |||||||||||||||||||
Biopsy | 28,129 | 18,306 | -34.9 | 157,954 | 89,892 | -43.1 | 35,257 | 22,995 | -34.8 | 370,444 | 242,952 | -34.4 | 137,615 | 97,557 | -29.1 | ||||
Anatomical pathology test | 121,259 | 91,932 | -24.2 | 513,365 | 339,995 | -33.8 | 176,312 | 102,357 | -41.9 | 1,261,832 | 964,762 | -23.5 | 689,914 | 525,784 | -23.8 | ||||
Treatment | |||||||||||||||||||
Cervical excision (types 1. 2 and 3) | 2,393 | 1,534 | -35.9 | 5,069 | 3,213 | -36.6 | 1,412 | 904 | -36.0 | 10,386 | 6,981 | -32.8 | 7,412 | 5,351 | -27.8 | ||||
Cancer surgery | 4,835 | 4,318 | -10.7 | 33,503 | 26,358 | -21.3 | 9,863 | 8,945 | -9.3 | 69,827 | 59,365 | -15.0 | 42,356 | 36,226 | -14.5 | ||||
Chemotherapy | 132,803 | 137,114 | 3.2 | 820,501 | 848,803 | 3.4 | 201,868 | 211,695 | 4.9 | 1,707,499 | 1,756,047 | 2.8 | 798,635 | 825,278 | 3.3 | ||||
Radiotherapyb | 4,049 | 3,725 | -8.0 | 18,648 | 18,798 | 0.8 | 3,851 | 4,363 | 13.3 | 36,422 | 36,712 | 0.8 | 17,645 | 16,465 | -6.7 |
Source: Brazilian National Health System Outpatient Information System (SIA/SUS); access in March 2021.
a) SUS: Brazilian National Health System; b) ‘Radiotherapy’ procedure data refer to June-December 2019 and June-December 2020.