Table 2.
Temporal trends in mortality from female breast cancer in the states of Brazil between 1990 and 2011
| States | Trend 1 | Trend 2 | AAPC | ||||
|---|---|---|---|---|---|---|---|
| Years | APC | (95% CI; p-value) | Years | APC | (95% CI; p-value) | 2002-2011 | |
| Paraná | 1990-2005 | 1.2* | (0.6 to 1.9; p < 0.01) | 2005-2011 | −1.2 | (−3.8 to 1.4; p = 0.33) | −0.4 |
| Santa Catarina | 1990-1994 | 6.6* | (0.2 to 13.5; p = 0.04) | 1994-2011 | 0.0 | (−0.7 to 0.7; p = 0.92) | 0.0 |
| Rio Grande do Sul | 1990-1993 | 4.6 | (−4.5 to 14.6; p = 0.31) | 1993-2011 | −0.7* | (−1.3 to −0.1; p = 0.01) | −0.7* |
| Espírito Santo | 1990-2011 | 1.8* | (0.9 to 2.8; p < 0.01) | 1.8* | |||
| Rio de Janeiro | 1990-2011 | −0.5* | (−0.8 to −0.2; p < 0.01) | −0.5* | |||
| São Paulo | 1990-1998 | 1.7* | (0.0 to 3.4; p = 0.04) | 1998-2011 | −1.7* | (−2.4 to −0.9; p < 0.01) | −1.7* |
| Minas Gerais | 1990-2011 | 0.5* | (0.0 to 1.0; p = 0.04) | 0.5* | |||
| Goiás | 1990-2011 | 2.2* | (1.3 to 3.1; p < 0.01) | 2.2* | |||
| Mato Grosso do Sul | 1990-2011 | 1.7* | (0.2 to 3.2; p = 0.02) | 1.7* | |||
| Mato Grosso | 1990-2011 | 4.2* | (2.9 to 4.5; p < 0.01) | 4.2* | |||
| Distrito Federal | 1990-2011 | −0.2 | (−1.0 to 0.7; p = 0.68) | −0.2 | |||
| Amazonas | 1990-2011 | 2.1* | (0.6 to 3.7, p < 0.01) | 2.1* | |||
| Pará | 1990-2011 | 2.2* | (1.0 to 3.3, p < 0.01) | 2.2* | |||
| Rondônia | 1990-2011 | 6.0* | (3.4 to 8.7, p < 0.01) | 6.0* | |||
| Acre | 1993-2011 | 0.8 | (−2.6 to 4.2; p = 0.64) | 0.8 | |||
| Amapá | 1997-2011 | 4.6 | (−1.9 to 11.6, p = 0.15) | 4.6 | |||
| Roraima | 1990-2011 | 2.8 | (−1.6 to 7.4; p = 0.20) | 2.8 | |||
| Tocantins | 1990-2011 | 6.3* | (3.8 to 8.9; p < 0.01) | 6.3* | |||
| Bahia | 1990-2001 | 1.2 | (−0.1 to 2.6; p = 0.06) | 2001-2011 | 4.4* | (2.9 to 6.0; p < 0.01) | 4.4* |
| Rio Grande do Norte | 1990-2011 | 2.4* | (1.3 to 3.6; p < 0.01) | 2.4* | |||
| Maranhão | 1990-2002 | 2.6 | (−0.7 to 5.9; p < 0.11) | 2002-2011 | 11.2* | (5.8 to16.9; p < 0.01) | 11.2* |
| Piauí | 1990-1997 | −1.6 | (−7.3 to 4.5; p = 0.58) | 1997-2011 | 9.8* | (7.6 to 12.1; p < 0.01) | 9.8* |
| Paraíba | 1990-1999 | 0.8 | (−3.9 to 5.8; p = 0.72) | 1999-2011 | 9.3* | (6.0 to 12.8; p < 0.01) | 9.3* |
| Alagoas | 1990-2011 | 4.1* | (2.7 to 5.5; p < 0.01) | 4.1* | |||
| Sergipe | 1990-2011 | 4.8* | (3.3 to 6.4; p < 0.01) | 4.8* | |||
| Ceará | 1990-2011 | 4.5* | (3.7 to 5.3; p < 0.01) | 4.5* | |||
| Pernambuco | 1990-2011 | 2.6* | (2.0 to 3.1; p < 0.01) | 2.6* | |||
| Brazil | 1990-1994 | 2.5 | (−1.3 to 6.5; p = 0.18) | 1994-2011 | 0.3 | (−0.1 to 0.7; p = 0.13) | 0.3 |
Abbreviations: AAPC average annual percent change; APC annual percent change.
Joinpoint analyses with up to 1 joinpoints yielding up to 2 trend segments (Trends 1–2).
The AAPC is a weighted average of the APCs that is calculated by joinpoint regression.
Standardized mortality rate per 100,000 women.
*Statistically significant; p = 0.05.