Table 2. Temporal trend of in-hospital mortality due to malignant neoplasm of the female breast in the state of Alagoas and in the 10 municipalities with the highest rates of this variable in the period from 2009 to 2019 and according to the age group. Brazil, 2021.
| A) Temporal trend of in-hospital mortality due to malignant neoplasm of the female breast according to age group | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Trend 1 | Trend 2 | Trend 3 | Total Period | |||||||||||
| Age group | Number of hospital deaths (%) | In-hospital mortality rate over the period (%) | Period | APC | 95% CI | Period | APC | 95% CI | Period | APC | 95% CI | AAPC | 95% CI | P-value |
| > 20 years | 0 | |||||||||||||
| 20-29 years | 8 (1.3) | 6.1 | – | – | – | – | – | – | – | – | – | 40.4 | [-35.9 to 207.6] | 0.4 |
| 30-39 years | 59 (9.3) | 9.8 | 2009-2011 | 1204.9* | [57.5 to 10712.6] | 2011-2019 | -6.2 | [-17.5 to 6.8] | – | – | – | 58.9* | [12.1 to 125.2] | < 0.001 |
| 40-49 years | 138 (21.8) | 10.8 | 2009-2012 | 29.5* | [6.1 to 58.0] | 2012-2019 | -4.6* | [-8.8 to -0.3] | – | – | – | 4.5 | [-1.0 to 10.3] | 0.1 |
| 50-59 years | 197 (31.1) | 14.6 | – | – | – | – | – | – | – | – | – | 1.7 | [-2.4 to 6.0] | 0.4 |
| 60-69 years | 126 (19.9) | 13.7 | – | – | – | – | – | – | – | – | – | 4.9 | [-1.5 to 11.8] | 0.1 |
| 70-79 years | 70 (11.1) | 16.0 | – | – | – | – | – | – | – | – | – | -3.2 | [-7.8 to 1.6] | 0.2 |
| ≥ 80 years | 35 (5.5) | 17.7 | 2009-2011 | 9522.3 | [-52.1 to 1930910.6] | 2011-2019 | 0.5 | [-26.4 to 37.3] | – | – | – | 150.2* | [4.6 to 498.8] | < 0.001 |
| B) Temporal trend of in-hospital mortality due to malignant neoplasm of the female breast in the state and in the 10 municipalities that presented the highest rates of this variable | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Trend 1 | Trend 2 | Trend 3 | Total Period | |||||||||||
| State/Municipality | Number of hospital deaths (%) | In-hospital mortality rate over the period (%) | Period | APC | 95% CI | Period | APC | 95% CI | Period | APC | 95% CI | AAPC | 95% CI | P-value |
| State of Alagoas | 633 (100) | 11.7 | 2009-2012 | 24.6* | [5.7 to 46.8] | 2012-2019 | -2.4 | [-5.7 to 1.1] | – | – | – | 5.0* | [0.5 to 9.7] | < 0.001 |
| Porto Calvo | 6 (0.9) | 29.3 | – | – | – | – | – | – | – | – | – | 48.3 | [-26.7 to 200.1] | 0.2 |
| Igreja Nova | 3 (0.5) | 25.0 | – | – | – | – | – | – | – | – | – | -8.4 | [-57.8 to 98.7] | 0.8 |
| Cajueiro | 4 (0.6) | 22.1 | – | – | – | – | – | – | – | – | – | 37.9 | [-25.8 to 156.0] | 0.3 |
| Pilar | 10 (1.6) | 21.7 | 2009-2011 | 11940.0 | [-94.7 to 27301204.7] | 2011-2016 | 25.1 | [-72.1 to 462.1] | 2016-2019 | -95.9* | [-99.7 to -33.6] | 11.9 | [-65.5 to 262.9] | 0.9 |
| Lagoa da Canoa | 5 (0.8) | 21.7 | – | – | – | – | – | – | – | – | – | -38.7 | [-71.5 to 31.9] | 0.2 |
| Jequiá da Praia | 2 (0.3) | 20.0 | – | – | – | – | – | – | – | – | – | 0.0 | [-44.6 to 80.4] | 1.0 |
| Colônia Leopoldina | 2 (0.3) | 20.0 | – | – | – | – | – | – | – | – | – | 0.0 | [-46.6 to 87.3] | 1.0 |
| Estrela de Alagoas | 4 (0.6) | 18.7 | – | – | – | – | – | – | – | – | – | -7.4 | [-47.9 to 64.7] | 0.8 |
| Batalha | 3 (0.5) | 17.5 | – | – | – | – | – | – | – | – | – | -4.1 | [-59.0 to 124.3] | 0.9 |
| Atalaia | 9 (1.4) | 16.5 | – | – | – | – | – | – | – | – | – | 34.8 | [-39.0 to 198.0] | 0.4 |
No joinpoint was observed in this indicator; *Statistically significant P < 0.05. APC = annual percentage change; CI = confidence interval; AAPC: average annual percentage change.