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Table 2 Trends in breast cancer screening and its direct costs in the target population and chemotherapy costs in localized and advanced disease from January 2017 to June 2021 in the public healthcare system in Brazil

From: The trend and direct costs of screening and chemotherapy treatment of breast cancer in the new coronavirus pandemic: total and interrupted time series study

Interrupted time series

The monthly trend of mammogram rate per 10,000 women aged 50 to 69

The monthly trend of total direct costs of mammograms in women aged 50 to 69

The monthly trend in the total direct cost of chemotherapy in localized disease (Stage I and II)

The monthly trend in the total direct cost of chemotherapy in advanced disease (Stages III and IV)

Segment 1

Lower Endpoint

January 2017

January 2017

January 2017

January 2017

 

Upper Endpoint

February 2020

February 2020

June 2020

June 2020

 

MPC

0.0

0.1

0.2*

0.6*

 

CI 95%

-0.4; 0.4

−0.3; 0.5

0.2; 0.3

0.6, 0.6

 

p value

0.961

0.76

< 0.001

< 0.001

 

Trend

stationary

stationary

increasing

increasing

Segment 2

Lower Endpoint

March 2020**

March 2020**

July 2020

 
 

Upper Endpoint

May 2020

May 2020

June 2021

 
 

MPC

−48.9*

− 45.5

−0.4*

 
 

CI 95%

−64.2; −27.2

−73.1; 10.3

− 0.7; − 0.1

 
 

p value

< 0.001

0.09

<0.001

 
 

Trend

decreasing

stationary

decreasing

 

Segment 3

Lower Endpoint

June 2020

June 2020

  
 

Upper Endpoint

October 2020

November 2020

  
 

MPC

44.6*

33.3*

  
 

CI 95%

29.2; 61.8

17.2; 51.7

  
 

p value

< 0.001

<0.001

  
 

Trend

increasing

increasing

  

Segment 4

Lower Endpoint

November 2020

December 2020

  
 

Upper Endpoint

June 2021

June 2021

  
 

MPC

−4.3*

−6.7*

  
 

CI 95%

−7.9; −0.5

−12.0; −1.0

  
 

p value

0.027

0.022

  
 

Trend

decreasing

decreasing

  

Total Time Series

MPC

−1.5*

−0.9*

0.1*

0.6*

CI 95%

−2.2; −0.7

− 1.3; − 0.4

0.1; 0.2

0.6; 0.6

p value

< 0.001

< 0.001

< 0.001

< 0.001

Trend

decreasing

decreasing

increasing

increasing

  1. MPC monthly percentage change, CI 95% Confidence Interval 95%
  2. *MPC is significantly different from zero (p < 0.05), with an increasing trend (if positive) or decreasing trend (if negative)
  3. **March 2020 - COVID-19 pandemic declaration month