Mortality data, abstracted from the World Health Organization (WHO) database, are available for various countries. We used ovary cancer mortality (ICD-10: C00–C97, B21) in 10 countries during the period 1990–2006. These countries were Japan, China (Hong Kong) and the Republic of Korea (Asian countries); the United States of America (USA); Australia; the United Kingdom (UK), Italy, Spain, France and Germany (European countries). For the USA, Spain and France, data were available only for 1990–2005; and for Australia and Italy, for 1990–2003. The world population was used for age standardization. Age-standardized rates for ovarian cancer mortality (ICD-10: C56) in the 10 selected countries between 1990 and 2006 are shown for females (Fig. 1). ... Ovarian cancer mortality rates in six countries [China (Hong Kong), USA, Australia, UK, France and Germany] tend to decrease over time. The rate in Korea, however, showed a gradual increase and those in three other countries [Japan, Italy and Spain] were leveling off throughout the period.
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Hirabayashi et al. (2009) studied this question.