Table 2.

Trends in ovarian cancer age-standardized rates for all ages

	Joinpoint analyses
	Trend 1		Trend 2		Trend 3		Trend 4		AAPC
	Years	APC	Years	APC	Years	APC	Years	APC	Last 10 years
North America
Canadab	1973–1995	0.3	1995–2000	−5.9a	2000–2007	0.2			1998–2007	−1.2
USAb	1973–1978	− 1.8	1978–1999	0.6a	1999–2002	−9.1a	2002–2014	− 1.4a	2005–2014	− 1.4a
US blackb	1973–1994	0.5	1994–2014	−1.7a					2005–2014	− 1.7a
US whiteb	1973–1978	−1.8	1978–1999	0.8a	1999–2002	−9.3	2002–2014	−1.6a	2005–2014	−1.6a
Central and South America
Brazilb	1988–2007	4.4a							1998–2007	4.4a
Colombiab	1983–2007	0.6							1998–2007	0.6
Costa Rica	1980–2007	0.5							1998–2007	0.5
Ecuadorb	1985–2007	1.3							1998–2007	1.3
Western Europe
Austria	1990–1997	0.8	1997–2009	−3.7a					2000–2009	−3.7a
France	1980–1987	0.1a	1987–1995	− 0.4a	1995–2003	− 0.8a	2003–2012	−1.2a	2003–2012	−1.2a
Germanyb	1973–2007	0.2							1998–2007	0.2
The Netherlands	1989–2016	−1.5a							2007–2016	−1.5a
Switzerlandb	1973–2007	−0.8a							1998–2007	−0.8a
Northern Europe
Denmark	1973–2000	− 0.4a	2000–2014	− 2.4a					2005–2014	− 2.4a
Estonia	1973–2007	0.1							1998–2007	0.1
Finland	1973–1995	0.8a	1995–2014	−1.0a					2005–2014	−1.0a
Iceland	1973–2014	−1.7a							2005–2014	−1.7a
Ireland	1994–2013	−1.1a							2004–2013	−1.1a
Latvia	1988–2007	0.6a							1998–2007	0.6a
Lithuania	1978–2007	0.5a							1998–2007	0.5a
Norway	1973–1998	−0.0	1998–2014	−1.6a					2005–2014	− 1.6a
Sweden	1973–1987	− 0.8a	1987–2014	−2.1a					2005–2014	−2.1a
United Kingdomb	1975–1986	1.8a	1986–2007	0.0					1998–2007	0.0
Southern Europe
Croatia	1988–2000	3.2a	2000–2014	−2.1a					2005–2014	− 2.1a
Italyb	1978–1981	7.1	1981–1986	−5.0	1986–1998	0.9	1998–2007	−2.0a	1998–2007	− 2.0a
Malta	1993–2009	−0.4							2000–2009	−0.4
Slovenia	1973–2013	−0.0							2004–2013	−0.0
Spainb	1973–1976	28.9a	1976–2007	1.2a					1998–2007	1.2a
Central and eastern Europe
Bulgaria	1993–2007	1.7a							1998–2007	1.7a
Czech Republic	1977–2000	1.4a	2000–2014	−2.8a					2005–2014	−2.8a
Polandb	1978–2006	1.0a							1997–2006	1.0a
Russian Federation	1993–2008	0.8a	2008–2012	−0.2	2012–2015	1.9a			2006–2015	0.7
Slovakia	1973–1990	1.5a	1990–2010	0.3					2001–2010	0.3
Asia
Chinab	1983–1993	−1.9a	1993–2000	3.0a	2000–2007	−0.8			1998–2007	− 0.0
Indiab	1978–2007	0.3							1998–2007	0.3
Israel	1973–1994	0.5	1994–2007	−3.2a					1998–2007	−3.2a
Japan	1975–1982	2.0a	1982–1985	9.7	1985–2012	1.7a			2003–2012	1.7a
Philippinesb	1983–1988	−6.9a	1988–1995	8.3a	1995–1998	−8.2	1998–2007	1.8	1998–2007	1.8
Republic of Korea	1995–2005	−0.8	2005–2014	2.1a					2005–2014	2.1a
Singapore	1973–1975	−17.4	1975–1978	23.1	1978–2007	0.1			1998–2007	0.1
Thailandb	1983–2007	1.4a							1998–2007	1.4a
Oceania
Australia	1982–1993	0.3	1993–1996	−3.1	1996–2013	−0.6a			2004–2013	−0.6a
New Zealand	1983–1994	0.4	1994–2013	−1.7a					2004–2013	−1.7a

APC annual percent change, AAPC average annual percent change

^aThe APC or AAPC is statistically different from zero

^bCases and population data of all registries were pooled to ensure the largest geographic coverage and obtain estimated a proxy of the national incidence