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Table 21.1

Cancer of the Ovary (Invasive)

Trends in SEER Incidencea b and U.S. Mortalityc Using the Joinpoint Regression Program,

1975-2010 With up to Five Joinpoints, 1992-2010 With up to Three Joinpoints,

All Ages by Race/Ethnicity

SEER 9 Delay-Adjusted Incidencea, 1975-2010
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2001-10 2006-10
All Races 1975-87 0.1 1987-10 -0.9*                 -0.9* -0.9*
White 1975-87 0.2 1987-10 -0.9*                 -0.9* -0.9*
Black 1975-10 -0.4*                     -0.4* -0.4*
SEER 13 Delay-Adjusted Incidenceb, 1992-2010
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2001-10 2006-10
All Races 1992-10 -0.9*                     -0.9* -0.9*
White 1992-97 -1.1* 1997-01 0.5 2001-04 -3.1 2004-10 -0.3         -1.2 -0.3
Black 1992-10 -0.4                     -0.4 -0.4
SEER 9 Observed Incidencea, 1975-2010
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2001-10 2006-10
All Races 1975-89 0.0 1989-10 -1.0*                 -1.0* -1.0*
White 1975-89 0.1 1989-10 -1.0*                 -1.0* -1.0*
Black 1975-10 -0.5*                     -0.5* -0.5*
SEER 13 Observed Incidenceb, 1992-2010
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2001-10 2006-10
All Races 1992-10 -1.0*                     -1.0* -1.0*
White 1992-97 -1.1* 1997-01 0.5 2001-04 -3.0 2004-10 -0.7         -1.5* -0.7
White NHe f 1992-10 -1.0*                     -1.0* -1.0*
Black 1992-10 -0.6                     -0.6 -0.6
Black NHe f 1992-10 -0.5                     -0.5 -0.5
APIe 1992-10 -0.5                     -0.5 -0.5
AI/ANe g 1992-10 0.1                     0.1 0.1
Hispanicf 1992-10 -0.4                     -0.4 -0.4
U.S. Cancer Mortalityc, 1975-2010
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2001-10 2006-10
All Races 1975-82 -1.2* 1982-92 0.3* 1992-98 -1.2* 1998-02 1.0 2002-10 -1.9*     -1.6* -1.9*
White 1975-81 -1.4* 1981-94 0.2 1994-98 -1.7 1998-02 1.3 2002-10 -1.9*     -1.6* -1.9*
Black 1975-92 0.4* 1992-10 -0.9*                 -0.9* -0.9*
U.S. Cancer Mortalityc, 1992-2010
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2001-10 2006-10
All Races 1992-98 -1.2* 1998-02 1.0 2002-10 -1.9*             -1.6* -1.9*
White 1992-98 -1.1* 1998-02 1.1 2002-10 -1.9*             -1.6* -1.9*
White NHe f 1992-98 -0.9* 1998-02 1.3 2002-10 -1.9*             -1.6* -1.9*
Black 1992-10 -0.9*                     -0.9* -0.9*
Black NHe f 1992-10 -0.7*                     -0.7* -0.7*
APIe 1992-10 0.0                     0.0 0.0
AI/ANe g 1992-10 0.8                     0.8 0.8
Hispanicf 1992-10 -0.5*                     -0.5* -0.5*

Footnotes:

Ovary excludes borderline cases or histologies 8442, 8451, 8462, 8472, and 8473.

Joinpoint Regression Program Version 4.0.3, April 2013, National Cancer Institute. (https://surveillance.cancer.gov/joinpoint/).

The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130).

a Trends are from the SEER 9 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta).

b Trends are from the SEER 13 areas (SEER 9 Areas, Los Angeles, San Jose-Monterey, Rural Georgia, and the Alaska Native Registry).

c Trends are from US Mortality Files, National Center for Health Statistics, Centers for Disease Control and Prevention.

d The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpoint.

e API - Asian/Pacific Islander, AI/AN - American Indian/Alaska Native, NH - Non-Hispanic

f Hispanic and Non-Hispanic are not mutually exclusive from whites, blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry. The Hispanic and Non-Hispanic mortality trends exclude deaths from CT, DC, ME, MD, MN, NH, NY, ND, SC, OK and VT.

g Data for American Indian/Alaska Native are based on the CHSDA(Contract Health Service Delivery Area) counties.

* The APC/AAPC is significantly different from zero (p<.05).

- Joinpoint regression line analysis could not be performed on data series.

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