Abstract
Aim
Ovarian cancer is one of the health challenges all across the world, which causes significant burden and mortality in women. With the fastest-growing population, Asia has one of the largest populations in the world, and considerable variation in health statistics can be seen in this continent. So this study was conducted to investigate temporal trends of ovarian cancer in Asian countries between 1999 and 2019.
Methods and Materials
We collected ovarian cancer data from the 2019 Global Burden of Disease study from 1990 to 2019 in 49 Asian countries and territories. Annual case data and age-standardized rates (ASRs) were used to investigate the incidence, prevalence, mortality, and disability-adjusted life-years (DALYs) of OC from 1990 to 2019 in 49 Asian countries and territories. Relative difference (%) between years was used to show the comparative changes in the selected indicators’ age-standardized rates.
Results
In Asia, with more than half of the world’s population there is significant diversity in the incidence, prevalence, mortality, and burden of cancer. The number of ovarian cancer cases increased by 3.4 times during 1990–2019 and the ASR increased by 60%. With a 3.4-fold increase in mortality from 1990 to 2019, 47% of ovarian cancer deaths in 2019 occurred in Asian countries. Although during the years 1990–2019, the age-standardized DALYs rate in the world was in a stable state without significant changes, Asian countries experienced a 42% change. The highest incidence, prevalence, mortality, and burden of disease belonged to Brunei Darussalam, Brunei Darussalam, Pakistan, and Pakistan, respectively, and the lowest in all 4 categories was related to Yemen.
Conclusion
While the world is experiencing a decreasing trend in the death rate caused by ovarian cancer, in Asia only High-income Asia Pacific countries are witnessing a decreasing trend, and the rate of increase in incidence and prevalence is also higher in Asia than in the world. Therefore, it seems that improving the awareness of women in the field of ovarian cancer and implementing effective strategies for early detection can reduce the epidemiological indicators of ovarian cancer in Asia.
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References
Allahqoli L, Mazidi Moradi A, Momenimovahed Z, Rahmani A, Hakimi S, Tiznobaik A, et al. The global incidence, mortality, and burden of breast cancer in 2019: correlation with smoking, drinking, and drug use. Front Oncol. 2022;12:921015–921015.
Doherty JA, Peres LC, Wang C, Way GP, Greene CS, Schildkraut JM. Challenges and opportunities in studying the epidemiology of ovarian cancer subtypes. Curr Epidemiol Rep. 2017;4(3):211–20.
Hwang JY-F, Lim W-Y, Tan CS, Lim SL, Chia J, Chow KY, et al. Ovarian cancer incidence in the multi-ethnic Asian City-State of Singapore 1968–2012. Asian Pac J Cancer Prev APJCP. 2019;20(12):3563.
Momenimovahed Z, Tiznobaik A, Taheri S, Salehiniya H. Ovarian cancer in the world: epidemiology and risk factors. Int J Womens Health. 2019;11:287–99.
Rizzuto I, Stavraka C, Chatterjee J, Borley J, Hopkins TG, Gabra H, et al. Risk of ovarian cancer relapse score: a prognostic algorithm to predict relapse following treatment for advanced ovarian cancer. Int J Gynecol Cancer. 2015. https://doi.org/10.1097/IGC.0000000000000361.
Chornokur G, Amankwah EK, Schildkraut JM, Phelan CM. Global ovarian cancer health disparities. Gynecol Oncol. 2013;129(1):258–64.
Shabir S, Gill PK. Global scenario on ovarian cancer–Its dynamics, relative survival, treatment, and epidemiology. Adesh Univ J Med Sci Res. 2020;2(1):17–25.
Ghoncheh M, Mohammadian M, Mohammadian-Hafshejani A, Salehiniya H. The incidence and mortality of colorectal cancer and its relationship with the human development index in Asia. Ann Glob Health. 2014;82(5):726–37.
Tew WP. Ovarian cancer in the older woman. J Geriatr Oncol. 2016;7(5):354–61.
Balachandran A, de Beer J, James KS, van Wissen L, Janssen F. Comparison of population aging in Europe and Asia using a time-consistent and comparative aging measure. J Aging Health. 2020;32(5–6):340–51.
Yap MT, Thang LL, Traphagan JW. Introduction: aging in Asia–perennial concerns on support and caring for the old. J Cross Cult Gerontol. 2005;20(4):257–67.
Goh VH. Aging in Asia: a cultural, socio-economical and historical perspective. Aging Male Off J Int Soc Study Aging Male. 2005;8(2):90–6.
Mubarik S, Wang F, Fawad M, Wang Y, Ahmad I, Yu C. Trends and projections in breast cancer mortality among four Asian countries (1990–2017): evidence from five stochastic mortality models. Sci Rep. 2020;10(1):5480.
Ning F-L, Lyu J, Pei J-P, Gu W-J, Zhang N-N, Cao S-Y, et al. The burden and trend of gastric cancer and possible risk factors in five Asian countries from 1990 to 2019. Sci Rep. 2022;12(1):5980.
Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the global burden of disease study 2019. Lancet. 2020;396(10258):1204–22.
Collaboration GBoDC. Cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life years for 29 cancer groups from 2010 to 2019: a systematic analysis for the global burden of disease study 2019. JAMA Oncol. 2022;8(3):420–44.
Sharma R, Abbasi-Kangevari M, Abd-Rabu R, Abidi H, Abu-Gharbieh E, Acuna JM, et al. Global, regional, and national burden of colorectal cancer and its risk factors, 1990–2019: a systematic analysis for the global burden of disease study 2019. Lancet Gastroenterol Hepatol. 2022;7(7):627–47.
Go DS, Kim YE, Yoon SJ. Subnational burden of disease according to the sociodemographic index in South Korea. Int J Environ Res Public Health. 2020;17(16):5788.
Fan J, Liu Z, Mao X, Tong X, Zhang T, Suo C, et al. Global trends in the incidence and mortality of esophageal cancer from 1990 to 2017. Cancer Med. 2020;9(18):e03338.
Evaluation IfHMa. Protocol for the global burden of diseases, injuries, and risk factors study (GBD) Version 4.0. Global burden of diseases, injuries, and risk factors study; 2020.
Liede A, Narod SA. Hereditary breast and ovarian cancer in Asia: genetic epidemiology of BRCA1 and BRCA2. Hum Mutat. 2002;20(6):413–24.
Park S, Bae J, Nam B-H, Yoo K-Y. Aetiology of cancer in Asia. Asian Pac J Cancer Prev. 2008;9(3):371–80.
Razi S, Ghoncheh M, Mohammadian-Hafshejani A, Aziznejhad H, Mohammadian M, Salehiniya H. The incidence and mortality of ovarian cancer and their relationship with the human development index in Asia. Ecancermedicalscience. 2016;10:628.
Momenimovahed Z, Tiznobaik A, Taheri S, Salehiniya H. Ovarian cancer in the world: epidemiology and risk factors. Int J Women’s Health. 2019;11:287.
Wang J, Lv H, Xue Z, Wang L, Bai Z. Temporal trends of common female Malignances on breast, cervical, and ovarian cancer Mortality in Japan, Republic of Korea, and Singapore: application of the age-period-cohort model. Biomed Res Int. 2018;2018:5307459.
Gharwan H, Bunch KP, Annunziata CM. The role of reproductive hormones in epithelial ovarian carcinogenesis. Endocr Relat Cancer. 2015;22(6):R339–63.
Hwang JY, Lim WY, Tan CS, Lim SL, Chia J, Chow KY, et al. Ovarian cancer incidence in the multi-ethnic Asian City-State of Singapore 1968–2012. Asian Pac J Cancer Prev. 2019;20(12):3563–9.
Terplan M, Schluterman N, McNamara EJ, Tracy JK, Temkin SM. Have racial disparities in ovarian cancer increased over time? An analysis of SEER data. Gynecol Oncol. 2012;125(1):19–24.
Matz M, Coleman MP, Carreira H, Salmerón D, Chirlaque MD, Allemani C, et al. Worldwide comparison of ovarian cancer survival: histological group and stage at diagnosis (CONCORD-2). Gynecol Oncol. 2017;144(2):396–404.
Giri SK, Nayak B. Management of ovarian cancer in Elderly. Rev Recent Clin Trials. 2015;10(4):270–5.
Norquist BM, Harrell MI, Brady MF, Walsh T, Lee MK, Gulsuner S, et al. Inherited mutations in women with ovarian carcinoma. JAMA Oncol. 2016;2(4):482–90.
McKnight KK, Wellons MF, Sites CK, Roth DL, Szychowski JM, Halanych JH, et al. Racial and regional differences in age at menopause in the United States: findings from the reasons for geographic and racial differences in stroke (REGARDS) study. Am J obstet Gynecol. 2011;205(4):353.
Richard-Davis G, Wellons M, editors. Racial and ethnic differences in the physiology and clinical symptoms of menopause. Seminars in reproductive medicine. New York: Thieme Medical Publishers; 2013.
Peres LC, Risch H, Terry KL, Webb PM, Goodman MT, Wu AH, et al. Racial/ethnic differences in the epidemiology of ovarian cancer: a pooled analysis of 12 case-control studies. Int J Epidemiol. 2018;47(2):460–72.
Zhou B, Sun Q, Cong R, Gu H, Tang N, Yang L, et al. Hormone replacement therapy and ovarian cancer risk: a meta-analysis. Gynecol Oncol. 2008;108(3):641–51.
Li L, Ji J, Wang J-b, Niyazi M, Qiao Y-l, Boffetta P. Attributable causes of breast cancer and ovarian cancer in China: reproductive factors, oral contraceptives and hormone replacement therapy. Chin J Cancer Res. 2012;24(1):9–17.
Tabassum S, Masood AI, Khakwani M. Pattern of female gynecological malignancies in south Punjab Region of Pakistan: an overview of 5 years. Prof Med J. 2021;28(01):90–5.
He R, Zhu B, Liu J, Zhang N, Zhang W-H, Mao Y. Women’s cancers in China: a spatio-temporal epidemiology analysis. BMC Womens Health. 2021;21(1):116.
Leong E, Ong SK, Jali F, Naing L. Incidence, mortality and survival analysis of epithelial ovarian cancer in Brunei Darussalam. Asian Pac J Cancer Prev APJCP. 2022;23(4):1415.
Sankaranarayanan R, Ramadas K, Qiao YL. Managing the changing burden of cancer in Asia. BMC Med. 2014;12:3.
Siddiqui AH, Zafar SN. Global availability of cancer registry data. J Glob Oncol. 2018;4:1–3.
Zheng L, Cui C, Shi O, Lu X, Li Y-K, Wang W, et al. Incidence and mortality of ovarian cancer at the global, regional, and national levels, 1990–2017. Gynecol Oncol. 2020;159(1):239–47.
Shanmughapriya S, Nachiappan V, Natarajaseenivasan K. BRCA1 and BRCA2 mutations in the ovarian cancer population across race and ethnicity: special reference to Asia. Oncology. 2013;84(4):226–32.
Reid BM, Permuth JB, Sellers TA. Epidemiology of ovarian cancer: a review. Cancer Biol Med. 2017;14(1):9.
Lheureux S, Braunstein M, Oza AM. Epithelial ovarian cancer: evolution of management in the era of precision medicine. CA Cancer J Clini. 2019;69(4):280–304.
Havrilesky LJ, Moorman PG, Lowery WJ, Gierisch JM, Coeytaux RR, Urrutia RP, et al. Oral contraceptive pills as primary prevention for ovarian cancer: a systematic review and meta-analysis. Obstet Gynecol. 2013;122(1):139–47.
Mavaddat N, Peock S, Frost D, Ellis S, Platte R, Fineberg E, et al. Cancer risks for BRCA1 and BRCA2 mutation carriers: results from prospective analysis of EMBRACE. J Natl Cancer Inst. 2013;105(11):812–22.
Lee J-Y, Kim E-Y, Jung K-W, Shin A, Chan KKL, Aoki D, et al. Trends in gynecologic cancer mortality in East Asian regions. jgo. 2014;25(3):174–82.
Najafi-Sharjabad F, Zainiyah Syed Yahya S, Abdul Rahman H, Hanafiah Juni M, Abdul MR. Barriers of modern contraceptive practices among Asian women: a mini literature review. Glob J Health Sci. 2013;5(5):181–92.
Stewart C, Ralyea C, Lockwood S. Ovarian cancer: an integrated review. Semin Oncol Nurs. 2019;35(2):151–6.
Low EL, Waller J, Menon U, Jones A, Reid F, Simon AE. Ovarian cancer symptom awareness and anticipated time to help-seeking for symptoms among UK women. J Fam Plan Reprod Health Care. 2013;39(3):163–71.
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Momenimovahed, Z., Mazidimoradi, A., Banakar, N. et al. Temporal Trends of Ovarian Cancer Between 1990 and 2019, in Asian Countries by Geographical Region and SDI, Comparison with Global Data. Indian J Gynecol Oncolog 21, 38 (2023). https://doi.org/10.1007/s40944-023-00714-8
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DOI: https://doi.org/10.1007/s40944-023-00714-8