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Japanese Journal of Clinical Oncology 2005 35(12):758-759; doi:10.1093/jjco/hyi201
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© 2005 Foundation for Promotion of Cancer Research

Cancer Statistics Digest

Comparison of Breast Cancer Mortality in Five Countries: France, Italy, Japan, the UK and the USA from the WHO Mortality Database (1960–2000)

Toshihiko Kawamura and Tomotaka Sobue

Statistics and Cancer Control Division, Research Center for Cancer Prevention and Screening, National Cancer Center

Age-standardized rates (ASRs; using 1985 Japanese standard population) for Breast cancer mortality for 1960–2000 are shown for Japan, the USA, the UK, France and Italy (Fig. 1). Over this period, ASRs of breast cancer among women from the USA, the UK, France and Italy decreased following the peak around 1990. ASRs for Japanese women were much lower than those observed among women in the USA, the UK, France and Italy. However, ASRs in Japan increased constantly from 1960 to 2000 and the difference in ASRs between Japan and the other four countries has recently become smaller.



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  		Figure 1. Age-standardized mortality rates for breast cancer (female) in five countries: age-standardized with 1985 Japanese standard population, rates per 100 000.

 
Mortality trends for breast cancer by age group are shown according to the year of death (Fig. 2). The trends in the mortality rate in the USA and the UK reached a peak around 1990 and then started to decrease gradually. Recently, decreasing trends of mortality have been clearly observed among younger age groups in the USA, the UK and Italy. In France, increasing trends of mortality are shown among younger age groups. Mortality in Japan was lower than in the other four countries from 1960 to 2000. The increasing trend in mortality was observed irrespective of age group, and the differences between age groups in Japan were small.



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  		Figure 2. Age-specific rates for females over 40 years of age by year of death for breast cancer in five countries, rates per 100 000.

 
Mortality trends of breast cancer by age group are shown according to the year of birth in Fig. 3. In the USA and the UK there was no consistent peak of breast cancer mortality for any particular birth cohort, which means the effect corresponded to calendar year rather than birth cohort.



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  		Figure 3. Age-specific rates for females over 40 years of age by year of birth for breast cancer in five countries, rates per 100 000.

 
Note: Original data were downloaded from the WHO Mortality Database (version as of August 2004). The data were then tabulated by I. Yoshimi with 174 (ICD–8), 174 (ICD–9) and C50 (ICD–10). Responsibility for this presentation and interpretation lies with the authors not with the WHO Mortality Database.


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