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2 to 2.0% from 1973 to 2008 (relative risk reduction 72.4%, P less then 0.05). Tumor characteristics were more likely to be favorable in women with ovarian cancer who developed postcedent breast cancer but unfavorable in those who had antecedent breast cancer (all, P less then 0.05). Women with ovarian cancer who had secondary breast cancer had superior cause-specific survival compared to those who did not develop breast cancer regardless of breast cancer timing (P less then 0.05). CONCLUSION Our study demonstrated that the demograph