Barely Significant
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Burden of gastroesophageal reflux disease in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of disease study 2019.

BMC Public Health · 2023 · PMC10053627 · PMID 36978027

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an increasing trendno p-value reported
USA demonstrated the most obvious decreasing trend in burden of GORD, while Sweden had an increasing trend.

also in 25,605 other papers

possibly significantno p-value reported
Importantly, the Asian continent is large and heterogenous with possibly significant differences in dietary and socio-economic factors that can influence the GORD burden, compared to what was expected, especially in a few regions, such as North Africa and the Middle East, and South Asia.

also in 143 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.