Conversely, the ASR is considered to be on a decreasing trend if the EAPC and the upper limit of 95% CI are both negative.
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Global, regional and national burden of orofacial clefts from 1990 to 2019: an analysis of the Global Burden of Disease Study 2019.
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The sentences
If the EAPC and the lower limit of 95% are both positive, the ASR is considered to be on an increasing trend.