Barely Significant
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The global, regional, and national burden of stomach cancer attributed to smoking in 204 countries, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019.

Tob Induc Dis · 2024 · PMC10907929 · PMID 38434517

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an increasing trendno p-value reported
An increasing trend in the age-standardized rate was indicated when both the lower bound of the EAPC and its CI were above zero.

also in 63,971 other papers

a decreasing trendno p-value reported
Conversely, a decreasing trend was observed when the upper bounds of the EAPC and CI fell below zero.

also in 47,180 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.