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Psychometric testing of the caregiver contribution to self-care of coronary heart disease inventory.

PLoS One · 2024 · PMC11086860 · PMID 38728276

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a decreasing trendno p-value reported
A recent update on heart disease and stroke statistics indicates that approximately 244 million people are affected by CHD worldwide [ 2 ], and, despite a decreasing trend in mortality over the last few years, the burden of CHD remains high, with almost 4 million deaths in Europe [ 3 ].

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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.