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Global, Regional, and National Burden of Nonrheumatic Valvular Heart Disease and Its Attributable Risk Factors in 204 Countries and Territories, 1990 to 2019: Results From the Global Burden of Disease Study 2019.

J Am Heart Assoc · 2024 · PMC11935725 · PMID 39424422

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The sentences

a decreasing trendno p-value reported
an increasing trendno p-value reported
An EAPC value and its 95% CI >0 indicated an increasing trend in the corresponding ASR, and the opposite for a decreasing trend.

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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.