a decreasing trendP < 0.001
Age-standardized mortality rates across most high-income countries exhibited an increasing trend (average APCs ranging from 1.1%/y [ P < 0.001] in the United Kingdom to 2.4%/y [ P < 0.001] in Italy), while Japan demonstrated a decreasing trend (average APC −2.1%/y, P < 0.001), and the United States demonstrated a constant trend (average APC −0.5%/y, P = 0.14) ( Table 1 , Central Illustration ).