a decreasing trendP < 0.001
The proportion of patients with TPP remained steady from 2002 to 2016, followed by a decreasing trend from 2016 to 2021 (whole sample: APC −21.436%; 95% CI: −48.877 to −9.21; P < 0.001; male: APC −22.12%; 95% CI: −43.163 to −10.906; P < 0.001).