Barely Significant
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The impact of sulfadoxine-pyrimethamine resistance on the effectiveness of intermittent preventive treatment for the prevention of malaria in pregnancy in Africa: an updated systematic review and meta-analysis.

Lancet Infect Dis · 2025 · PMC12743599 · PMID 40675171

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The sentences

a clear trendno p-value reported
The results demonstrate a clear trend towards reduced effectiveness of IPTp-SP in controlling malaria infections with increasing resistance to sulfadoxine–pyrimethamine.

also in 8,105 other papers

a marked trendno p-value reported
There was a marked trend towards lower efficacy of IPTp-SP on reducing malaria infection with increasing resistance levels.

also in 150 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.