Barely Significant
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The association of tobacco use on gastrointestinal cancers: A secondary dataset analysis of the Global Burden of Disease Study 2021 and Mendelian randomization.

Tob Induc Dis · 2026 · PMC12825413 · PMID 41585092

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an increasing trendno p-value reported
ARIMA analysis showed a general decline in disease burden, though some regions had an increasing trend.

also in 63,971 other papers

a decreasing trendno p-value reported
If the 95% UI of the AAPC estimate was >0, it indicated an increasing trend; if <0, a decreasing trend; and 0, no trend 19 .

also in 47,180 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.