Hydrocephalus 2008, 17-20th September, Hannover Germany: a conference report.

Cerebrospinal Fluid Res · 2008 · PMC2615740 · PMID 19087341

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a clear trendno p-value reported

However, a clear trend towards better outcome has been shown in studies published in the last decade, due in part to the availability of more sophisticated shunt hardware.

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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.