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The modified Clavien classification system: a standardized platform for reporting complications in transurethral resection of the prostate.

World J Urol · 2011 · PMC3062770 · PMID 20461386

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a decreasing trendno p-value reported
Nevertheless, despite a decreasing trend over time, TURP complications still occur [ 4 ].

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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.