Barely Significant
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Metal ion levels in large-diameter total hip and resurfacing hip arthroplasty--preliminary results of a prospective five year study after two years of follow-up.

BMC Musculoskelet Disord · 2012 · PMC3490776 · PMID 22494794

1
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The sentences

a decreasing trendno p-value reported
[ 11 , 15 ] observed a decreasing trend within the first 6-years.

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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.