Time trends in breast cancer incidence and mortality in a mid-sized northeastern Brazilian city.

BMC Public Health · 2012 · PMC3503721 · PMID 23078090

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an increasing trendno p-value reported

Age-standardized mortality rates did not show an increasing trend (APC: 3.0, (95% CI: -2.8 to9.1), except for the group aged 55–64 years (APC: 11.3, 95% CI: 1.1 to 22.4).

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a decreasing trendno p-value reported

However, a decreasing trend has been observed since 2003 due to the decreasing use of HRT [ 18 ].

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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.