Barely Significant
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The decline in joint replacement surgery in rheumatoid arthritis is associated with a concomitant increase in the intensity of anti-rheumatic therapy: a nationwide register-based study from 1995 through 2010.

Acta Orthop · 2013 · PMC3768029 · PMID 23992137

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a decreasing trendno p-value reported
A decreasing trend was observed for all joint replacements analyzed, but it was greater for upper-limb operations than for lower-limb operations.

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