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The Prevalence of Gastroesophageal Reflux Disease (GERD) in the Islamic Republic of Iran: A Systematic Review.

Middle East J Dig Dis · 2012 · PMC4017699 · PMID 24829629

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an increasing trendno p-value reported
Some studies have reported an increasing trend in reflux.

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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.