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Impact of pneumococcal conjugate vaccine on pediatric tympanostomy tube insertion in partial immunized population.

ScientificWorldJournal · 2015 · PMC4370197 · PMID 25839052

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a decreasing trendno p-value reported
The tympanostomy tube insertion rate of children showed an overall increasing trend with time except for children under 2 years old, which had a decreasing trend after 2005.

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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.