Barely Significant
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Effect of distance to health facility on the maintenance of INR therapeutic ranges in rheumatic heart disease patients from Cape Town: no evidence for an association.

BMC Health Serv Res · 2015 · PMC4456049 · PMID 26041470

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Thus, even though a trend of distance decay was seen among patients who have had MVRs, the association failed to reach statistical significance.

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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.