Barely Significant
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Does Pharmaceutical Pricing Transparency Matter? Examining Brazil's Public Procurement System.

Global Health · 2015 · PMC4523918 · PMID 26238110

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an increasing trendno p-value reported
For either of these quantities values above 1 indicate an increasing trend over time, while decreasing trend corresponds to values below 1.

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a decreasing trendno p-value reported
Seven of the medicines with significant time trends were in Paraiba, with two of them showing an increasing trend (Captopril, Paracetamol) and five showing a decreasing trend (Aciclovir, Metformin, Omeprazol, Tramadol, and Warfarin).

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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.