Asian-Pacific clinical practice guidelines on the management of hepatitis B: a 2015 update.

Hepatol Int · 2016 · PMC4722087 · PMID 26563120

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an increasing trendno p-value reported

Recent studies also confirm that even in countries like United States, Australia and some European countries, the prevalence of HDV is showing an increasing trend [ 430 ].

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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.