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COPD exacerbations by disease severity in England.

Int J Chron Obstruct Pulmon Dis · 2016 · PMC4824283 · PMID 27099486

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a decreasing trendno p-value reported
During the study period, the annual rates of GP visits remained stable among patients in the lower severity categories, whereas a decreasing trend was observed in the higher severity categories.

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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.