Barely Significant
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Presentations to Emergency Departments for COPD: A Time Series Analysis.

Can Respir J · 2016 · PMC4904522 · PMID 27445514

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a decreasing trendno p-value reported
Further, there was evidence of a decreasing trend for males and the age-adjusted rate in 2010 was lower for men than women in the United States [ 17 ].

also in 47,180 other papers

an increasing trendno p-value reported
Zone specific models showed relatively stable or decreasing rates; the North zone had an increasing trend.

also in 63,971 other papers

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.