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Trends in risk classification and primary therapy of Japanese patients with prostate cancer in Nara urological research and treatment group (NURTG) - comparison between 2004-2006, 2007-2009, and 2010-2012.

BMC Cancer · 2017 · PMC5581463 · PMID 28865421

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a decreasing trendno p-value reported
an increasing trendno p-value reported
Discussion In Japan, the age-adjusted incidence rate of prostate cancer have shown an increasing trend, while the age-adjusted mortality rate have shown a decreasing trend year after year as reported by the National Cancer Center Japan.

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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.