Barely Significant
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Application of the downgrade criteria to supplemental screening ultrasound for women with negative mammography but dense breasts.

Medicine (Baltimore) · 2016 · PMC5591144 · PMID 27858896

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an increasing trendno p-value reported
PPV and biopsy rate PPVs of total examinations showed an increasing trend over 3 years, although statistical significance was not achieved (Table 4 .

also in 63,971 other papers

a decreasing trendno p-value reported
The categories 3 to 4a rates showed a decreasing trend over 3 years in both groups.

also in 47,180 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.