"Appropriateness of colonoscopy according to EPAGE II in a low resource setting: a cross sectional study from Sri Lanka".

BMC Gastroenterol · 2018 · PMC5975517 · PMID 29843628

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an increasing trendno p-value reported

In Sri Lanka, a national registry is not available for patients who undergo colonoscopies, but data from isolated institutions clearly show an increasing trend.

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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.