Barely Significant
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Total joint replacement in sub-Saharan Africa: a systematic review.

Trop Doct · 2019 · PMC6535807 · PMID 30636518

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likely to be significantno p-value reported
However, there is likely to be significant reporting bias and the introduction of mandatory registries would enable more accurate monitoring across the region.

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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.