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Difference in Long-Term Trends in COPD Mortality between China and the U.S., 1992⁻2017: An Age⁻Period⁻Cohort Analysis.

Int J Environ Res Public Health · 2019 · PMC6540060 · PMID 31052180

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a decreasing trendno p-value reported
Although COPD mortality has shown a decreasing trend in China over the past 25 years, COPD mortality in China in 2017 was still higher than that in the U.S.

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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.