Barely Significant
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J Med Syst · 2019 · PMC6904404 · PMID 31823031

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The sentences

a clear trendno p-value reported
Noteworthy, there is a clear trend indicating significant improvements in trial registration, especially for large randomized clinical trials conducted in Europe or US [ 7 ].

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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.