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Recent transition of medical cost and relapse rate of multiple sclerosis in Japan based on analysis of a health insurance claims database.

BMC Neurol · 2019 · PMC6912943 · PMID 31842786

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a decreasing trendno p-value reported
However, rates of relapse and hospitalization have shown a decreasing 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.