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Childhood cancer incidence and survival trends in Estonia (1970-2016): a nationwide population-based study.

BMC Cancer · 2020 · PMC6954517 · PMID 31924184

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a decreasing trendno p-value reported
Similar trend, but at a much slower rate of 1.4% per year, was seen for Spain in 1983–2007 [ 21 ], while a decreasing trend was shown in Canada (APC − 2.54% for 1992–2010) [ 22 ].

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an increasing trendno p-value reported
wider use of ultrasound (1990s), MRI (2000s) or molecular pathology (2010), which has been shown to improve the differentiation of neuroblastomas from other small round cell tumors like rhabdomyosarcoma and Ewing’s sarcoma [ 27 ], but the latter two also show an increasing trend in Estonia.

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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.