Barely Significant
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Locoregional therapy of the primary tumour in de novo stage IV breast cancer in 216 066 patients: A meta-analysis.

Sci Rep · 2020 · PMC7031518 · PMID 32076063

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highly significantno p-value reported
Highly significant heterogeneity was observed in both the χ 2 and I 2 tests, hence the implication that all studies evaluate the same effect was decisively rejected.

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HR = 0.8077 (95% CI 0.5704; 1.1438) and this suggests a 19.23% risk reduction in patients receiving surgery compared to no treatment that did not reach statistical significance.

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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.