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To what degree are orphan drugs patient-centered? A review of the current state of clinical research in rare diseases.

Orphanet J Rare Dis · 2020 · PMC7268539 · PMID 32493385

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a positive trendno p-value reported
Furthermore, although there is a positive trend since 2002 in publications on this topic, this trend appears to be too slow to keep pace with the steady rise in the number of rare diseases.

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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.