Barely Significant
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The global burden of urinary bladder cancer: an update.

World J Urol · 2020 · PMC7363726 · PMID 31676912

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an increasing trendno p-value reported
Due to strong anti-smoking policies in the highest HDI countries, the decrease in UBC incidence is likely to continue, whereas an increasing trend is expected in low HDI countries lacking such policies.

also in 63,971 other papers

a decreasing trendno p-value reported
Figure 6 shows that across medium, high and very high HDI countries there is a decreasing trend in tobacco smoking in both men and women.

also in 47,180 other papers

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.