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Trends in morbidity and mortality from COPD in Brazil, 2000 to 2016.

J Bras Pneumol · 2019 · PMC7447544 · PMID 31778424

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showed a trendno p-value reported
1 , 2 ) In Brazil, the overall COPD mortality rate showed a trend toward an increase between 1998 and 2004, and a decline from 2004 to 2009.

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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.