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Transforming growth factor-β1 induces connective tissue growth factor expression and promotes peritoneal metastasis of gastric cancer.

Biosci Rep · 2020 · PMC7502695 · PMID 32885819

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a decreasing trendno p-value reported
There appears to be a decreasing trend in occurrence, notably in Western countries; it is still commonly reported in China and Japan.

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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.