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The use of cardiac valve procedures for rheumatic heart disease in Australia; a cross-sectional study 2002-2017.

Ann Med Surg (Lond) · 2020 · PMC7704359 · PMID 33299561

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Trends to decreasing incidence in the non-Indigenous low-risk group and to higher incidence in the non-Indigenous high-risk group, 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.