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Temporal trends and regional disparities in cancer screening utilization: an observational Swiss claims-based study.

BMC Public Health · 2021 · PMC7786957 · PMID 33402140

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an increasing trendno p-value reported
Adjusted testing utilization varied little between 2014 and 2018; there was an increasing trend of 0.8% (0.6–1.0%) for colonoscopy/FOBT and of 0.5% (0.2–0.8%) for PSA testing, while mammography use decreased by 1.5% (1.2–1.7%).

also in 63,971 other papers

a decreasing trendno p-value reported
Annual participation rates for breast cancer screening varied between 23 and 84% in 17 European countries with mostly organized national or regional breast screening programs, with a decreasing trend even before 2014 [ 14 ].

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.