Barely Significant
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Evidence-based Plastic Surgery: Assessing Progress over Two 5-year Periods from 2009 to 2019.

Plast Reconstr Surg Glob Open · 2021 · PMC7859015 · PMID 33564577

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a positive trendno p-value reported
Conclusions: This study observes a positive trend in high-evidence publications.

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a negative trendno p-value reported
Whilst the line of best fit of Figure 4 illustrates that from 16/05/2014 to 16/05/2019, there is a negative trend over time.

also in 4,201 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.