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Trend analysis of cardiovascular disease mortality, incidence, and mortality-to-incidence ratio: results from global burden of disease study 2017.

BMC Public Health · 2021 · PMC7905904 · PMID 33632204

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a decreasing trendno p-value reported
demonstrated that the incidence rate of congenital heart disease (CHD) remained stable from 1990 to 2017 at the global level, whilst a decreasing trend was mainly found in Central or South America and Africa.

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an increasing trendno p-value reported
Nonetheless, there is an urgent need for more efforts to improve the survival rate of patients and lower the burden of this disease in some areas with an increasing trend of either incidence or mortality.

also in 63,971 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.