The reasons why the difference did not reach statistical significance could be that only the topmost article was rated for quality; and this may not reflect the quality of the overall one-page yield, particularly since most users would be expected to review more than the first paper in a one-page yield.
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The yield and usefulness of PAIN<sup>+</sup> and PubMed databases for accessing research evidence on pain management: a randomized crossover trial.
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