Barely Significant
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The volume and outcome relationship for thyroidectomy in England.

Langenbecks Arch Surg · 2021 · PMC8188540 · PMID 34106320

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a clear trendno p-value reported
Although the number of surgeons performing total thyroidectomy was stable, there was a clear trend towards a larger proportion of procedures being performed by ENT surgeons and fewer by general surgeons.

also in 19,460 other papers

showed a trendno p-value reported
Analysis of outcomes revealed that only length of stay showed a trend over time with a significant decline in stays longer than 2 and 4 days.

also in 53,322 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.