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Trend analysis of disability adjusted life years due to cardiovascular diseases: results from the global burden of disease study 2019.

BMC Public Health · 2021 · PMC8244206 · PMID 34187450

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a decreasing trendno p-value reported
First, countries in both categories (low/medium and high/very high HDI level) have experienced a decreasing trend of YLL, YLD and DALY over the study period, except a quite small increase in YLD rate for the countries with low/medium HDI level.

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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.