Barely Significant
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Long term exposure to low level air pollution and mortality in eight European cohorts within the ELAPSE project: pooled analysis.

BMJ · 2021 · PMC8409282 · PMID 34470785

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a decreasing trendno p-value reported
For the association between PM 2.5 and deaths due to respiratory disease and chronic obstructive pulmonary disease, the pattern was difficult to interpret as a decreasing trend occurred associated with relatively frequently occurring exposures.

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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.