Barely Significant
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Brazil's health system functionality amidst of the COVID-19 pandemic: An analysis of resilience.

Lancet Reg Health Am · 2022 · PMC8896985 · PMID 35284904

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a positive trendno p-value reported
Irrepressible procedures were the only ones to indicate a positive trend in the relationship between the relative change of procedures and the SVI.

also in 11,005 other papers

a negative trendno p-value reported
State-level changes in numbers of procedures point towards a negative trend with SVI.

also in 4,201 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.