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Major traumatic amputations and replantations of the upper extremity in Germany - National quality reports 2014-2018.

JPRAS Open · 2022 · PMC8956841 · PMID 35345616

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showed a trendno p-value reported
2 In Germany treatment of these complex injuries showed a trend towards a centralisation to medical teaching facilities from 2014 to 2018, which accounted for higher RRs compared with non-teaching facilities.

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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.