Global burden of rheumatic heart disease: trends from 1990 to 2019.

Arthritis Res Ther · 2022 · PMC9188068 · PMID 35690787

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a decreasing trendno p-value reported

A decreasing trend of ASR is determined if both the EAPC value and 95%CI < 0; others mean the ASR being stable over time.

also in 47,180 other papers

an increasing trendno p-value reported

An increasing trend of ASR is determined if both the EAPC value and its 95%CI > 0.

also in 63,971 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.