Barely Significant
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Protein-energy malnutrition and worse outcomes after major cancer surgery: A nationwide analysis.

Front Oncol · 2023 · PMC9886875 · PMID 36733308

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a decreasing trendno p-value reported
Notably, other studies have also shown a decreasing trend in mortality after MCS from 1999 to 2009, with a reported EAPC of -2.4%.

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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.