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Bibliometric analysis of the literature on von Willebrand disease: Research status and trends.

Acta Biomed · 2023 · PMC9987497 · PMID 36786250

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a decreasing trendno p-value reported
an increasing trendno p-value reported
This implies that investigators interest on VWD has increased as the volume of papers published has increased; however, the quality of papers published may have decreased, as evidenced by a decreasing trend in citations and an increasing trend in non-cited papers from 2018 to 2021.

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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.