Barely Significant

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Globally, an increasing trend of community-acquired infections caused by hospital-associated resistant UPEC clones has been observed, with studies suggesting that 10-30% of community isolates may now harbor resistance traits traditionally associated with hospital strains, emphasizing the need for effective infection control measures and antimicrobial stewardship programs [ 87 ].
EXSCEL reported a nominally significant reduction in all-cause mortality (HR: 0.86, 95% CI: 0.77-0.97) despite a neutral primary efficacy result [ 17 ], and PIONEER 6 showed lower cardiovascular and all-cause mortality (all-cause death, HR: 0.51, 95% CI: 0.31-0.84), albeit on a small number of events [ 19 ].
Figure 7 shows sex stratified MAE: Xrayhead performed worse in females (MAE 3.39 years) versus males (1.57 years), suggesting a possible trend toward sex-related variation; however, this finding should be interpreted cautiously because of the relatively small female subgroup.