Barely Significant

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Lonner and co-workers noted that polyaxial constructs were associated with better maintenance of thoracic kyphosis compared with monoaxial or hybrid constructs, which showed a trend toward kyphosis loss; this observation highlights that the effect of screw type may be parameter-specific (i.e., affecting rotation or sagittal contours more than coronal Cobb correction) [ 9 ].
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 ].
The manuscript has been revised to clarify that this finding represents an observed trend within the QIP context and should not be interpreted as definitive evidence of reduced infection incidence As the project primarily assessed reported awareness and practices rather than directly observed behaviors, the findings may not fully reflect actual day-to-day clinical practice.
Variables including numeric radiosurgery dose (HR = 1.35; 95% CI 0.99-1.87; p = 0.061) and loss of coordination at clinical presentation (HR = 2.74; 95% CI 0.94-8.02; p = 0.065) showed a trend towards association but did not reach statistical significance.