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"Shootings with larger-caliber handguns were more deadly but
no more sustained or accurate than shootings with smaller-caliber handguns."
I don't see that. They seem to be saying that large caliber bullets are more deadly in spite of being less accurate and less "sustained" (? - fewer rounds fired?).
Aren't .380 and 9mm the same diameter? Their results would imply no difference.
It's the implication. They sound surprised that heavy cartridges aren't more accurate than light ones. Hear it this way: "shootings with large-caliber handguns ... were not more sustained or more accurate than shootings with small-caliber handguns." Or reverse it and remove the double negative: "[to our surprise,] small-caliber handguns were not more accurate than large-caliber handguns."