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Article History

Received: 10 November 2025

Accepted: 27 December 2025

First Online: 12 January 2026

Declarations

:

: The authors declare no competing interests.

: The Research Ethics Committee of the Kanagawa Children’s Medical Center approved this study (approval number: 175-7).

: The requirement for informed consent was waived, and an opt-out approach was applied (patients were considered to have agreed to participate in this study unless they declined). Information regarding this study is available on the Kanagawa Children’s Medical Center website ( ).

: The requirement for consent to publish was waived, and an opt-out approach was applied in accordance with the approval of the Research Ethics Committee of the Kanagawa Children’s Medical Center.

: The requirement for informed consent was waived, and an opt-out approach was applied.