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Authors
Okumura, Kohki https://orcid.org/0009-0005-8646-1020
Tamura, Takahiko
Funakoshi, Yusuke
Teranishi, Hiroo
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Article History
Received: 2 August 2025
Accepted: 19 November 2025
First Online: 8 December 2025
Declarations
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: The authors declare that they have no conflicts of interest to disclose.
: The study was conducted across multiple affiliated centers and approved by the Institutional Ethics Committee (approval number: UMEDAERB-2025Jul001). The requirement for written informed consent was waived due to the retrospective nature of the study. All patient data were de-identified prior to analysis and handled in accordance with institutional data protection protocols. The study was conducted in full compliance with the ethical standards of the Declaration of Helsinki, as amended in Fortaleza, Brazil, in October 2013. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration, as amended in Fortaleza, Brazil, in October 2013.
: The requirement for written informed consent was waived due to the retrospective nature of the study.
