Document is current

Article History

Received: 24 January 2026

Accepted: 21 April 2026

First Online: 13 May 2026

Declarations

:

: The authors have no conflict of interest relevant to this manuscript.

: Ethical approval was obtained from the Institutional Ethics Committee of the Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India, and, where required, from the Institutional Review Boards of the participating countries. The current ancillary analysis received approval from the Ethics Committee of Hôtel Dieu de France (Tfem2023-54).

: Part of this study was presented as a poster at the EULAR 2024 meeting in Vienna, Austria (POS0069). This report was not copied or published elsewhere. In preparing this manuscript, the authors used Grammarly (Grammarly Inc., San Francisco, CA, USA) for grammar and language proofreading, and ChatGPT (OpenAI, San Francisco, CA, USA) to support medical writing, grammar proofreading, and the creation of figures. These tools were used under the full supervision and critical oversight of the authors, who take complete responsibility for the accuracy, integrity, and originality of the published work. No artificial intelligence tool was used for data analysis, interpretation of results, or the generation of scientific conclusions.