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Article History

Received: 14 October 2025

Revised: 30 January 2026

Accepted: 17 February 2026

First Online: 27 February 2026

Declarations

:

: This study was approved by Asagiri Hospital (No. 2020-9) and was registered in the UMIN (UMIN000049081).

: This study was approved by Asagiri Hospital (No. 2020-9) and was registered in the UMIN (UMIN000049081). The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

: Written informed consent was obtained from the study participants for the study.

: Not applicable.

: Written informed consent was obtained from the study participants for the study.

: All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

: The authors report no conflicts of interest in this work.