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Authors
Watanabe, Hiroyuki https://orcid.org/0009-0008-0314-7450
Tsujimoto, Masayuki
Okada, Hiroshi
Hashimoto, Yoshitaka
Inose, Ryo
Fukui, Michiaki
Muraki, Yuichi
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Article History
Received: 3 September 2025
Accepted: 24 March 2026
First Online: 27 March 2026
Declarations
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: This study was conducted in accordance with the Declaration of Helsinki and the “Ethical Guidelines for Life Science and Medical Research Involving Human Subjects” issued by the Ministry of Health, Labor and Welfare of Japan. The study protocol was reviewed and approved by the ethics committees of the following institutions.Panasonic Health Insurance Organization Health Management Center (Approval No. 2024–003).Kyoto Pharmaceutical University (Approval No. E-00047).Kyoto Prefectural University of Medicine (Approval No. ERB-C-3162).
: This was a retrospective cohort study that used pseudonymized data. Given the nature of this study, obtaining direct consent was deemed impractical. Informed consent was obtained through an opt-out approach approved by the ethics committees of all participating institutions (Approval Nos.: 2024–003, E-00047, and ERB-C-3162).
: The authors affirm that this manuscript does not contain any data that would require specific consent for publication.
: The authors declare no competing interests.
