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Article History

Received: 10 April 2025

Accepted: 28 September 2025

First Online: 30 October 2025

Declarations

: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. The authors declare that they have no competing financial interests or personal relationships that may have influenced the work reported in this study. We, the undersigned authors, certify that all authors have seen and approved the final version of the manuscript being submitted. We warrant that this article is the original work of the authors, has not been previously published, and is not under consideration for publication elsewhere.

: We confirm that this manuscript is original, has not been submitted elsewhere, and adheres to the ethical guidelines outlined in the Declaration of Helsinki. The study received approval from the Ethics Committee of San Carlos Clinic Hospital in Madrid, Spain (REF 22/633-E) and all participants provided informed consent.

: The authors declare no competing interests.