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Article History

Received: 26 February 2026

Accepted: 15 April 2026

First Online: 7 May 2026

Declarations

:

: Informed consent was not required, as the study was based exclusively on fully anonymized routine healthcare data.

: Disclosure of potential conflicts of interest.

: This study was conducted using anonymized secondary data from the IQVIA Disease Analyzer database. The database contains no directly identifiable patient information. According to German data protection regulations, the use of anonymized electronic medical records for observational research does not require approval by an ethics committee. No animals were involved in this research.