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Article History

Received: 19 February 2025

Revised: 25 June 2025

Accepted: 27 June 2025

First Online: 16 July 2025

Declarations

:

: The authors have no competing interests to declare.

: This study was approved by the Ethics Review Committee of the Provincial Hospital Affiliated to Shandong First Medical University (approval number: 2024707) and strictly adhered to the ethical principles of the Declaration of Helsinki. As this study was a retrospective analysis, did not involve direct intervention with patients, and all data were anonymized, the Ethics Committee approved the waiver of informed consent.

: As this study was a retrospective analysis, all data were anonymized and did not contain any information that could identify patients, it was not necessary to obtain patient consent for publication.

: All data for this study were derived from anonymized medical records and did not involve direct patient intervention or additional data collection. The rules of the Ethics Review Committee were strictly followed during the study to ensure patient privacy and data security.

: The data used in this study are available on reasonable request from the corresponding author. Data sharing is subject to ethical review board regulations and patient privacy.