Document is current

Article History

Received: 19 October 2025

Accepted: 8 November 2025

First Online: 17 November 2025

Declarations

:

: The authors declare no competing interests.

: This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Toyota Kosei Hospital (September 30, 2025/No. 2025-ST13).

: Due to the retrospective study design, minimal risk, and the use of de-identified data, the Institutional Review Board waived the requirement for individual written consent; instead, consent was obtained via an opt-out approach as per institutional policy.

: Not applicable.