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Article History

Received: 11 February 2025

Accepted: 3 July 2025

First Online: 15 July 2025

Compliance with ethical standards

:

: The authors declare no competing interests.

: This study was performed in line with the ethical standards of the institutional and/or national research committee (Ethics Committee of the São João Local Health Unit - Porto, Portugal) (Date 20/10/2023/No 362/2023) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

: This was a retrospective study based on data previously collected during medical consultations and recorded in the Sclinic system. No risks or constraints to the included or excluded patients are anticipated. Patients were not notified, as their identities were safeguarded through data coding. Crucial identifying information, such as names, was removed and replaced with unique codes. Therefore, informed consent to participate was not required.

: This study does not contain any identifiable personal data, images, or videos. All data were anonymized by replacing identifying information with codes. As such, consent for publication was not applicable.