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Article History

Accepted: 6 July 2025

First Online: 19 July 2025

Declarations

:

: The authors have no disclosures.

: No external funding was used in the preparation of this article. This material is the result of work supported with resources and the use of facilities at the Orlando VA Healthcare System (Orlando, Florida). This research was supported, in part or in whole, by HCA Healthcare and/or an HCA Healthcare affiliated entity.

: Suzan Khalil, William Hicks, Floyd W. Burke, and Ishak A. Mansi declare that they have no potential conflicts of interest that might be relevant to the contents of this article.

: Data are stored in the VA Informatics and Computing Infrastructure (VINCI), the operational platform for health services research at the Veterans Healthcare Administration (VHA). VINCI acts as the data steward for VHA Data Systems. Data in VINCI cannot be copied, transferred, or printed. Access to data by other researchers is possible following VINCI protocols, as described in VINCI Central web site: .

: The Orlando VA institutional review board approved the study and waived participants informed consent since only preexisting deidentified data were analyzed.

: Not applicable.

: Not applicable.

: Study concept and design: IAM, SK, and FWB. Acquisition of data; statistical analysis: IAM. Interpretation of data: SK, WLH, FWB, and IAM. Drafting of the manuscript: SK and WLH. Critical revision of the manuscript for important intellectual content: IAM, FWB, and SK. Study supervision: IAM and FWB. Has full access to all the data and takes responsibility for its integrity and the data analysis: IAM.