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Article History

Received: 2 March 2026

Accepted: 12 July 2026

First Online: 28 July 2026

Declarations

Conflict of Interest: The authors declare no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

Ethical Approval: This study was conducted in accordance with the Declaration of Helsinki. The study was, submitted to the Ethics Committee of Karl Landsteiner University of Health Sciences on 20 February 2026 (Application Number: 1071/2026). The Ethics Committee confirmed that, given the retrospective observational design of this study, formal ethical approval was not required. All patients provided written informed consent for treatment and use of anonymized data for scientific purposes.

Use of Generative AI: This manuscript was prepared in part with the assistance of an artificial intelligence language model (ChatGPT, OpenAI ® ). The AI tool was used to assist with language refinement and structuring of statistical summaries only. The AI tool was not used for data analysis, interpretation of results, or scientific decision-making. All authors have critically reviewed, validated, and take full responsibility for all content of the final, submitted manuscript.