Kärkkäinen, Veera Emilia https://orcid.org/0009-0005-9631-8455
Hietala, Henna
Koivunen, Petri
Nikkinen, Juha
Lehtiö, Kaisa
Article History
Received: 7 September 2025
Revised: 13 February 2026
Accepted: 16 February 2026
First Online: 2 April 2026
Competing interests
: The authors declare no competing interests.
: Permission to use the registry data was granted by the Northern Ostrobothnia Hospital District (approval number: 176/2020).