Skribek, Marcus https://orcid.org/0000-0001-8692-6426
Livanou, Maria-Effrosyni
Vathiotis, Ioannis
Strandman, Viktor
Thorell, Axel
Koulouris, Andreas
Syrigos, Konstantinos
Ekman, Simon
Tsakonas, Georgios
Article History
Received: 28 October 2025
Revised: 26 March 2026
Accepted: 30 April 2026
First Online: 20 May 2026
Competing interests
: The authors declare no competing interests.
: The study was approved by the Regional Ethical Review Board (KUH approval no.: 2020-02636) and conducted in accordance with the Declaration of Helsinki. Informed consent was waived due to the retrospective design. All analyses were conducted locally under institutional ethical approval (STDH approval no.: 7450) and in accordance with data governance protocols.