Hage Boutros, P. https://orcid.org/0009-0006-9710-8449
Bassil, M. https://orcid.org/0000-0001-9996-1300
El Hayek Fares, J.
Koski, K. G.
Article History
Received: 6 April 2025
Revised: 13 January 2026
Accepted: 4 February 2026
First Online: 3 March 2026
Competing interests
: The authors have declared that no competing interests or personal relationships could have appeared to influence the work reported in this paper.
: IRB approval was obtained from Bellevue Medical Center’s institutional review board in accordance with the 1964 Helinski Declaration [ ]. Written consent was obtained from each physician at the 20 private clinics in order to recruit their patients and access medical records.