Nakayama, Masafumi https://orcid.org/0000-0002-4499-7522
Miyamoto, Yoshihiro
Morimoto, Takeshi
Arima, Yuichiro
Tsujita, Kenichi
Article History
Received: 5 October 2025
Revised: 16 April 2026
Accepted: 17 April 2026
First Online: 20 May 2026
Compliance with ethical standards
:
: The authors declare no competing interests.
: The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of Kumamoto University Hospital (approval no. 1619). Informed consent was obtained either in writing or via the opt-out method. The study protocol was publicly announced at Kumamoto University and on our website ( ). Patients and medical institutions were free to withdraw from the study at any time.