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Article History

Received: 26 June 2025

Accepted: 7 January 2026

First Online: 28 January 2026

Declarations

:

: This study was conducted using retrospective, anonymized secondary data originally collected as part of routine clinical care. No personally identifiable information was accessed, and all records were de-identified prior to analysis. The research protocol was reviewed and approved by the Scientific Ethics Committee under Resolution 000-33-1321. In accordance with institutional and national ethical guidelines, the requirement for individual informed consent was waived, as the study involved only secondary, non-identifiable data and did not involve any direct interaction with patients.

: The authors declare no competing interests.