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Article History

Received: 3 December 2025

Accepted: 31 March 2026

First Online: 16 April 2026

Declarations

:

: The authors declare no competing interests.

: This study relied exclusively on statistically reconstructed synthetic data generated from non-identifiable aggregate statistics. Because no identifiable human data were accessed, stored, or analyzed, the study does not constitute human-subject research under prevailing ethical or regulatory definitions. Institutional review board (IRB) approval was therefore not required.

: No human or animal subjects were involved in this research. All analyses were conducted on fully synthetic datasets containing no identifiable clinical information.

: Not applicable. This manuscript contains no identifiable personal data.