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Article History

Received: 11 February 2026

Accepted: 24 April 2026

First Online: 4 June 2026

Declarations

:

: The authors declare no competing interests.

: This study was approved by the Research Ethics Committee of Tongzhou Bay People’s Hospital (Reference Number: 2026-KT177-01). All data used in this study were retrospective, anonymized outpatient operational records with no directly identifiable patient information. The need for individual informed consent was waived by the ethics committee due to the retrospective and fully anonymized nature of the data. The study was conducted in accordance with the Declaration of Helsinki and relevant national regulations.

: The author has reviewed the manuscript and consents to its publication. No identifiable information regarding participants has been included.