Funding for this research was provided by:
Kermanshah University of Medical Sciences
Article History
Received: 11 November 2025
Accepted: 27 May 2026
First Online: 1 June 2026
Declarations
Competing interests: The authors declare no competing interests.
Ethical approval and consent to participate: The Ethics Committee of Kermanshah University of Medical Sciences approved the study (KUMS.REC.1394.318). According to the RaNCD cohort protocol, written informed consent was obtained from all patients before the start of the study, and the participants participated in the study with knowledge and willingness.