Document is current

Article History

Received: 26 March 2025

Accepted: 18 July 2025

First Online: 2 August 2025

Declarations

:

: The study was approved by the Institutional Review Board of Army Medical Center(Ethics No: 2025(42)), and was conducted according to the guidelines outlined in the Declaration of Helsinki. Informed consent was exempted by the Institutional Review Board of Army Medical Center(refer to the supplementary materials).This study was granted a waiver of informed consent for the following reasons: The medical records and biospecimens utilized were obtained during routine clinical care prior to this retrospective study; The retrospective design made it impracticable to obtain individual consent; The research posed no greater than minimal risk to participants; Waiver of consent would not adversely affect subjects’ rights or welfare; All protected health information was de-identified to ensure confidentiality.

: Not applicable.

: The authors declare no competing interests.