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Article History

Received: 27 June 2025

Accepted: 3 September 2025

First Online: 9 October 2025

Declarations

:

: Ethical clearance for this study was obtained from College of Health Science, Arsi University, Ethical Review Committee. (date: 20/03/2023, ref no. 120/6493/2023). To protect participant confidentiality, all collected data were anonymized, with no personal identifiers (such as names) recorded. Only relevant research information was extracted and analyzed, ensuring compliance with ethical standards for data privacy and participant rights. Written informed consent was obtained from all subjects before the study.

: Not applicable.

: The authors declare no competing interests.

: This study maintained strict separation between clinical care and research activities. Treating physicians were not involved in data collection, analysis, or interpretation to prevent conflicts of interest. Prescription patterns were assessed solely through retrospective medical record review by trained data collectors. No therapeutic interventions were made during the study. As this study was a non-interventional study, clinical trial number was not required. The study was conducted in accordance with the principles of the Declaration of Helsinki.