Almegbel, Maysan
Almusaad, Abdulmohsen
Alzammam, Ali Mahmoud
Alzayer, Razan
AlTaweel, Muneera
Article History
Received: 13 November 2025
Accepted: 20 January 2026
First Online: 6 February 2026
Declarations
:
: The study protocol was reviewed and approved by the Institutional Review Board at King Abdullah International Medical Research Center (KAIMRC), Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia (approval no. RC19/072/R). All procedures involving human participants and their data were conducted in accordance with institutional and national research standards, as well as the 1964 Declaration of Helsinki and its subsequent amendments. Given the study's retrospective design and the use of de-identified clinical data, the Institutional Review Board waived the requirement for informed consent.
: Not applicable. This manuscript contains no personally identifiable information in any form, including images, videos, or detailed case descriptions.
: The authors declare no competing interests.