Document is current

Article History

Received: 20 November 2025

Accepted: 12 February 2026

First Online: 19 February 2026

Declarations

:

: This study is a secondary analysis of fully anonymized quality-improvement data with no identifiable or re-identifiable patient information. The project was reviewed by the Ethics Committee of Philipps-University Marburg, which determined that formal ethics committee approval was not required for this type of analysis (26–34 ANZ).

: Not applicable.

: to participate was not required because the dataset was fully anonymized and contained no information that could identify or re-identify individuals, in accordance with the ethics committee’s determination.

: The authors declare no competing interests.