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Article History

Received: 31 July 2025

Accepted: 17 October 2025

First Online: 21 November 2025

Declarations

:

: The study is adhered to the Declaration of Helsinki and it was approved by the local Ethics Committee ( Comité Territorial de Ética de la Investigación de Santiago Lugo ) on March 23, 2022 (Reference: 2021/496). The patients’ information was obtained in an anonymized manner, with no risk of patient identification; therefore, informed consent was not collected. This procedure complies with current Spanish legislation and was approved by the Ethics Committee.

: Not apply.

: The authors declare no competing interests.