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Article History

Received: 12 October 2025

Accepted: 19 March 2026

First Online: 6 April 2026

Declarations

:

: All procedures involving human participants were conducted in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. The study protocol was approved by the Ethics Committee for Biomedical Research of Oujda, affiliated with the Faculty of Medicine and Pharmacy, Mohammed First University of Oujda (Approval No. 42/2023). Access to patient data was granted by the Mohammed VI University Hospital. Given the retrospective nature of the study, the requirement for individual informed consent was waived by the ethics committee. Patient confidentiality was strictly maintained, and all data were anonymized.

: Not applicable.

: The authors declare no competing interests.