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Article History

Received: 2 November 2025

Accepted: 6 January 2026

First Online: 9 January 2026

Declarations

:

: This retrospective study, which involved the analysis of anonymized data from electronic medical records, was approved by the Institutional Ethics Committee of the H M Patel Centre for Medical Care and Education, Karamsad (Approval No. IEC/HMPCMCE/2019/Ex.49/233/20). The requirement for informed consent was waived by this committee as the research involved no more than minimal risk, the rights and welfare of the participants were not adversely affected, and it was impracticable to obtain consent from all subjects given the study’s retrospective design. All methods were carried out in accordance with the relevant guidelines and regulations and in compliance with the principles of the Declaration of Helsinki, particularly its provisions on research using identifiable data and secondary use where informed consent is impracticable.

: Not applicable.

: The authors declare no competing interests.