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Article History

Received: 15 September 2025

Accepted: 17 April 2026

First Online: 13 July 2026

Declarations

:

: Ethical approval was not required for this study in accordance with institutional policy, as it represents a retrospective case series based solely on data retrieved from electronic health records. The dataset contained no patient identifiers, and no patients were directly involved in data collection or contacted for the purposes of this study. Under these circumstances, the institutional ethics committee waives the requirement for informed consent and formal Institutional Review Board approval.

: The Institutional Review Board (IRB) at Aga Khan University (AKU) is formally known as the Ethics Review Board (ERB) which exempts informed consent from the participants if data is extracted through electronic health records.

: Consent from patients is waived off by the institutional review board in case series, hence data can be published without patient identifiers. All authors have agreed to the publication of this article.

: This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki.

: The authors declare no competing interests.