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Article History

Received: 26 December 2025

Accepted: 20 July 2026

First Online: 25 July 2026

Declarations

Ethics approval and consent to participate: The study protocol was approved by the Institutional Review Board (IRB) of Zhongjiang County People’s Hospital (IRB Approval No: JLSY-2025-072). Given the retrospective and noninterventional nature of the study, which utilized only anonymized data, the IRB granted a waiver for patient informed consent. This research was conducted in full compliance with local regulatory requirements and the ethical principles outlined in the Declaration of Helsinki. All patient-identifying information was removed prior to data analysis to ensure strict confidentiality.

Consent for publication: Not applicable.

Competing interests: The authors declare no competing interests.