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Article History

Received: 1 July 2026

Accepted: 8 September 2026

First Online: 11 September 2026

Declarations

Ethical approval: The study was conducted in accordance with the Declaration of Helsinki and was approved by the Regional and Institutional Research Ethics Committee of the University of Debrecen (DE RKEB/IKEB No. 7200 − 2025). The study was retrospective and involved the secondary analysis of anonymized routinely collected clinical data, without any study-related intervention or direct patient contact. No written informed consent was obtained from the participants. Data were processed in accordance with institutional data-protection requirements and the General Data Protection Regulation.

Consent for publication: Not applicable. The manuscript does not contain any individually identifiable patient data, images, or personal information requiring consent for publication.

Competing interests: The authors declare no competing interests.