Homayoun, Bahar
Zand, Farid
Asmarian, Naeimehossadat
Rosenthal, Victor Daniel
Abrishamifar, Kimia
Niakan Kalhori, Sharareh Rostam
Shafiee, Elham
Banifatemi, Mahsa
Article History
Received: 20 May 2026
Accepted: 9 September 2026
First Online: 18 September 2026
Declarations
Ethics approval and consent to participate: The comprehensive study protocol was formally reviewed and explicitly approved by the Institutional Ethics Committee of Tehran University of Medical Sciences (Approval Code: IR.TUMS.SPH.REC.1403.308). The entire investigation was conducted in strict, unwavering accordance with the ethical principles delineated in the Declaration of Helsinki and all applicable national regulatory requirements. To ensure absolute patient privacy, all clinical records were thoroughly de-identified prior to any data extraction or statistical analysis; consequently, the formal requirement for obtaining individual, written informed consent was officially waived by the governing Ethics Committee.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.