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Article History

Received: 29 January 2026

Accepted: 15 April 2026

First Online: 23 April 2026

Declarations

:

: This retrospective single-center study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of Nagasaki Prefecture Shimabara Hospital (approval no.7shimabyou187). If informed consent could not be obtained from participants, the legal guardian or an appropriate representative of these participants provided informed consent on their behalf. A summary of the study was posted on the hospital website to allow potential participants or their representatives to withdraw. As the study included individuals who were unable to provide consent or died, their representatives (spouses, parents, adult children, adult siblings, grandchildren, grandparents, cohabiting relatives, or other close relatives) may decline their participation.

: Not applicable.

: The authors declare no competing interests.