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Authors
Martínez-Silva, Gisela https://orcid.org/0000-0003-1431-9410
Martínez-Juárez, Luis-Alberto https://orcid.org/0000-0001-7550-7867
Montoya, Alejandra https://orcid.org/0000-0002-9466-8452
Falcón-Lezama, Jorge-Abelardo https://orcid.org/0000-0001-9081-4064
Álvarez-Hernández, Diego-Abelardo https://orcid.org/0000-0003-2340-6639
Camacho-More, Diana https://orcid.org/0009-0007-6020-2850
García-Cerde, Rodrigo https://orcid.org/0000-0002-9973-878X
Mújica-Rosales, Ricardo https://orcid.org/0000-0001-6320-827X
Saucedo-Martínez, Rodrigo https://orcid.org/0000-0002-5849-693X
Gallardo-Rincón, Héctor https://orcid.org/0000-0002-0811-4606
Tapia-Conyer, Roberto https://orcid.org/0000-0001-9425-7322
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Article History
Received: 13 November 2025
Accepted: 24 March 2026
First Online: 6 April 2026
Declarations
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: This study is a secondary analysis of de-identified operational data. According to the Mexican General Health Law on Health Research (Reglamento de la Ley General de Salud en Materia de Investigación para la Salud), this study is classified as “Risk-Free” (Category I), as it relies on retrospective documentary research where sensitive data is protected. Therefore, a specific IRB approval for this manuscript or individual informed consent for research was not required by national regulations. The use of the platform is governed by institutional collaboration agreements that strictly ensure data confidentiality.The study adhered to the ethical principles of the Declaration of Helsinki, particularly regarding the protection of anonymity, confidentiality, and the responsible handling of health information.
: Not applicable. The study used anonymized, secondary data collected as part of routine health assessments.
: The authors declare no competing interests.
