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Article History

Received: 1 September 2025

Accepted: 6 May 2026

First Online: 19 June 2026

Declarations

:

: All participants provided written informed consent. Ethical clearance was obtained from the Hospital Universitario de La Princesa Research Ethics Committee (code 5268 in June 2023) and the Commission Central de Investigación de la Gerencia Asistencial de Atención Primaria de Madrid (code 20230024). The research respected the basic ethical principles of autonomy, justice, beneficence, and non-maleficence, pursuant to the standards of Good Clinical Practice, the Declaration of Helsinki (Helsinki 2024) and the 1997 Oviedo Convention. The processing, communication or assignment of data was undertaken pursuant to currently applicable law (the Spanish Protection of Personal Data and Guarantee of Digital Rights Act, Organic Law 3/2018 of 5 December 2018) and with respect for the ARCO rights of access, rectification, cancellation and objection as provided for in the aforesaid Act.

: Not applicable.

: During the preparation of this work, the authors used ChatGPT to improve the readability and language of the manuscript. After using this tool, they reviewed and edited the content as needed. The authors assume full responsibility for the content of the published article.

: The authors declare no competing interests.