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Article History

Received: 6 March 2026

Accepted: 29 June 2026

First Online: 4 July 2026

Declarations

:

: This retrospective study was reviewed and approved by the Ethics Committee of the Zhuangqiao Community Health Service Center, Jiangbei District, Ningbo (Approval No. IRB-ZHQ-S-20251215-001). The study was conducted in accordance with the ethical standards of the Declaration of Helsinki and the national ethical guidelines for biomedical research involving human subjects in China. A waiver of written informed consent was granted by the ethics committee due to the retrospective nature of the study and the use of fully anonymized clinical data. All data were analyzed confidentially.

: Not applicable.

: The authors declare no competing interests.