Puaad, Hadhinah Ahmad
Wong, Wen Jun
Ong, Gek Bee
Lee, Yee Leng
Sivasampu, Sheamini
Yang, Su Lan
Hwong, Wen Yea
Article History
Received: 18 March 2026
Accepted: 21 August 2026
First Online: 27 August 2026
Declarations
Ethical approval: Ethical approval was granted by the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia (NMRR ID: 24-01607-9UB). The study was conducted in accordance with the ethical principles of the Declaration of Helsinki and applicable Malaysian research guidelines. As this study involved secondary analysis of routinely collected data, the requirement for individual informed consent was waived by MREC.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.