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Article History

Received: 2 November 2024

Accepted: 6 August 2025

First Online: 20 August 2025

Declarations

:

: Per Centers for Medicare & Medicaid Services (CMS) policy, informed consent is not required for research involving limited datasets, provided the use complies with the CMS Data Use Agreement (DUA) and all applicable privacy and security requirements. The study used limited datasets including dates of diagnosis, prescriptions, and healthcare utilization. This research was conducted under an approved DUA (RSCH-2024–70191), and the University of Florida Institutional Review Board (IRB202301515) granted a waiver of informed consent consistent with Health Insurance Portability and Accountability Act (HIPAA) provisions for secondary research using de-identified or limited datasets.

: Not applicable.

: The authors declare no competing interests.