Document is current

Article History

Received: 19 October 2025

Accepted: 16 February 2026

First Online: 3 March 2026

Declarations

:

: This study was reviewed and approved by the Nepal Health Research Council (NHRC), a government-affiliated national institutional review board (IRB). This study complied with all relevant international and NHRC guidelines, abided with the principles of Good Clinical Practice and ethical conduct of the research and adhered to the principles outlined in the Declaration of Helsinki. Prior to the use of epidemiological data for analyses, all patient information was anonymized and de-identified. No biological specimens, images, or any other personally identifiable information were used. The requirement for informed consent was exempted by the institutional review board, as the study was retrospective in nature and involved only anonymized patient data.

: All authors have read, edited, and approved the manuscript, and provided their consents for publication of this study.

: The authors declare no competing interests.