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Article History

Received: 26 October 2025

Accepted: 30 March 2026

First Online: 21 April 2026

Declarations

:

: This study was approved by the Geisinger Institutional Review Board (IRB). All methods were carried out in accordance with the ethical standards of the institutional research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. An official waiver was granted, and ongoing review of the study protocol was provided by the Geisinger IRB. Not applicable. This was a retrospective study utilizing de-identified patient data; therefore, individual informed consent was not required per institutional policy and IRB approval.

: Not applicable.

: The authors declare no competing interests.