Funding for this research was provided by:
South African Medical Research Council
Auckland University of Technology, New Zealand
Article History
Received: 15 April 2026
Accepted: 27 July 2026
First Online: 10 August 2026
Declarations
Ethics approval and consent to participate: This study was reviewed and granted approval by the Auckland University of Technology Ethics Committee (AUTEC), reference 17/369, and the South African Medical Research Council Human Research Ethics Committee, reference EC006 5/2018. The study adhered to the principles outlined in the Declaration of Helsinki. Not applicable. The study used fully anonymised secondary data; individual patient consent was not required.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.