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Article History

Received: 8 February 2026

Accepted: 30 May 2026

First Online: 10 June 2026

Declarations

:

: The study was approved by the Ethics Committee of Westfalen-Lippe (ethics committee of the regional medical association (Ärztekammer Westfalen-Lippe), reference number 2025-847-f-S). It adhered to the ethical standards set forth in the 1964 Declaration of Helsinki and its subsequent amendments. As a retrospective study, it was not registered with ClinicalTrials. gov or any other trial registry. Therefore, a clinical trial number is not applicable.

: Informed consent for inclusion in the TR-DGU is obtained centrally by participating hospitals at the time of registry documentation in accordance with national data protection and ethical standards. Consequently, only patients (or, where applicable, their legal representatives) who provided consent for data entry and scientific use are included in the registry. In accordance with Article 1(1) of the General Data Protection Regulation, basic data protection does not apply to the personal data of dead persons. Therefore, dead patients were included in the study without explicit consent [ ].

: The authors declare no competing interests.