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Article History

Received: 16 May 2025

Accepted: 19 July 2025

First Online: 29 September 2025

Declarations

:

: The study was conducted in compliance with the Ethical Guidelines for Medical and Biological Research Involving Human Subjects issued by the Ministry of Health, Labour, and Welfare of Japan, as well as the Declaration of Helsinki. Ethical approval was obtained from the Ethics Committee of the Iwate Medical University (MH2024-110). Due to the retrospective nature of the study, which involved the analysis of existing clinical data, the requirement for individual informed consent was waived by the ethics committee. All patient data were anonymized and de-identified prior to analysis to ensure patient confidentiality.

: Not applicable.

: The authors declare no competing interests.