{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:50:11Z","timestamp":1787169011542,"version":"build-2736575974"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,1,6]],"date-time":"2024-01-06T00:00:00Z","timestamp":1704499200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,6]],"date-time":"2024-01-06T00:00:00Z","timestamp":1704499200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100019791","name":"Istanbul Medipol University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100019791","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Womens Ment Health"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of the study is to examine what kind of changes the operation has brought about in the social and psychological life of women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was a hermeneutic-phenomenological research conducted using qualitative research methods. It took place between May and July 2023 at a university hospital located in Istanbul, Turkey. Following ethical approval, the study included a total of 24 women who had undergone a 'total abdominal hysterectomy, bilateral salpingo-oophorectomy.' These participants were selected using a combination of maximum diversity sampling and random sampling methods.<\/jats:p>\n                    <jats:p>Data collection was carried out using a semi-structured interview form. The interviews were conducted using face-to-face interview techniques and in-depth interview methods. Qualitative data analysis involved using the coding paradigm of Grounded Theory and Straus and Corbin's coding framework. For the analysis of quantitative data, SPSS version 28.0 was employed, while qualitative data were analyzed using MaxQDA Analytics Pro 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study found that the participants had a mean age of 47\u2009\u00b1\u20097.53, and the majority, 66.7%, had not reached menopause before the operation. The qualitative analysis of the semi-structured interviews revealed five main themes, which were identified as follows: 'hysterectomy experiences', 'the impact of hysterectomy on sexual life', 'the significance attributed to the uterus', 'the significance attributed to femininity', and 'self-efficacy after hysterectomy'.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study revealed that women experienced changes in self-perception, body image, a sense of organ loss, and developed negative attitudes towards menopause following a hysterectomy. Additionally, there was a noticeable connection between the meanings attributed to the uterus and femininity, which was often influenced by cultural and social factors. In light of these findings, it is recommended that women receive counseling from healthcare professionals before undergoing a hysterectomy. This guidance can help women better understand and cope with the physical, emotional, and cultural aspects of the procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00737-024-01419-3","type":"journal-article","created":{"date-parts":[[2024,1,6]],"date-time":"2024-01-06T07:02:33Z","timestamp":1704524553000},"page":"899-911","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Examining the changes in women's lives after the hysterectomy operation: Experiences of women from Turkey"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9925-1122","authenticated-orcid":false,"given":"Ay\u015fenur","family":"Turan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilal Ba\u015fak","family":"Karabay\u0131r","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130ffet G\u00fcler","family":"Kaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,6]]},"reference":[{"issue":"7","key":"1419_CR1","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1080\/0092623x.2018.1440451","volume":"44","author":"OSRR Abadi","year":"2018","unstructured":"Abadi OSRR, Cheraghi MA, Tirgari B, Nayeri ND, Rayyani M (2018) Feeling an invisible wall: The experience of Iranian women\u2019s marital relationship after surgical menopause: A qualitative content analysis study. J Sex Marital Ther 44(7):627\u2013640. https:\/\/doi.org\/10.1080\/0092623x.2018.1440451","journal-title":"J Sex Marital Ther"},{"issue":"1","key":"1419_CR2","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s10552-021-01496-0","volume":"33","author":"EE Adam","year":"2022","unstructured":"Adam EE, White MA, Saraiya M (2022) US hysterectomy prevalence by age, race and ethnicity from BRFSS and NHIS: implications for analyses of cervical and uterine cancer rates. Cancer Causes Control 33(1):161\u2013166. https:\/\/doi.org\/10.1007\/s10552-021-01496-0","journal-title":"Cancer Causes Control"},{"key":"1419_CR3","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1080\/15332691.2013.750078","volume":"12","author":"J Askew","year":"2013","unstructured":"Askew J, Zam M (2013) In sickness and in health: The effects of hysterectomy on women\u2019s partners and intimate relationships. J Couple Relationship Ther 12:58\u201372. https:\/\/doi.org\/10.1080\/15332691.2013.750078","journal-title":"J Couple Relationship Ther"},{"key":"1419_CR4","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-022-01836-1","author":"R Bakeman","year":"2022","unstructured":"Bakeman R (2022) KappaAcc: A program for assessing the adequacy of kappa. Behav Res Methods. https:\/\/doi.org\/10.3758\/s13428-022-01836-1","journal-title":"Behav Res Methods"},{"issue":"5","key":"1419_CR5","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1097\/gme.0000000000000805","volume":"24","author":"KH Campbell","year":"2017","unstructured":"Campbell KH, Dennerstein L, Finch S, Szoeke C (2017) Impact of menopausal status on negative mood and depressive symptoms in a longitudinal sample spanning 20 years. Menopause 24(5):490\u2013496. https:\/\/doi.org\/10.1097\/gme.0000000000000805","journal-title":"Menopause"},{"issue":"5","key":"1419_CR6","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1097\/gme.0000000000001505","volume":"27","author":"HG Choi","year":"2020","unstructured":"Choi HG, Rhim CC, Yoon JW, Lee S (2020) Association between hysterectomy and depression: A longitudinal follow-up study using a national sample cohort. Menopause 27(5):543\u2013549. https:\/\/doi.org\/10.1097\/gme.0000000000001505","journal-title":"Menopause"},{"issue":"1","key":"1419_CR7","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/bf00988593","volume":"13","author":"J Corbin","year":"1990","unstructured":"Corbin J, Strauss AL (1990) Grounded theory research: Procedures, canons, and evaluative criteria. Qual Sociol 13(1):3\u201321. https:\/\/doi.org\/10.1007\/bf00988593","journal-title":"Qual Sociol"},{"issue":"4","key":"1419_CR8","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1097\/dcc.0000000000000253","volume":"36","author":"BS Cypress","year":"2017","unstructured":"Cypress BS (2017) Rigor or reliability and validity in qualitative research. Dimens Crit Care Nurs 36(4):253\u2013263. https:\/\/doi.org\/10.1097\/dcc.0000000000000253","journal-title":"Dimens Crit Care Nurs"},{"issue":"7","key":"1419_CR9","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1080\/01443615.2019.1678574","volume":"40","author":"E Erdogan","year":"2020","unstructured":"Erdogan E, Demir S, \u00c7al\u0131\u015fkan B, Bayrak NG (2020) Effect of psychological care given to the women who underwent hysterectomy before and after the surgery on depressive symptoms, anxiety and the body image levels. J Obstet Gynaecol 40(7):981\u2013987. https:\/\/doi.org\/10.1080\/01443615.2019.1678574","journal-title":"J Obstet Gynaecol"},{"issue":"7","key":"1419_CR10","doi-asserted-by":"publisher","first-page":"1723","DOI":"10.1111\/jan.13569","volume":"74","author":"B Errasti-Ibarrondo","year":"2018","unstructured":"Errasti-Ibarrondo B, Jord\u00e1n JA, D\u00edez-Del-Corral MP, Arantzamendi M (2018) Conducting phenomenological research: Rationalizing the methods and rigour of the phenomenology of practice. J Adv Nurs 74(7):1723\u20131734. https:\/\/doi.org\/10.1111\/jan.13569","journal-title":"J Adv Nurs"},{"issue":"3","key":"1419_CR11","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s11701-021-01273-w","volume":"16","author":"A Ghomi","year":"2021","unstructured":"Ghomi A, Nolan WB, Sanderson DJ, Sanderson R, Schwander B, Feldstein J (2021) Robotic hysterectomy compared with laparoscopic hysterectomy: Is it still more costly to perform? J Robot Surg 16(3):537\u2013541. https:\/\/doi.org\/10.1007\/s11701-021-01273-w","journal-title":"J Robot Surg"},{"issue":"3","key":"1419_CR12","doi-asserted-by":"publisher","first-page":"230","DOI":"10.4103\/ijnmr.ijnmr_146_20","volume":"26","author":"FM Goudarzi","year":"2021","unstructured":"Goudarzi FM, Khadivzadeh T, Ebadi A, Babazadeh R (2021) Iranian women\u2019s self-concept after hysterectomy: A qualitative study. Iran J Nurs Midwifery Res 26(3):230. https:\/\/doi.org\/10.4103\/ijnmr.ijnmr_146_20","journal-title":"Iran J Nurs Midwifery Res"},{"issue":"2","key":"1419_CR13","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1080\/09540253.2019.1680807","volume":"33","author":"J Harford","year":"2021","unstructured":"Harford J, Redmond J (2021) \u2018I am amazed at how easily we accepted it\u2019: The marriage ban, teaching and ideologies of womanhood in post-Independence Ireland. Gend Educ 33(2):186\u2013201. https:\/\/doi.org\/10.1080\/09540253.2019.1680807","journal-title":"Gend Educ"},{"issue":"4","key":"1419_CR14","doi-asserted-by":"publisher","first-page":"1682","DOI":"10.21608\/ejhc.2022.280660","volume":"13","author":"SS Hassan","year":"2022","unstructured":"Hassan SS, Elhady HA, Fathy N (2022) Relation between sexual function, body \u0131mage and depression among women undergoing total versus partial hysterectomy. Egypt J Health Care 13(4):1682\u20131696. https:\/\/doi.org\/10.21608\/ejhc.2022.280660","journal-title":"Egypt J Health Care"},{"issue":"6","key":"1419_CR15","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1080\/03630242.2021.1938791","volume":"61","author":"C Hsieh","year":"2021","unstructured":"Hsieh C, Lu Y, Liang S (2021) The health concerns related to hysterectomy among Taiwanese women with uterine fibroids-a mixed-methods study. Women Health 61(6):581\u2013590. https:\/\/doi.org\/10.1080\/03630242.2021.1938791","journal-title":"Women Health"},{"issue":"1","key":"1419_CR16","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/j.jmig.2019.02.020","volume":"27","author":"C Huang","year":"2020","unstructured":"Huang C, Lo T, Huang Y, Long C, Law KS, Wu M (2020) Surgical trends and time frame comparison of surgical types of hysterectomy: A nationwide, population-based 15-year Study. J Minim Invasive Gynecol 27(1):65-73.e1. https:\/\/doi.org\/10.1016\/j.jmig.2019.02.020","journal-title":"J Minim Invasive Gynecol"},{"issue":"2","key":"1419_CR17","doi-asserted-by":"publisher","first-page":"273","DOI":"10.22312\/sdusbed.651182","volume":"11","author":"G Kok","year":"2020","unstructured":"Kok G, Erdogan E, Soylemez EB, Guvenc G (2020) Nursing care of patient who had undergone hysterectomy according to functional health patterns: Case report. Suleyman Demirel Univ J Health Sc 11(2):273\u2013278. https:\/\/doi.org\/10.22312\/sdusbed.651182","journal-title":"Suleyman Demirel Univ J Health Sc"},{"issue":"1","key":"1419_CR18","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1080\/13814788.2017.1375090","volume":"23","author":"I Korstjens","year":"2017","unstructured":"Korstjens I, Moser A (2017) Series: Practical guidance to qualitative research. Part 2: Context, research questions and designs. Eur J Gen Pract 23(1):274\u2013279. https:\/\/doi.org\/10.1080\/13814788.2017.1375090","journal-title":"Eur J Gen Pract"},{"issue":"1","key":"1419_CR19","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1080\/13814788.2017.1375092","volume":"24","author":"I Korstjens","year":"2018","unstructured":"Korstjens I, Moser A (2018) Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. Eur J Gen Pract 24(1):120\u2013124. https:\/\/doi.org\/10.1080\/13814788.2017.1375092","journal-title":"Eur J Gen Pract"},{"issue":"1","key":"1419_CR20","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1186\/s12905-019-0784-4","volume":"19","author":"SH Lee","year":"2019","unstructured":"Lee SH, Oh S, Cho YJ, Han M, Park JT, Kim SW, Yun JH, Choe SY, Choi JS, Bae JW (2019) Comparison of vaginal hysterectomy and laparoscopic hysterectomy: A systematic review and meta-analysis. BMC Women\u2019s Health 19(1):83. https:\/\/doi.org\/10.1186\/s12905-019-0784-4","journal-title":"BMC Women\u2019s Health"},{"issue":"2","key":"1419_CR21","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1002\/nop2.1348","volume":"10","author":"N Li","year":"2023","unstructured":"Li N, Shen C, Wang R, Chu Z (2023) The real experience with women\u2019s hysterectomy: A meta-synthesis of qualitative research evidence. Nurs Open 10(2):435\u2013449. https:\/\/doi.org\/10.1002\/nop2.1348","journal-title":"Nurs Open"},{"key":"1419_CR22","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8","volume-title":"Naturalistic Inquiry","author":"YS Lincoln","year":"1985","unstructured":"Lincoln YS, Guba EG (1985) Naturalistic Inquiry. SAGE, Newbury Park CA"},{"key":"1419_CR23","doi-asserted-by":"publisher","unstructured":"Lycke, KD, Kahlert, J, Damgaard, RK, Mogensen, O, Hammer, AS, (2021) Trends in hysterectomy incidence rates during 2000\u20132015 in Denmark: Shifting from abdominal to minimally \u0131nvasive surgical procedures. Clin Epidemiol 13, 407\u2013416. Dove Medical Press. https:\/\/doi.org\/10.2147\/clep.s300394","DOI":"10.2147\/clep.s300394"},{"issue":"3","key":"1419_CR24","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1590\/S0104-07072012000300016","volume":"21","author":"MAB Merighi","year":"2012","unstructured":"Merighi MAB, de Oliveira DM, de Jesus MC, Hoga LAK, de Oliveira Pedroso AG (2012) Experiences and expectations of women submitted to hysterectomy. Texto Contexto- Enfermagem 21(3):608\u2013615. https:\/\/doi.org\/10.1590\/S0104-07072012000300016","journal-title":"Texto Contexto- Enfermagem"},{"issue":"5","key":"1419_CR25","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","volume":"42","author":"LA Palinkas","year":"2015","unstructured":"Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K (2015) Purposeful sampling for qualitative data collection and analysis in mixed method \u0131mplementation research. Adm Policy Ment Health 42(5):533\u2013544. https:\/\/doi.org\/10.1007\/s10488-013-0528-y","journal-title":"Adm Policy Ment Health"},{"key":"1419_CR26","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.bpobgyn.2022.03.001","volume":"81","author":"OC Pillay","year":"2022","unstructured":"Pillay OC, Manyonda I (2022) The surgical menopause. Best Practice & Research in Clinical Obstetrics & Gynaecology 81:111\u2013118. https:\/\/doi.org\/10.1016\/j.bpobgyn.2022.03.001","journal-title":"Best Practice & Research in Clinical Obstetrics & Gynaecology"},{"key":"1419_CR27","doi-asserted-by":"publisher","unstructured":"Pilli, PI, Sekweyama, P, Kayira, A (2020) Women\u2019s experiences following emergency peripartum hysterectomy at St. Francis hospital Nsambya. A qualitative study. BMC Pregnancy Childbirth 20 (1). https:\/\/doi.org\/10.1186\/s12884-020-03428-3","DOI":"10.1186\/s12884-020-03428-3"},{"issue":"3","key":"1419_CR28","doi-asserted-by":"publisher","first-page":"E99","DOI":"10.1188\/12.cjon.e99-e104","volume":"16","author":"G Pinar","year":"2012","unstructured":"Pinar G, Okdem S, Dogan N, Buyukgonenc L, Ayhan A (2012) The effects of hysterectomy on body image, self-esteem, and marital adjustment in Turkish women with gynecologic cancer. Clin J Oncol Nurs 16(3):E99\u2013E104. https:\/\/doi.org\/10.1188\/12.cjon.e99-e104","journal-title":"Clin J Oncol Nurs"},{"issue":"1","key":"1419_CR29","doi-asserted-by":"publisher","first-page":"27","DOI":"10.15296\/ijwhr.2018.06","volume":"6","author":"F Shirinkam","year":"2018","unstructured":"Shirinkam F, Jannat-Alipoor Z, Chavari RS, Ghaffari F (2018) Sexuality after hysterectomy: A qualitative study on women\u2019s sexual experience after hysterectomy. Int J Women\u2019s Health Reproduct Sci 6(1):27\u201335. https:\/\/doi.org\/10.15296\/ijwhr.2018.06","journal-title":"Int J Women\u2019s Health Reproduct Sci"},{"key":"1419_CR30","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.1081.2780","volume":"24","author":"CMC Silva","year":"2016","unstructured":"Silva CMC, Vargens OMC (2016) Woman experiencing gynecologic surgery: Coping with the changes imposed by surgery. Rev Lat Am Enfermagem 24:e2780. https:\/\/doi.org\/10.1590\/1518-8345.1081.2780","journal-title":"Rev Lat Am Enfermagem"},{"issue":"16","key":"1419_CR31","doi-asserted-by":"publisher","first-page":"3608","DOI":"10.3390\/jcm10163608","volume":"10","author":"K Skorupska","year":"2021","unstructured":"Skorupska K, Wawrysiuk S, Bogusiewicz M, Miotla P, Winkler I, Kwiatkowska A, Rechberger T (2021) Impact of hysterectomy on quality of life, urinary \u0131ncontinence, sexual functions and urethral length. J Clin Med 10(16):3608. https:\/\/doi.org\/10.3390\/jcm10163608","journal-title":"J Clin Med"},{"issue":"1","key":"1419_CR32","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1071\/sh21153","volume":"19","author":"SR Till","year":"2022","unstructured":"Till SR, Schrepf A, Pierce JL, Moser S, Kolarik E, Brummett CM, As-Sanie S (2022) Sexual function after hysterectomy according to surgical indication: A prospective cohort study. Sexual Health 19(1):46\u201354. https:\/\/doi.org\/10.1071\/sh21153","journal-title":"Sexual Health"},{"issue":"4","key":"1419_CR33","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1007\/s11196-021-09831-z","volume":"35","author":"F Turco","year":"2022","unstructured":"Turco F (2022) To be mother or not? Cultural models of motherhood and their meaning effects on gendered representations. Int J Semiot Law 35(4):1393\u20131406. https:\/\/doi.org\/10.1007\/s11196-021-09831-z","journal-title":"Int J Semiot Law"},{"issue":"6","key":"1419_CR34","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1177\/10497323211003058","volume":"31","author":"M Van Manen","year":"2021","unstructured":"Van Manen M, Van Manen M (2021) Doing phenomenological research and writing. Qual Health Res 31(6):1069\u20131082. https:\/\/doi.org\/10.1177\/10497323211003058","journal-title":"Qual Health Res"},{"issue":"2","key":"1419_CR35","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e13299","volume":"9","author":"T Zhan","year":"2023","unstructured":"Zhan T, Wang L, Wang NY, Sun C (2023) Master of nursing specialist experiences of an internship through the use of written reflections: A qualitative research study. Heliyon 9(2):e13299. https:\/\/doi.org\/10.1016\/j.heliyon.2023.e13299","journal-title":"Heliyon"}],"container-title":["Archives of Women's Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00737-024-01419-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00737-024-01419-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00737-024-01419-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T04:52:13Z","timestamp":1732078333000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00737-024-01419-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,6]]},"references-count":35,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["1419"],"URL":"https:\/\/doi.org\/10.1007\/s00737-024-01419-3","relation":{},"ISSN":["1434-1816","1435-1102"],"issn-type":[{"value":"1434-1816","type":"print"},{"value":"1435-1102","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,6]]},"assertion":[{"value":"11 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors did not receive support from any organization for the submitted work. The authors have no relevant financial or non-financial interests to disclose.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"- The name of the ethics committee: Istanbul Medipol University Clinical Research Ethics Committee.- The approval number: 61.- The date of approval: 08.05.2023.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Statement"}}]}}