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Ethical approval for the original QLSCD cohort was obtained from\u00a0ISQ, the CHU Sainte-Justine Hospital, and the Montreal West Island Integrated University Health and Social Services Centre. Ethical approval for the present study was obtained from McGill University, Faculty of Medicine and Health Sciences Institutional Review Board (IRB) on April 30th, 2025 (eRAP Number: 25-03-026, IRB Assurance Number: FWA 00004545).\u00a0","order":2,"name":"Ethics","label":"Ethical information","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}