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The data used in this research were anonymized and de-identified, ensuring the privacy and confidentiality of individuals in accordance with the Institutional Review Board.The research was conducted in accordance with the ethical principles outlined in the Institutional Review Board. The use of data and materials was carried out with proper authorization and in compliance with all applicable laws and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"I declare that there are no conflicts of interest related to this manuscript. The study was conducted impartially, and the findings presented in the manuscript are based solely on the analysis and interpretation of the data.\u00a0M.J.R receives salary support for his position in the leadership of the Abdominal Core Health Quality Collaborative (ACHQC), which is the data source for the present submission, and he receives board member support and stock options from Ariste Medical. 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