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Ethical approval was obtained from the Medical and Health Research and Ethics Committee (MHREC), Ministry of Health, Brunei Darussalam (Approval No. MHREC\/MOH\/2024\/22(1); approved on 25 January 2025). Following ethical approval, access to electronic health records of participants under the supervision of The Brunei Cancer Centre (TBCC) was permitted. All data were fully anonymized prior to analysis, and the requirement for informed consent to participate was waived by the MHREC in accordance with national regulations.","order":1,"name":"Ethics","label":"Ethics Approval and Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Permission to publish the findings of this study was obtained from the relevant institutional authorities. All data were anonymized prior to publication.","order":2,"name":"Ethics","label":"Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}