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Because the SEER database provides de-identified and publicly available data, this study was exempt from institutional review board (IRB) oversight.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"As this study utilized de-identified data from a public registry (SEER), the requirement for informed consent was waived.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"During the preparation of this manuscript, the authors used ChatGPT (OpenAI, GPT-4o) to assist in developing and optimizing the statistical code for longitudinal analysis and Gemini (Google DeepMind, Gemini 1.5 Flash) for linguistic refinement and drafting the cover letter. All AI-generated outputs were independently verified by the authors, who take full responsibility for the integrity and accuracy of the final content.","order":4,"name":"Ethics","label":"AI usage disclosure","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"160"}}