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A data-sharing agreement was established for anonymized data sharing across the three involved medical centers. Given the retrospective nature of the research and supervised anonymization process for data collection under IRB guidelines, individual patient consent to participate and consent to publish were not required. All authors contributed sufficiently to the development of this work and have approved of its submission to Pituitary. This manuscript is a unique submission and is not being considered for publication, in part or in full, with any other source in any medium. This work received no funding or other material supplementation, and there are no conflicts of interest to disclose. This work was performed with ethical approval from the institutional review boards of the three participating centers in accordance with the declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Statement"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"28"}}