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Because the analysis relied solely on secondary data from published literature and did not involve direct interaction with human participants or animals, institutional review board approval and individual informed consent were not required for this study. All primary studies included in this meta-analysis reported having obtained approval from their respective ethics committees and informed consent from all participants prior to study commencement.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and informed consent"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"During the preparation of this work the author(s) used generative Chatgpt to improve the readability and language quality of the manuscript. 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