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This systematic review and meta-analysis used data from published reports and did not involve new research with human participants, identifiable personal data, or biological material.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":4,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The review was not prospectively registered. A retrospectively reconstructed protocol, explicitly labeled as non-PROSPERO and prepared after data extraction and analysis, is available in the OSF repository solely for transparency documentation.","order":5,"name":"Ethics","label":"Protocol registration","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Generative AI-assisted tools were used only to accelerate bibliographic organization, document structuring, language refinement, preparation of preliminary code, and code troubleshooting. They were not used as autonomous sources of data or as decision-makers. All eligibility decisions, extracted data, risk-of-bias and GRADE judgments, analysis specifications, statistical results, citations, figures, and interpretations were reviewed and approved by the authors. Primary statistical analyses were performed in Python (version 3.13.5). Statistical outputs were cross-checked in R, including verification with the metafor package. Melih Kapdan independently reviewed the final English language, manuscript structure, and journal formatting. The authors accept full responsibility for the accuracy, originality, and integrity of the submitted work. No generative AI images were used.","order":6,"name":"Ethics","label":"Artificial intelligence use","group":{"name":"EthicsHeading","label":"Declarations"}}]}}