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A. reports support for the present manuscript from Maryland Department of Health\u2019s Cigarette Restitution Fund Program (CH-649-CRF) and from University of Maryland Greenebaum Comprehensive Cancer Center support grant (National Institutes of Health (NIH)\/National Cancer Institute (NCI) P30CA134274). Q.E.S.A. reports grants or contracts from the Faculty of Medicine assignment grant for 2026 (RKDU) at Universitas Padjadjaran, Indonesia, under contract no. 6235\/UN6.C\/PT.02\/2026, outside the submitted work. S. M. Alif reports support for attending meetings and\/or travel from Federation University Australia and from The University of Melbourne, outside the submitted work. M. H. Antwi reports support for the present manuscript from Gates Foundation (the funders of this study had no role in study design; collection, analysis and interpretation of data, or writing of the report). M. S. Aslam reports grants or contracts from Xiamen University Malaysia Research Fund (XMUMRF), grant no. XMUMRF\/2025-C15\/ITCM\/0006 (Therapeutic and Toxicity Evaluation of Selected Medicinal Herbs for NAFLD: Exploring the Inter-Organelle Contact Sites Modulation Theory; Co-Investigator; Jan 2025 to Dec 2027, ongoing), grant no. XMUMRF\/2023-C11\/ISEM\/0041 (Children\u2019s Rights Education in the Early Years of Divorce: An Exploration of Adolescents\u2019 Perspectives; Co-Investigator; Jan 2023 to Dec 2025, ongoing), and grant no. XMUMRF\/2026-C17\/ITCM\/0007 (Olfactory Stimulation and Autonomic Regulation in Menstrual Disorders; Co-Investigator; Jan 2026 to Dec 2028, ongoing) (all internal XMUMRF research grants administered by Xiamen University Malaysia; funds disbursed to institutional research account only; no salary, honoraria, or personal payments to author), outside the submitted work. T.W.B. reports grants or contracts from German Ministry of Research, Technology and Space, European Union (Horizon Research Program), US NIH, European and Developing Countries Clinical Trials Partnership, German Ministry for Environment, Nature Conservation and Nuclear Safety, German National Research Foundation, Wellcome, World Bank, WHO, KfW, Ministry of Science, Research and Art, Baden-W\u00fcrttemberg, Germany, Else-Kr\u00f6ner-Fresenius Foundation, Duke Singapur, International Vaccine Institute, Africa Health Research Institute, and Alexander von Humboldt Foundation (all payments to institution of T.W.B.); payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from\n                      PLoS Medicine\n                      (for serving as Editor-in-Chief); and support for attending meetings and\/or travel from Peking Union Medical College, African Academy of Public Health, and Massey University (all travel reimbursement to institution of T.W.B.), outside the submitted work. N.B.B. reports grants or contracts from Cancer Council South Australia\u2019s Early Career Researcher Fellowship (funding for N.B.B.\u2019s position is received by N.B.B.\u2019s institution from Cancer Council South Australia), outside the submitted work. M. C. reports support for the present manuscript from Italian Ministry of Health (Ricerca Corrente 34\/2017) (payments made to the Institute for Maternal and Child Health IRCCS Burlo Garofolo). J. C. reports grants or contracts from European Research Council \u2013 ERC Proof-of-Concept: ERC-2026-PoC \u2013 APOLLO-BC; and patents planned, issued or pending metal-organic framework nanoparticles and hydrogels and uses thereof, PCT\/EP2024\/085805, 11 December 2024 (pending, licensed); surfactant-based cellulose hydrogel methods and uses thereof, PCT\/IB2025\/051694, 17\/02\/2025 (pending); self-immolative micelle, methods and uses thereof, EP25165757, 24\/03\/2025 (pending); and intranasal delivery for brain cancer and uses thereof (submitted), outside the submitted work. F.P.d.l.H reports support for the present manuscript from Merck (Merck supports F.P.d.l.H.\u2019s research group to assess the impact of HPV vaccine in Colombia). J. de Neve reports grants or contracts from European Commission Horizon 2020 Program (825823) and from German Research Foundation (405898232), outside the submitted work. D.M.D. reports royalties or licenses from Authors\u2019 Licensing and Collecting Society, outside the submitted work. S. F. reports payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from International Society of Ultrasound in Obstetrics and Gynecology (S.F. receives honoraria for invited presentations); and leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid as Immediate Past Chair, Endometriosis Special Interest Group Board of Directors, American Society for Reproductive Medicine, 2025\u20132026, Chair-Elect, Pediatric and Adolescent Gynecology Special Interest Group Board of Directors, American Society for Reproductive Medicine (ASRM), 2025\u20132026, and Member, ASRM Membership Engagement Committee, 2026\u20132028 (all unpaid), outside the submitted work. L.M.F. reports support for the present manuscript from Gates Foundation, St. Jude Children\u2019s Research Hospital; grants or contracts from St. Baldrick\u2019s Foundation, Conquer Cancer Foundation; and leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid with\n                      Lancet Oncolog\n                      y International Advisory Board (unpaid role), outside the submitted work. F.G. reports consulting fees from World Health Organization (payments made to F.G.); payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from Eli Lilly (payments made to F.G.); and support for attending meetings and\/or travel from Gilead Sciences, outside the submitted work. Y.H. reports grants or contracts from High-Level Public Health Specialized Talents Project of Beijing Municipal Health Commission (Y. H., 2024-3-028) and from Beijing Natural Science Foundation (Y. H., grant no. L258025), outside the submitted work. I.M.I. reports support for the present manuscript from Ministry of Science, Technological Development and Innovation of the Republic of Serbia (no. 451-03-137\/2025-03\/200110). J.M.K. reports support for the present manuscript from Institute for Health Metrics and Evaluation (employee), from Bill and Melinda Gates Foundation (funding to institution), and from American Lebanese Syrian Associated Charities (funding to institution). M.L. reports grants or contracts from the National Science and Technology Council, Taiwan (NSTC 115-2410-H-003-022; 115-2621-M-003-002); and leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid as Technical Editor, Journal of the American Heart Association, outside the submitted work. S. Mohammed reports support for the present manuscript from the Gates Foundation. L.M. reports support for the present manuscript from Italian Ministry of Health (Ricerca Corrente 34\/2017) (payments made to the Institute for Maternal and Child Health - IRCCS Burlo Garofolo). S. Nomura reports support for the present manuscript from Ministry of Education, Culture, Sports, Science and Technology of Japan (24H00663) (grant). B.O. reports support for the present manuscript from UEFISCDI, project PN-IV-P6-6.1-CoEx-2024-0196, contract no. 17\/2.03.2026, and from the Core Program within the National Research, Development and Innovation Plan 2022\u20132027, carried out with the support of ANC, project no. 23020101 (SIA-PRO), contract no. 7N\/2022. B.O.O. reports grants or contracts from NIH R21AI196623: Integration of hepatitis B preventive interventions into community pharmacy services in a resource-limited setting: a pilot study, outside the submitted work. A.M. O. reports receipt of equipment, materials, drugs, medical writing, gifts or other services from Copan, Seegene and Abbott for HPV screening implementation research study \u2013 SHE-CAN (assays and swabs were provided to the institution for use in the implementation research study on HPV self-collection in disadvantaged populations), outside the submitted work. S.K.P. reports support for the present manuscript from Siksha \u2018O\u2019 Anusandhan (Deemed to be University) (payment of S.K.P.\u2019s salary); and grants or contracts file no. 17-59\/2023-24\/CCRH\/Tech.\/Coll.\/ICMR-Diabetes\/960 (as Co-Investigator) and file no. HS\/RC\/393 (as Principal Investigator), outside the submitted work. M. Pasovic reports leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid as University of Washington Professional Staff Organization Board of Directors, Board member, 2025\u20132027, outside the submitted work. R. Passera reports participation on a Data Safety Monitoring Board or Advisory Board as Member of the Data Safety Monitoring Board for the clinical trial \u2018Consolidation with ADCT-402 (loncastuximab tesirine) after immunochemotherapy: a phase II study in BTKi-treated\/ineligible Relapse\/Refractory Mantle Cell Lymphoma (MCL) patients\u2019 Fondazione Italiana Linfomi (FIL), Alessandria (Italy) (no payment received); and leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid as member of the European Society for Blood and Marrow Transplantation Statistical Committee, Paris (France), member of the FIL Statistical Committee, Fondazione Italiana Linfomi, Alessandria (Italy), and past member 2020-2023 (biostatistician) of the Institutional Review Board (IRB)\/IEC Comitato Etico AO SS. Antonio e Biagio Alessandria-ASL AL-VC (Italy) (all no payment received), outside the submitted work. B.K.K.S. reports support for the present manuscript from Siksha \u2018O\u2019 Anusandhan (Deemed to be University) (payment of doctoral fellowship to B.K.K.S.). S. Saleem reports support for the present manuscript from Health Services Academy, Islamabad, Pakistan; and payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from Health Services Academy, Islamabad, Pakistan, outside the submitted work. N.S. reports consulting fees from Genome BC (grant reviewer; peer-review fees); support for attending meetings and\/or travel from the World Endometriosis Society, the European Society of Human Reproduction and Embryology, the Society for Endometriosis and Uterine Disorders and the International Society of Ultrasound in Obstetrics and Gynecology (travel reimbursement to attend annual meetings); and leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid with Ultrasound in Obstetrics and Gynecology (trainee editor) and European Society of Human Reproduction and Embryology (junior deputy special interest group Reproductive Endocrinology; Journal Club Editorial Team), and the World Endometriosis Society (early career ambassador) outside the submitted work. M. Sharma reports support for a previous manuscript\n                      91\n                      (article processing fee waived). V. Sharma reports other financial or nonfinancial interests \u2014 V. Sharma acknowledges support from RUSA 2.0 grant and PAIR grant (ANRF\/PAIR\/2025\/000006\/PAIR) from ANRF at Department of Forensic Science (Formerly Institute of Forensic Science and Criminology), Panjab University, Chandigarh (India), outside the submitted work. V. Shivarov reports payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from MSD, Novartis, Johnson and Johnson (lecturing honoraria; unrelated to this work); support for attending meetings and\/or travel from AstraZeneca (travel grant; unrelated to this work); patents planned, issued or pending with Bulgarian patent office (one patent on COVID-19; unrelated to this work); and other financial or nonfinancial interests from ICON (salary), outside the submitted work. J.A.S. reports consulting fees from ROMTech, Atheneum, Clearview Healthcare Partners, Yale University, Hulio, Horizon Pharmaceuticals\/DINORA, ANI\/Exeltis Pharmaceuticals USA, SOBI Pharmaceuticals, Crealta Pharmaceuticals, Fidia Pharmaceuticals, PK Med, Frictionless Solutions, Schipher, Medisys, Two Labs, Adept Field Solutions, Clinical Care Options, Putnam Associates, Focus Forward, Navigant Consulting, Spherix, MedIQ, Jupiter Life Science, UBM (London, UK), Trio Health, Medscape, WebMD and Practice Point communications; the National Institutes of Health; and the American College of Rheumatology (consultant fees paid to J.A.S. for each entity); payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events \u2014 J.A.S. is on the speaker\u2019s bureau of Simply Speaking (J.A.S. previously served as a Consultant and consultant fees were paid to J.A.S.); support for attending meetings and\/or travel as Past steering committee member of OMERACT (J.A.S. previously received support from the organization to attend their meeting every 2 years); participation on a Data Safety Monitoring Board or Advisory Board with US Food and Drug Administration Arthritis Advisory Committee (J.A.S. served previously as a member; no financial support); leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid as past steering committee member of the OMERACT, an international organization that develops measures for clinical trials and receives arm\u2019s length funding from 12 pharmaceutical companies (J.A.S. previously received support from the organization to attend their meeting every 2 years); and stock or stock options in Atyr Pharmaceuticals, Atai Life Sciences, Kintara Therapeutics, Intelligent Biosolutions, Acumen Pharmaceutical, TPT Global Tech, Vaxart Pharmaceuticals, Atyu Biopharma, Adaptimmune Therapeutics, GeoVax Labs, Pieris Pharmaceuticals, Enzolytics, Seres Therapeutics, Tonix Pharmaceuticals Holding Corp., Aebona Pharmaceuticals, and Charlotte\u2019s Web Holdings (J.A.S. owns stock options) and J.A.S. previously owned stock options in Amarin, Viking and Moderna Pharmaceuticals (J.A.S. owned stock options in these companies previously), outside the submitted work. C.S.T. reports grants or contracts from Canadian Institutes of Health Research, Cystic Fibrosis Canada, Cystic Fibrosis Foundation, from Canada Foundation for Innovation and from New Frontiers in Research Fund; and support for attending meetings and\/or travel from the Cystic Fibrosis Foundation, outside the submitted work. D.T. reports payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from AstraZeneca, Eli Lilly and Novo Nordisk; participation on a Data Safety Monitoring Board or Advisory Board with Novo Nordisk; and leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid with European Association for the Study of Diabetes Committee on Clinical Affairs and European Association for the Study of Diabetes Early Career Academy, outside the submitted work. R. Wang reports grants or contracts from 5T32CA057711, outside the submitted work. S. Winarni reports leadership or fiduciary role in other board, society, committee or advocacy group, paid or unpaid with The Indonesian Doctors Association (who will support and disseminate research results, where they can influence regional policies), outside the submitted work. G.Z. reports support for the present manuscript from Italian Ministry of Health (through the contribution given to the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste - Italy). The remaining authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Ethics"}}]}}