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Our study was approved by the St James Hospital\u2019s institutional review board (TUH\/SJH REC Project ID: 0291) and by Dublin City University Research Ethics Committee, Dublin, Ireland (DCUREC\/2021\/118). The requirement for informed consent was waived by the Ethics Committee of St James Hospital\u2019s institutional review board because of the retrospective nature of the study and was also considered unnecessary according to national regulations at the time of the research. All methods were carried out in accordance with relevant guidelines and regulations, and in line with the ethical principles of the WMA Declaration of Helsinki (as amended in 2024), with strict safeguards to ensure patient confidentiality and privacy.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"391"}}