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Each participant provided informed consent, and we obtained ethical approval from the Ethics Committee of Affiliated Hospital of Yangzhou University (2024-YKL09-K06). Clinical trial number: not applicable (this study only involves observational data analysis and does not qualify as a clinical trial).","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":"186"}}