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On November 9th, 2021, the Central Denmark Region Committee on Health Research Ethics reviewed and deemed this study as a quality improvement study (request approval j.no: 204\/1-10-72-274-21). As such, the study was determined to be exempt from formal ethical approval under Danish regulations, as it falls within the scope of quality improvement rather than research requiring full ethical oversight. Clinical trial number: Not applicable. All participants were fully informed about the nature, purpose, and scope of the study. Verbal consent was obtained from all participants prior to their inclusion in the study. This approach was deemed appropriate given the minimal risk nature of the study and was conducted in accordance with the guidelines set forth by the Central Denmark Region Committee on Health Research Ethics. The confidentiality and privacy of participants were maintained throughout the study. 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