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.: 2023 Lun Shen No. 046) in accordance with the Declaration of Helsinki and the Belmont Report. Informed consent was obtained from all participants after explaining the study’s purpose, procedures, potential risks and benefits, and alternative treatment options. Participation in this study was entirely voluntary, and participants had the right to refuse or withdraw at any time without providing a reason. To protect participant privacy, all data were anonymized or deidentified.
J Med Internet Res 2025;27:e72021
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