Ethics approval and consent to participate
This study was conducted in accordance with the Declaration of Helsinki. The study protocol was approved by the Clinical Research Ethics Committee of the Marmara University Faculty of Medicine (approval no: 09.2021.725). All participants provided their written informed consent, having been informed of the study’s purpose, methods, potential benefits, and risks. Their rights to confidentiality and privacy were ensured, with all data being anonymized and personal identifiers removed.