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. 2026 Feb 23;12:1656420. doi: 10.3389/fmed.2025.1656420

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Copyright © 2026 Gao, Li, Yu, Xu, Song, Liu, Wei and Liu.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Risk of bias assessment table for various studies, showing categories like randomization, interventions, and outcomes. Each study is rated as low risk (green plus), some concerns (yellow question mark), or high risk (red question mark). The table includes studies from 2005 to 2023, with overall ratings on the rightmost column. — Detailed quality assessment results. Cochrane ROB 2.0 tool was used; green = low risk, yellow = partial risk, red = high risk.