XQZ, YW and HXW conceived, led and designed this research. MFG, XSC, SSL, WLZ, JMH, and QLY collected data. QHX provided methodological consultation and checked the overall quality. All authors contributed to the conception and editorial changes in the manuscript. All authors read and approved the final manuscript. All authors have participated sufficiently in the work and agreed to be accountable for all aspects of the work.

The study was carried out in accordance with the guidelines of the Declaration of Helsinki and approved by the Ethics Committee of the First Affiliated Hospital of Ningbo University (the First Affiliated Hospital of Ningbo University Ethics Review 2022 Research No.017A). All the participants voluntarily agreed to participate in the study and signed the informed consent form.

This study was supported by the Medical Health Science and Technology Project of Zhejiang Provincial Health Commission (2023KY1069), the Ningbo Public Welfare Plan Project (2023S051) and the Cixi Public Welfare Plan Project (CN2022014).

The authors declare no conflict of interest.