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First, the relatively small sample size of participants and recruitment methods limit the generalizability of the findings beyond the studys specific population and context

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INTRODUCTION Lung cancer (LC) was the second most commonly diagnosed cancer and the leading cause of cancer death worldwide, with an estimated 2.2 million new cancer cases and 1.8 million deaths in 2020 1 , of which approximately 37.0% of new LC cases and 39.8% of deaths occurred in China 1

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