borderline significantp = 0.026
Sensitivity analyses restricted to early-phase MPS measurements resulted in a pooled SMD of−0.354 (95% CI: −0.632 to −0.076; p = 0.013), whereas inclusion of late (± middle) phase measurements attenuated the pooled effect (SMD range: −0.265 to −0.227) but remained statistically significant or borderline significant (p = 0.026–0.050).