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To address this issue, the MG-CFA in the first step can be replaced with the multilevel confirmatory factor analysis (ML-CFA) using Bayesian estimation, which is more robust to small sample sizes (for details, see Zhao et al., 2025)

There was no additional subdivision in the group of diabetic patients with PAD in that study, and no data about the severity and duration of diabetes

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Dec 8 2023;doi:10.1136/tc-2023-058128 Smith TT, Nahhas GJ, Borland R, et al