Leite, Ana Kober https://orcid.org/0000-0001-7814-757X
Saito, Kelly Cristina https://orcid.org/0000-0001-6397-6754
Theodoro, Thérèse Rachell https://orcid.org/0000-0003-0498-2622
Pasini, Fátima Solange https://orcid.org/0000-0002-0361-7781
Alves, Venâncio Avancini Ferreira
Kowalski, Luiz Paulo https://orcid.org/0000-0001-5865-9308
Pinhal, Maria Aparecida Silva https://orcid.org/0000-0003-4001-1663
Menderico, Gilberto Mendes Junior https://orcid.org/0000-0001-7281-4044
Kimura, Edna Teruko https://orcid.org/0000-0001-8403-4459
Matos, Leandro Luongo https://orcid.org/0000-0002-5068-8208
Funding for this research was provided by:
Faculdade Israelita De Ciências Da Saúde Albert Einstein
Article History
Received: 19 August 2025
Accepted: 28 October 2025
First Online: 9 March 2026
Declarations
: During the preparation of this work, the author(s) used ChatGPT (OpenAI) to assist with language refinement, grammar correction, and formatting of scientific writing. After using this tool, the author(s) reviewed and edited the content as needed and take full responsibility for the content of the publication.
: The project was approved by the Institutional Review Board (IRB; CAAE number 44997215.1.0000.0065).
: All patients who were being followed up at the institution’s outpatient clinic completed the Informed Consent Form (ICF) at the time of their usual outpatient appointment. The IRB waived the requirement of the ICF for patients who died.
: The authors declare no competing interests.