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Authors
de Oliveira Souza, Elaine Cristina https://orcid.org/0009-0008-8373-2958
do Nascimento, Julia Guedes Valentim https://orcid.org/0009-0008-8478-9753
Ota, Victor https://orcid.org/0000-0002-5339-6323
Cruz, Arthur Duarte Fantesia Costa https://orcid.org/0000-0002-9965-7330
da Costa, Caroline Alves https://orcid.org/0009-0004-2732-415X
de Oliveira, Ana Luiza Martins https://orcid.org/0000-0003-3562-5927
Escosteguy, Claudia Caminha https://orcid.org/0000-0003-0273-6911
Galliez, Rafael Mello https://orcid.org/0000-0003-0348-8374
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Funding
Funding for this research was provided by:
Universidade Federal Do Rio De Janeiro
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Article History
Received: 25 February 2026
Accepted: 5 May 2026
First Online: 18 May 2026
Declarations
:
: The authors declare no competing interests.
: Not applicable.
: The research ethics committee of the “Hospital Federal dos Servidores do Estado” approved the study, under protocol number 6.027.619, CAAE (submission for ethical review) 48749021.3.00005252, in accordance with Directive 466/2012 of the National Health Council [ ]. Informed consent was not required, as only de-identified and secondary data from the institution’s databases were used. Data were handled in de-identified form, and confidentiality was maintained throughout. Reporting follows STROBE guidelines, the completed checklist is provided in the appendix. The analysis code will be made publicly available, and de-identified data will be shared in accordance with the data-sharing statement.
: During the preparation of this work, the authors used ChatGPT Plus, version 5.2-Thinking (OpenAI San Francisco, CA, USA) for language editing (grammar, clarity, and adherence to formal academic register) and for translation from Brazilian Portuguese into English. After using this tool/service, the authors reviewed and edited the content as needed and take full responsibility for the final manuscript.
