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Article History

Received: 28 January 2026

Accepted: 8 June 2026

First Online: 27 June 2026

Declarations

:

: The study was conducted in accordance with the Declaration of Helsinki, and approved by the Ethics Committee of CUF (CES n. º 10/2024/47600232, Approval Date 07 January 2025). The requirement for informed consent was waived by the Committee because the research involved analysis of deidentified clinical and administrative records, posed no more than minimal risk, and obtaining individual consent was not practicable.

: Not applicable.

: C.A., M.O. and S.L. are professionally affiliated with CUF – José de Mello Saúde. The institution provided access to deidentified clinical and administrative records and had no role in study design, data collection, analysis or interpretation, manuscript preparation, or the decision to submit for publication. J.P. declares no competing interests. The authors declare no other competing interests.