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Article History

Received: 20 August 2025

Accepted: 20 January 2026

First Online: 23 February 2026

Declarations

:

: This study was conducted using publicly available and anonymized data obtained from the Brazilian Unified Health System (DATASUS). Therefore, formal ethical approval from a research ethics committee and a consent from individual participants were not required as the research did not involve direct contact with human subjects and all data were de-identified.

: Not applicable. The manuscript does not contain any individual person’s data in any form that could lead to identification.

: The authors declare no competing interests.