Santos, Alex Mauricio Garcia https://orcid.org/0000-0002-7472-041X
Coimbra, Eliane Campos https://orcid.org/0000-0003-2419-2636
Figueiredo, Jakson Gomes https://orcid.org/0009-0007-8715-9354
de Menezes Feitosa, João Vitor Alves https://orcid.org/0009-0002-3801-8145
Guedes, Diego Lins https://orcid.org/0000-0002-1907-315X
Article History
Received: 24 March 2026
Accepted: 18 May 2026
First Online: 2 June 2026
Declarations
:
: The present study was conducted in accordance with the ethical principles established in the Declaration of Helsinki and the guidelines of Resolution No. 466/12 of the Brazilian National Health Council and was formally approved by the Research Ethics Committee of Hospital Universitário Oswaldo Cruz, Universidade de Pernambuco, Recife, Pernambuco, Brazil (Protocol Number 5638250, Certificate of Presentation for Ethical Appreciation: 61093422.0.0000.5192). Due to the retrospective nature of the study, which used de-identified secondary data extracted from medical records, the requirement for informed consent was waived by the Research Ethics Committee of Hospital Universitário Oswaldo Cruz, Universidade de Pernambuco, Recife, Pernambuco, Brazil. All data were handled with absolute confidentiality to ensure patient privacy.
: The authors confirm that the manuscript does not contain any individual’s data in any form, making Consent for Publication not applicable.
: The authors declare no competing interests.