Pires, Lucas Castro https://orcid.org/0000-0002-6510-5925
Pugliesi, Alisson https://orcid.org/0000-0003-0444-738X
de Albuquerque, Cleandro Pires https://orcid.org/0000-0002-9245-7504
Cruz, Vitor Alves https://orcid.org/0000-0002-3073-2929
Bertolo, Manoel Barros https://orcid.org/0000-0002-0254-4330
Reis, Ana Paula Monteiro Gomides https://orcid.org/0000-0003-2884-2210
Giorgi, Rina Dalva Neubarth https://orcid.org/0000-0002-0921-1723
Pereira, Leticia Rocha https://orcid.org/0000-0002-9899-1695
Radominski, Sebastião Cezar https://orcid.org/0000-0001-6366-8401
Pereira, Ivanio Alves https://orcid.org/0000-0002-3910-4988
Guimarães, Maria Fernanda Resende https://orcid.org/0000-0003-3865-3739
Louzada Junior, Paulo https://orcid.org/0000-0003-2585-3870
da Cunha Sauma, Maria de Fátima Lobato https://orcid.org/0000-0003-0644-3139
Bonfiglioli, Karina Rossi https://orcid.org/0000-0003-3547-5674
Brenol, Claiton Viegas https://orcid.org/0000-0003-0229-7912
da Mota, Licia Maria Henrique https://orcid.org/0000-0002-8182-5121
Pinheiro, Geraldo da Rocha Castelar https://orcid.org/0000-0002-7778-569X
Funding for this research was provided by:
Sociedade Brasileira de Reumatologia
Article History
Received: 5 October 2025
Accepted: 23 February 2026
First Online: 13 March 2026
Declarations
:
: The study was approved by the National Research Ethics Committee of the Ministry of Health (number: 45781015810015259). Each center also obtained approval from their respective Research Ethics Committees. All participants provided written informed consent.
: Not applicable.
: The authors declare no financial or non‑financial competing interests related to this work. Cleandro Pires de Albuquerque, Lícia Maria Henrique da Mota, Ivânio Alves Pereira, Geraldo da Rocha Castelar Pinheiro, and Paulo Louzada Junior are members of the editorial board of Advances in Rheumatology. These roles did not influence the peer‑review process, editorial decision, or interpretation of this manuscript.