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Authors
Cruz, Vitor Alves
de Albuquerque, Cleandro Pires
Gomides, Ana Paula Monteiro
Vargas Santos, Ana Beatriz
Pugliesi, Alisson Aliel Vigano
Júnior, Paulo Louzada
Giorgi, Rina Dalva Neubarth
Radominski, Sebastião Cezar
Guimarães, Maria Fernanda Brandão Resende
Bonfiglioli, Karina Rossi
de da Sauma, Maria de Fátima Lobato da Cunha
Pereira, Ivânio Alves
Brenol, Claiton Viegas
da Mota, Licia Maria Henrique
Pinheiro, Geraldo da Rocha Castelar
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Article History
Received: 13 September 2025
Accepted: 11 August 2026
First Online: 24 August 2026
Declarations
Ethics approval and consent to participate: The REAL study was approved by the National Commission of Ethics in Research (Comissão Nacional de Ética em Pesquisa – CONEP), under the Ministry of Health of Brazil, and by the Institutional Review Boards of all participating centers. All procedures were conducted in accordance with the Declaration of Helsinki. Written informed consent was obtained from all participants prior to study enrollment.
Consent to participate: All participants provided written informed consent prior to inclusion in the study.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.
