Document is current

Article History

Received: 30 September 2024

Revised: 23 December 2024

Accepted: 17 January 2025

First Online: 27 February 2025

Declarations

:

: D. Pfeiffer, M. Olivieri, V. Lieftüchter, F. Hey and F. Hoffmann declare that the research was conducted without commercial or financial relationships that could be construed as a potential conflict of interest.

: All surveillance studies of the GPSU are based on a common study and data protection protocol. The local ethics committee of the Rhineland–Palatinate Medical Association and the state representative for data protection in Rhineland–Palatinate have approved this protocol. A waiver of written informed consent was granted by the Ethics Committee of the State Medical Association of Rhineland–Palatinate (number 2020-15400_1) and the state representative for data protection in Rhineland–Palatinate as participants were not subjected to any study-related procedures and data were collected in a completely anonymous form. All analysed data involving human participants were collected in accordance with the ethical standards outlined in the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. In addition to the general ethical approval of the GPSU, the study was approved by the data protection office and the ethics committee of the medical faculty of the Ludwig-Maximilians-University, Munich No. 641-16 (19-12-2016).