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Authors
Moreno, Manuel A. https://orcid.org/0000-0002-9813-6912
Vidal-Alaball, Josep https://orcid.org/0000-0002-3527-4242
Saez, Marc https://orcid.org/0000-0003-1882-0157
Barceló, Maria A. https://orcid.org/0000-0001-9720-690X
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Funding
Funding for this research was provided by:
Departament de Salut, Generalitat de Catalunya (SLT021/21/000002, SLT021/21/000002, SLT021/21/000002, SLT021/21/000002)
Agència de Gestió d'Ajuts Universitaris i de Recerca (DI 2021)
Universitat de Girona
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Article History
Received: 29 March 2025
Accepted: 11 May 2025
First Online: 26 May 2025
Declarations
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: The authors declare no competing interests. The manuscript is an original contribution that has not been published before, whole or in part, in any format, including electronically. All authors will disclose any actual or potential conflicts of interest including any financial, personal, or other relationships with other people or organizations that could inappropriately influence or be perceived to influence their work.
: Data usage from the Information System for Research in Primary Care (Sistema d’Informació per al Desenvolupament de la Investigació en Atenció Primària (SIDIAP)) is authorised by the Catalan Health Institute (Institut Català de la Salut, ICS) and the Data Analysis Program for Health Research and Innovation (PADRIS, as it is known by its acronym in Spanish acronym). These public organisations ensure the protection of individuals’ privacy through pseudo-anonymisation of the data. For linking with other public data sources, ICS or PADRIS serve as trusted third parties (TTPs) to perform the linkage process and provide the newly pseudo-anonymised dataset. In cases where access to personal data requires patient consent, the same TTPs are involved. SIDIAP does not provide re-identifiable information, implementing measures such as aggregations and deletions to maintain pseudo-anonymisation. All data management adheres to legal requirements, including the General Data Protection Regulation (EU) 2016/679 and Organic Law 3/2018 of 5 December, which safeguards personal data and digital rights. Secure servers were used for data storage, ensuring compliance with these regulations.
: As patient data extracted from the database were irreversibly pseudonymised and due to the retrospective nature of the study, the need to obtain informed consent was waived by the Ethics Committees of Fundació Institut Universitari per a la Investigació en Atenció Primària de Salut Jordi Gol i Gurina.
: Not applicable.
: During the writing of the article the authors have not used any type of AI and AI-assisted technologies.
