Nygård, Kim https://orcid.org/0009-0006-3811-569X
Ryhänen, Riitta
Kortteenniemi, Aaron https://orcid.org/0000-0002-3042-8257
Järvinen, Kajsa
Vesikansa, Aino https://orcid.org/0000-0002-6386-9956
Mehtälä, Juha https://orcid.org/0000-0003-4088-8561
Koivusalo, Mirkka
Tirronen, Annakaisa
Asllanaj, Eralda https://orcid.org/0000-0002-7329-6194
Kaukua, Jarmo
Pakarinen, Sami https://orcid.org/0000-0002-5904-5954
Tuominen, Juha https://orcid.org/0000-0003-2727-8849
Funding for this research was provided by:
Boehringer Ingelheim Ky, Helsinki, Finland
Article History
Received: 16 February 2026
Accepted: 8 May 2026
First Online: 6 June 2026
Declarations
Conflict of Interest: Annakaisa Tirronen, Eralda Asllana, and Jarmo Kaukua are employees of Boehringer Ingelheim Ky and B.V. Aino Vesikansa, Mirkka Koivumäki, and Juha Mehtälä are employees of MedEngine Oy. Kim Nygård, Riitta Ryhänen, Aaron Kortteenniemi, Kajsa Järvinen, Sami Pakarinen, and Juha Tuominen have nothing to disclose. The authors meet the criteria for authorship as recommended by the ICMJE. The authors did not receive payment related to the development of the manuscript. Anniina Snellman, PhD, and Harlan Barker, MSc, of MedEngine Oy provided writing assistance, which was contracted and funded by Boehringer Ingelheim. Boehringer Ingelheim was given the opportunity to review the manuscript for medical and scientific accuracy as well as intellectual property considerations. The study was supported and funded by Boehringer Ingelheim.
Ethical Approval: This study was approved by the Finnish data Permit Authority, Findata. No ethics approval or informed consent from the patients included in the study cohort was required by the Finnish legislation (Act on the Secondary Use of Health and Social Data (552/2019) by the Ministry of Social Affairs and Health), as the persons were not contacted, and the study did not affect the treatment of patients. The study was conducted in accordance with the Helsinki Declaration of 1975, Good Pharmacoepidemiology Practices, and Data Protection Directive.