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Article History

Received: 4 November 2025

Accepted: 6 February 2026

First Online: 12 March 2026

Declarations

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: Julio Sosa has no conflicts to declare. The remaining authors (Carola Berking, Rafael Botella, Andrea Carugno, Giovanna Gambarelli, Josep Malvehy, Elvira Moscarella, Arianna Petracca, Gregorio Romero, Eggert Stockfleth, and Jose Luis Trillo Mata) received honorarium fees from Almirall S.A. for participating in qualitative interviews conducted as part of this research. The honorarium was provided as compensation for experts’ time and expertise and did not influence the content, analysis, or conclusions of the manuscript.

: This study is a non-interventional expert MCDA workshop with multidisciplinary professionals. It involves no intervention on human subjects, no administration of medicinal products or devices, and no collection of patient data; therefore, it falls outside the scope of clinical trial/device investigation requirements and is not human-subjects biomedical research. This non-interventional, survey-based study was conducted in accordance with the principles of the Declaration of Helsinki. All participants (clinicians, payers, and patients) provided informed consent before participation. The study involved no clinical procedures or collection of identifiable personal data. All participants signed a participation agreement (including data-processing terms) and informed consent, and the analysis dataset contains only aggregated/anonymized responses (contact/payment details are stored separately per the agreement and privacy notice). Given the absence of identifiable/sensitive data in the analytical dataset and the safeguards in place, formal IRB/REC review is not required.