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Article History

Received: 5 September 2023

Accepted: 23 April 2024

First Online: 8 May 2024

Change Date: 5 June 2024

Change Type: Update

Change Details: Presentation of Tables 2 and 3 were corrected.

Declarations

:

: Study methods were carried out following the Declaration of Helsinki and other relevant regulations and guidelines. Conditions are fulfilled under which the use of electronic health records for research purposes in the Netherlands is allowed. Under these conditions, neither informed consent from study subjects nor approval by a medical ethics committee is obligatory for this type of observational study, containing no directly identifiable data (art. 24 GDPR Implementation Act jo art. 9.2 sub j GDPR). To protect the privacy of individual patients, healthcare professionals, and providers such as hospitals and primary care practices, an agreement on the handling of data was signed by all researchers. In the privacy regulations for the Primary Care Database, Nivel states what data are collected, how they are managed and what the rights of registered participants are. General Data.

: Protection Regulation (GDPR) is adhered to. Steering committees with representatives from healthcare providers’ national associations take part in the decision-making process of the use of data (see for more information). This study was approved according to the governance code of the Nivel Primary Care Database under project number NZR-00321.059. The National Health Care Institute has a legal basis to process these health data, in accordance with the GDPR. Deidentified (claims) data is personal data according to the GDPR, but can’t be traced back to individual citizens. The National Health Care Institute uses the deidentified data for its legal tasks; no objection or individual complaint can be submitted.

: Not applicable.

: The authors declare no competing interests.