Franzén-Malmros, Michaela https://orcid.org/0009-0003-9801-9403
Daraiseh, Shrouq https://orcid.org/0009-0000-7976-4107
Schmauder, Stefanie
Akuze, Joseph https://orcid.org/0000-0001-8221-902X
Wanduru, Phillip https://orcid.org/0000-0001-5934-2505
Kandeya, Bianca https://orcid.org/0000-0002-8829-4618
Annerstedt, Kristi Sidney https://orcid.org/0000-0002-8798-4027
Agossou, Christian
Kidanto, Hussein
Pembe, Andrea Barnabas
Hanson, Claudia https://orcid.org/0000-0001-8066-7873
Sun, Sunjuri https://orcid.org/0000-0002-2746-1996
Funding for this research was provided by:
Karolinska Institute
Article History
Received: 16 January 2026
Accepted: 21 April 2026
First Online: 25 April 2026
Declarations
:
: This study was conducted in accordance with the ethical principles of the Declaration of Helsinki. The ALERT study was approved for research at Karolinska Institute by the Ethics Review Authority (diary number: 020-01587). It also received several country-specific ethical approvals, details of which can be found in its published study protocol [ ]. In consultation with all participating countries, informed consent was waived, as only routinely collected and abstracted clinical data were used for the study.
: Not applicable, as no identifiable personal information is included in this manuscript.
: The authors declare no competing interests.