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Article History

Received: 29 January 2025

Accepted: 21 January 2026

First Online: 9 February 2026

Declarations

:

: This study was conducted in accordance with the principles of the Declaration of Helsinki. All participants provided their informed consent prior to contributing to the SWOT analysis.This study did not involve patient participation and was limited to collecting the personal perspectives of the research team members. As such, it was not considered to fall under the Dutch Medical Research Involving Human Subjects Act (WMO) and considered exempt from ethical review. In the Netherlands -where the research was conducted– only studies involving human subjects are subject to the Medical Research Involving Human Subjects Act (WMO) when there is a risk of compromising the physical and/or psychological integrity of participants. As our study does not aim to generate generalisable medical knowledge and does not involve medical interventions, invasive procedures or imposed behaviour, it falls outside the scope of research requiring ethical review under Dutch law. The Dutch WMO does not offer a definition of the term medical-scientific research. The Dutch Central Committee on Human Research (CCMO, which executes the WMO) has clarified in a memorandum, “Definition of medical research”, that ethical review is only required for medical studies, and defines medical research as “research that aims to answer a question in the field of disease and health (including aetiology, pathogenesis, concomitants, diagnosis, prevention, prognosis, or treatment of disease) through the systematic collection and analysis of data, with the intent to contribute to medical knowledge that applies to populations beyond the study population itself” (CCMO “Definition of Medical Research”, 2005).

: Not applicable.

: The authors declare no competing interests.