Álvaro de la Parra, Juan Antonio
Arcos, Javier
Pfang, Bernadette
Braithwaite, Jeffrey
Bernabéu, Carmelo
Cristóbal, Ion https://orcid.org/0000-0003-0234-4213
Caramés, Cristina https://orcid.org/0000-0002-5748-7628
Article History
Received: 26 May 2025
Accepted: 11 September 2026
First Online: 16 September 2026
Declarations
Ethics approval and consent to participate: The study was reviewed and received formal exemption from the Fundación Jiménez Díaz Institutional Research Ethics Board. Only anonymized, aggregated data from publicly available official sources were included, which waives the need for informed consent.
Consent for publication: Not applicable.
Competing interests: BP and IC are employees of Quirónsalud Healthcare Network, and JA, JAÁdlP and CC hold management roles at the company. Although some authors work for the company where the study was conducted, the analysis plan was pre-specified, data extraction followed standardized protocols, analyses were performed independently, and there was no marketing intent or justification for funding in the interpretation of the results. Ethical waiver was obtained from the Research Ethics Committee of the Jiménez Díaz Foundation.