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No informed consent was required from patients since the database is anonymized and this institutional review board approval was not required. We confirm that we have read the Journal\u2019s position on issues involved in ethical publication and affirm that this work is consistent with those guidelines. Not applicable since no direct access to patients was necessary for this research.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Not applicable since no direct access to patients was necessary for this research. Data used in this paper are freely available.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for participation and publication"}},{"value":"JLM is the Chairman of the Scientific Council of the French Association for Thermal Research from December 2022 and CEB was the former General Delegate of the Conseil National des Etablissements Thermaux (CNETh). The authors declare that there are no other conflicts of interest relevant to this work.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial registration"}},{"value":"The author declares that there are no additional disclosures to report.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}},{"value":"The author confirms that the principal investigator for this paper is Professor Jean-Louis Montastruc. No direct clinical responsibility for patients was needed since the work was performed using the OPEN SNDS database.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Principal investigator"}}],"article-number":"186"}}