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There were 16 979 total posts, 8 in November and December 2010, 2478 in 2017, 3375 in 2018, and 908 in January and February 2019 ( Figure). All analyses adhered to Reddit’s terms and conditions, relied on existing public data with nonidentifiable participants, and were exempted by the University of California, San Diego human research protections program. R statistical software version 3.5.3 (R Foundation) was used to compute the percent of posts (with 95% CIs) that requested a primary or second-opinion crowd-diagnosis, contained an image of the physical signs, or received a reply, and the time to first reply from the random sample. Three authors (A.L.N., E.C.L., and J.W.A.) independently coded whether each post requested a crowd-diagnosis and if so, whether that request was made to obtain a second opinion after seeing a health care professional, using directed content analysis. To quantify the extent to which crowd-diagnosis occurred on r/STD, we drew a random sample of 500 posts.

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r/STD metadata, including the number of posts and time stamps, were described for the full sample. 6 We first obtained all posts from inception of the subreddit in November 2010 through February 2019. Reddit, a social media website with 330 million monthly active users that hosts more than 232 health forums, 5 includes a large subreddit (r/STD) that allows users to publicly share “stories, concerns and questions” about “anything and everything STD -related.” We selected r/STD because it focuses exclusively on a health topic of substantial public health concern.

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Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.

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Challenges in Clinical Electrocardiography.









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