Aboul-Fettouh Nader, Lee Kevin P, Kash Natalie, Kroger Kathleen, Silapunt Sirunya
Dermatology, Mayo Clinic, Rochester, USA.
Dermatology, University of Texas McGovern Medical School at Houston, Houston, USA.
Cureus. 2023 Jan 12;15(1):e33720. doi: 10.7759/cureus.33720. eCollection 2023 Jan.
Reddit, a popular social media website, has numerous forums where users may discuss healthcare-related topics and request diagnostic and treatment advice for dermatologic conditions. We sought to analyze and grade user-submitted requests for dermatologic advice and their top responses on Reddit.
User-submitted posts requesting diagnostic advice and their respective responses on two popular Reddit forums, SkinCareAddiction (ScA) and DermatologyQuestions (DQ), were reviewed by three board-certified dermatologists using a grading rubric designed for this study.
300 posts and comments were reviewed. Diagnoses among all graders matched in 52.3% of posts with a mean grader confidence score of 4/5 (95% CI 3.89-4.11). 31% of responder's comments recommended a diagnosis not included by any reviewer. Mean scores for the top comment's accuracy, appropriateness, and potential to be misleading/dangerous were 3.28/5 (95% CI 3.12-3.45), 3.3/5 (95% CI 3.14-3.45), and 2.33/5 (95% CI 2.18-2.48), respectively.
Reddit may be informative to patients requesting dermatologic advice. However, responses should be taken with caution as the information provided may be inaccurate or insufficient for treatment recommendations. Dermatologists should be aware of these resources used by patients.
Reddit是一个广受欢迎的社交媒体网站，有众多论坛，用户可以在上面讨论与医疗保健相关的话题，并就皮肤病问题寻求诊断和治疗建议。我们试图分析并对用户在Reddit上提交的皮肤病建议请求及其最佳回复进行评分。
三位获得委员会认证的皮肤科医生使用为本研究设计的评分标准，对在两个热门Reddit论坛“护肤成瘾”（ScA）和“皮肤科问题”（DQ）上用户提交的寻求诊断建议的帖子及其各自的回复进行了审查。
共审查了300个帖子和评论。在所有评分者中，52.3%的帖子诊断结果一致，评分者的平均信心得分为4/5（95%置信区间3.89 - 4.11）。31%的回复者评论推荐了任何审查者都未提及的诊断。最佳评论的准确性、适当性以及误导性/危险性的平均得分分别为3.28/5（95%置信区间3.12 - 3.45）、3.3/5（95%置信区间3.14 - 3.45）和2.33/5（95%置信区间2.18 - 2.48）。
Reddit对于寻求皮肤病建议的患者可能具有参考价值。然而，由于所提供的信息可能不准确或不足以用于治疗建议，因此对回复应谨慎对待。皮肤科医生应了解患者使用的这些资源。
