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G\u00f6bel, Maximilian Zimmermann, Axel Heinze, Katja Heinze-Kuhn, Anna Cirkel and Hartmut G\u00f6bel declare that they have no competing interests related to this work.","order":1,"name":"Ethics","label":"Conflict of Interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol and data protection concept were reviewed by the Ethics Committee of Kiel University (Reference No. D 540\/26). Following review under \u00a715 of the Professional Code of Conduct of the Medical Association of Schleswig\u2013Holstein, the Committee concluded that there were no ethical or professional objections to conducting the study. The Committee further acknowledged that the study exclusively analysed publicly available data and that all material was fully anonymised prior to analysis. Formal ethics approval requiring informed consent was therefore not required. Patient consent was waived because this study analysed fully anonymised, publicly available social media data without interaction with participants.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}