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48; p less then 0.001) and tweets (2013, 1.84; 2015, 6.68; 2017, 27.8; p less then 0.001), reaching a larger readership via Twitter (2013, 4,210; 2015, 19,300; 2017, 66,800; p less then 0.001). Log-transformed Altmetric scores were correlated with log-transformed citations for articles published in 2017 (rs=0.40; p=0.02). On multivariable analysis, tweets (OR 1.27 [95%CI 1.01-1.61]; p=0.044) and mentions by news outlets (OR 30.49 [95%CI 4.03-230.16]; p=0.001) were predictive of high Altmetric scores. Conclusions This longitudinal analy