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About as accurate as any other Fermi Estimation
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Definitely ignore it for any short (under 1km) segments, especially if it's an uphill bit after a downhill. For example, look at the overall leaderboard of this segment:-
https://www.strava.com/segments/4020943/leaderboard?filter=overall
I know I didn't average 550W for 1:20 there.
Also, it's only as reliable as their elevation model, which can be wildly out in various places (so something that is actually downhill is shown on Strava as uphill, which completely screws their estimation, and vice versa).
gbj_tester
dbr
Greenbank
@J0nathan
How accurate is the power estimate on Strava?