{
  "id": "SCR-LIP-000005",
  "statement": "In women undergoing venous ultrasound, dermal/subcutaneous thickness measurements at the pre-tibial region, anterior thigh and lateral leg can distinguish clinically diagnosed lipedema from non-lipedema in the lower limbs.",
  "statement_pt": "Em mulheres submetidas a ultrassom venoso, medidas de espessura dérmica/subcutânea na região pré-tibial, coxa anterior e perna lateral distinguem lipedema clinicamente diagnosticado de não-lipedema nos membros inferiores.",
  "claim_type": "diagnostic",
  "context": {
    "population": "adult women undergoing venous ultrasound",
    "condition": "lipedema",
    "exposure": "ultrasound thickness measurement",
    "comparator": "clinical diagnosis (reference)",
    "outcome": "discrimination lipedema vs non-lipedema",
    "scope": "lower limbs, single-center Brazil"
  },
  "knowledge_state": "emerging",
  "evidence_confidence": "low",
  "evidence": [
    {
      "ref": "DOI:10.1177/02683555211002340",
      "stance": "supporting",
      "study_design": "cross_sectional",
      "n": 89,
      "risk_of_bias": "moderate",
      "year": 2021,
      "amato_authored": true,
      "note": "two blinded examiners; ROC cutoffs; pre-tibial best discriminator"
    }
  ],
  "relations": [
    {
      "type": "diagnoses",
      "target_hint": "ultrasound diagnosis"
    }
  ],
  "gaps": "Single-center convenience sample; cutoffs not externally validated.",
  "primary_amato_source": "DOI:10.1177/02683555211002340",
  "curators": [
    {
      "name": "Alexandre C. M. Amato",
      "orcid": "0000-0003-4008-4029",
      "role": "lead_curator"
    }
  ],
  "created": "2026-05-30",
  "updated": "2026-05-30",
  "license": "CC-BY-4.0",
  "answers_questions": [
    {
      "id": "SQ-LIP-000003",
      "role": "supporting",
      "question": "Can ultrasound diagnose or classify lipedema?",
      "url": "https://scientificclaims.org/q/SQ-LIP-000003.html"
    }
  ],
  "url": "https://scientificclaims.org/c/SCR-LIP-000005.html"
}