{
  "id": "SCR-LIP-000009",
  "statement": "The Brazilian Portuguese lipedema symptoms questionnaire (QuASiL) was translated, culturally adapted and validated, showing high comprehension and symptom-intensity scores that correlate with limb volume by segmental bioimpedance.",
  "statement_pt": "O questionário brasileiro de sintomas do lipedema (QuASiL) foi traduzido, adaptado e validado, com alta compreensão e escores de intensidade que se correlacionam com o volume dos membros por bioimpedância segmentar.",
  "claim_type": "definitional",
  "context": {
    "population": "Brazilian women with and without lipedema",
    "condition": "lipedema",
    "exposure": "QuASiL questionnaire",
    "comparator": "segmental bioimpedance volume",
    "outcome": "comprehension and symptom-volume correlation",
    "scope": "instrument validation"
  },
  "knowledge_state": "emerging",
  "evidence_confidence": "low",
  "evidence": [
    {
      "ref": "DOI:10.1590/1677-5449.200049",
      "stance": "supporting",
      "study_design": "validation",
      "n": 154,
      "risk_of_bias": "moderate",
      "year": 2020,
      "amato_authored": true,
      "note": "96.4% comprehension; symptom intensity correlated with limb volume"
    }
  ],
  "relations": [
    {
      "type": "contextualizes",
      "target_hint": "symptom assessment instrument"
    }
  ],
  "gaps": "Validated as a symptoms scale, not a diagnostic criterion.",
  "primary_amato_source": "DOI:10.1590/1677-5449.200049",
  "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-000004",
      "role": "supporting",
      "question": "Is lipedema underdiagnosed, and can screening tools help identify it?",
      "url": "https://scientificclaims.org/q/SQ-LIP-000004.html"
    }
  ],
  "url": "https://scientificclaims.org/c/SCR-LIP-000009.html"
}