{
  "id": "SCR-LIP-000049",
  "statement": "Comprehensive management of lipedema requires a multidisciplinary team (e.g., vascular surgery, endocrinology, orthopedics, plastic surgery, physiotherapy, nutrition, psychiatry/psychology and gynecology) addressing both physical and mental health.",
  "statement_pt": "O manejo abrangente do lipedema requer equipe multidisciplinar (ex.: cirurgia vascular, endocrinologia, ortopedia, cirurgia plástica, fisioterapia, nutrição, psiquiatria/psicologia e ginecologia), abordando saúde física e mental.",
  "claim_type": "therapeutic",
  "context": {
    "population": "patients with lipedema",
    "condition": "lipedema",
    "exposure": "multidisciplinary team care",
    "comparator": "single-specialty management",
    "outcome": "comprehensive management",
    "scope": "care model (consensus)"
  },
  "knowledge_state": "probable",
  "evidence_confidence": "low",
  "evidence": [
    {
      "ref": "DOI:10.1590/1677-5449.202301832",
      "stance": "supporting",
      "study_design": "consensus",
      "n": 113,
      "risk_of_bias": "moderate",
      "year": 2025,
      "amato_authored": true,
      "note": "consensus agreement 4.48 (multidisciplinary care essential) and 4.66 (complex disease requiring multidisciplinary treatment), level B"
    }
  ],
  "relations": [
    {
      "type": "treats",
      "target_hint": "multidisciplinary management"
    }
  ],
  "gaps": "Care-model recommendation from expert consensus; not validated against single-specialty management in a trial.",
  "primary_amato_source": "DOI:10.1590/1677-5449.202301832",
  "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-000015",
      "role": "supporting",
      "question": "What is the recommended overall management of lipedema?",
      "url": "https://scientificclaims.org/q/SQ-LIP-000015.html"
    }
  ],
  "url": "https://scientificclaims.org/c/SCR-LIP-000049.html"
}