{
  "id": "SCR-LIP-000292",
  "statement": "In a Swiss cohort of 381 lipedema patients, pain was reported by 87.9% (high pain BPI≥7 in 14.2%) and high fatigue (FSS≥4) in 56.1%, but rheumatic comorbidities and chronic-pain-specific conditions such as fibromyalgia were not separately quantified, and joint hypermobility (Beighton≥5) was present in only 4.2%.",
  "statement_pt": "Em uma coorte suíça de 381 pacientes com lipedema, dor foi relatada por 87,9% (dor alta BPI≥7 em 14,2%) e fadiga alta (FSS≥4) em 56,1%, mas comorbidades reumáticas e condições específicas de dor crônica como fibromialgia não foram quantificadas separadamente, e hipermobilidade articular (Beighton≥5) esteve presente em apenas 4,2%.",
  "claim_type": "clinical_association",
  "context": {
    "population": "—",
    "condition": "lipedema",
    "exposure": "—",
    "comparator": "—",
    "outcome": "—",
    "scope": "auto-ingested from Layer 1 surveillance"
  },
  "knowledge_state": "emerging",
  "evidence_confidence": "low",
  "evidence": [
    {
      "ref": "DOI:10.1371/journal.pone.0319099",
      "stance": "context",
      "study_design": "cross_sectional",
      "n": null,
      "risk_of_bias": "unknown",
      "grade": "low",
      "year": 2025,
      "amato_authored": false,
      "note": "The article documents high prevalence of pain and fatigue and includes a rheumatic comorbidity category, but does not specifically report fibromyalgia or other defined chronic-pain conditions, so it provides only contextual symptom data rat"
    }
  ],
  "relations": [],
  "gaps": "Auto-ingested single source; not yet human-reviewed.",
  "primary_amato_source": null,
  "curators": [],
  "provenance": {
    "auto": true,
    "engine": "anthropic/claude-opus-4.8",
    "question": "SQ-LIP-000008",
    "source": "library",
    "ingested": "2026-05-31"
  },
  "created": "2026-05-31",
  "updated": "2026-05-31",
  "history": [
    {
      "date": "2026-05-31",
      "event": "created",
      "detail": "auto-ingested for SQ-LIP-000008"
    }
  ],
  "license": "CC-BY-4.0",
  "answers_questions": [
    {
      "id": "SQ-LIP-000008",
      "role": "context",
      "question": "Is lipedema associated with fibromyalgia and other chronic-pain conditions?",
      "url": "https://scientificclaims.org/q/SQ-LIP-000008.html"
    }
  ],
  "url": "https://scientificclaims.org/c/SCR-LIP-000292.html"
}