{
  "id": "SCR-LIP-000366",
  "statement": "In a Swiss cohort of 381 lipedema patients classified by type (I-V) and stage (1-4), advanced stage correlated with age and BMI, but a Stemmer sign was positive in only 4.0% and validated questionnaire scores (HADS, BPI, FSS, SF-36) did not differ significantly between stages (p>0.5), revealing a dissociation between morphological stage and symptom burden.",
  "statement_pt": "Em uma coorte suíça de 381 pacientes com lipedema classificados por tipo (I-V) e estágio (1-4), o estágio avançado correlacionou-se com idade e IMC, mas o sinal de Stemmer foi positivo em apenas 4,0% e os escores de questionários validados (HADS, BPI, FSS, SF-36) não diferiram significativamente entre estágios (p>0,5), revelando uma dissociação entre o estágio morfológico e o ônus sintomático.",
  "claim_type": "clinical_association",
  "context": {
    "population": "—",
    "condition": "lipedema",
    "exposure": "—",
    "comparator": "—",
    "outcome": "—",
    "scope": "auto-ingested from Layer 1 surveillance"
  },
  "knowledge_state": "emerging",
  "evidence_confidence": "moderate",
  "evidence": [
    {
      "ref": "DOI:10.1371/journal.pone.0319099",
      "stance": "context",
      "study_design": "cohort",
      "n": null,
      "risk_of_bias": "unknown",
      "grade": "moderate",
      "year": 2025,
      "amato_authored": false,
      "note": "The article applies the standard type (I-V) and stage (1-4) classification systems and reports their clinical correlates, including a dissociation between morphological stage and symptoms and the diagnostic relevance of negative Stemmer sig"
    }
  ],
  "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-000022",
    "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-000022"
    }
  ],
  "license": "CC-BY-4.0",
  "answers_questions": [
    {
      "id": "SQ-LIP-000022",
      "role": "context",
      "question": "What clinical criteria and stage/type classification systems are used to diagnose and grade lipedema, and how reliable are they?",
      "url": "https://scientificclaims.org/q/SQ-LIP-000022.html"
    }
  ],
  "url": "https://scientificclaims.org/c/SCR-LIP-000366.html"
}