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Brazilian Consensus Statement on Lipedema using the Delphi methodology.

Alexandre Campos Moraes Amato1,2, Ana Paula Rolim Maia Peclat1,3,4, Rodrigo Kikuchi1,5,6

  • 1Sociedade Brasileira de Angiologia e de Cirurgia Vascular - SBACV, São Paulo, SP, Brasil.

Jornal Vascular Brasileiro
|February 14, 2025
PubMed
Summary
This summary is machine-generated.

This consensus statement provides expert recommendations for diagnosing and managing lipedema, emphasizing conservative treatments and multidisciplinary care to improve patient outcomes and reduce stigma.

Keywords:
consensuslipedemalymphoedemaobesity

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Area of Science:

  • Vascular Surgery
  • Dermatology
  • Medical Consensus

Background:

  • Lipedema is a chronic condition historically underrecognized, now gaining attention.
  • Growing public awareness and research advancements necessitate clear clinical guidelines.

Purpose of the Study:

  • To establish comprehensive recommendations for lipedema diagnosis, treatment, and management.
  • To consolidate expert opinion into a consensus statement for clinical practice.

Main Methods:

  • Delphi methodology employed to generate 90 expert statements on lipedema.
  • Evaluation of statements by 113 professionals using SurveyMonkey.
  • A 75% agreement threshold determined statement inclusion in the consensus.

Main Results:

  • Most statements achieved significant expert consensus.
  • Nine topics were identified for further research.
  • Conservative treatment efficacy and multidisciplinary approaches were highlighted.

Conclusions:

  • The consensus provides a framework for improved lipedema diagnosis and care.
  • Emphasis on conservative management and multidisciplinary teams is crucial.
  • Increased awareness is vital to combat underdiagnosis and stigma associated with lipedema.