{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T11:01:48Z","timestamp":1793012508159,"version":"4.5.0"},"reference-count":117,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract Lipedema, historically underrecognized, has recently gained attention due to advancements in research and growing public awareness. The Brazilian Consensus Statement on Lipedema, developed by the Brazilian Society of Angiology and Vascular Surgery, aims to establish clear recommendations for the diagnosis, treatment, and management of lipedema. Using the Delphi methodology, experts elaborated 90 statements about lipedema, which were then evaluated by a panel of 113 professionals. The statements were analyzed using SurveyMonkey, with a 75% agreement threshold required for their inclusion in the consensus statement. Most statements achieved significant consensus, with only 9 topics requiring further investigation. This consensus statement highlights the complexity of lipedema, the effectiveness of conservative treatment over surgery, the need for multidisciplinary approaches, and the importance of awareness to reduce underdiagnosis and stigma. It also underscores the ongoing need for research to develop more effective management strategies.<\/jats:p>","DOI":"10.1590\/1677-5449.202301832","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T16:40:25Z","timestamp":1739292025000},"source":"Crossref","is-referenced-by-count":12,"title":["Brazilian Consensus Statement on Lipedema using the Delphi methodology"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4008-4029","authenticated-orcid":false,"given":"Alexandre Campos Moraes","family":"Amato","sequence":"first","affiliation":[{"name":"Sociedade Brasileira de Angiologia e de Cirurgia Vascular,  Brasil; Amato \u2013 Instituto de Medicina Avan\u00e7ada,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4148-3577","authenticated-orcid":false,"given":"Ana Paula Rolim Maia","family":"Peclat","sequence":"additional","affiliation":[{"name":"Sociedade Brasileira de Angiologia e de Cirurgia Vascular,  Brasil; Faculdade Souza Marques,  Brasil; Cl\u00ednica Peclat,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2203-0583","authenticated-orcid":false,"given":"Rodrigo","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Sociedade Brasileira de Angiologia e de Cirurgia Vascular,  Brasil; Santa Casa de S\u00e3o Paulo,  Brasil; Instituto de Excel\u00eancia Vascular,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7318-9260","authenticated-orcid":false,"given":"Antonio Carlos de","family":"Souza","sequence":"additional","affiliation":[{"name":"Sociedade Brasileira de Angiologia e de Cirurgia Vascular,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana Thalyta Bertolin","family":"Silva","sequence":"additional","affiliation":[{"name":"Sociedade Brasileira de Angiologia e de Cirurgia Vascular,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1968-8564","authenticated-orcid":false,"given":"Roney Hans Prager de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Sociedade Brasileira de Angiologia e de Cirurgia Vascular,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3295-1236","authenticated-orcid":false,"given":"Daniel Augusto","family":"Benitti","sequence":"additional","affiliation":[{"name":"Sociedade Brasileira de Angiologia e de Cirurgia Vascular,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1504-8763","authenticated-orcid":false,"given":"Julio Cesar Peclat de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Sociedade Brasileira de Angiologia e de Cirurgia Vascular,  Brasil; Cl\u00ednica Peclat,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","first-page":"184","article-title":"Lipedema of the legs: a syndrome characterized by fat legs and orthostatic edema","volume":"15","author":"Allen EV","year":"1940","journal-title":"Proc Staff Meet Mayo Clin"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1097\/00006534-196409000-00010","article-title":"Trochanteric Lipodystrophy","volume":"34","author":"Pitanguy I","year":"1964","journal-title":"Plast Reconstr Surg"},{"key":"ref3","first-page":"25","article-title":"C\u00e2nones da beleza","volume":"1","author":"Moraes IN","year":"2003","journal-title":"Rev Cultura e Saude."},{"key":"ref4","article-title":"Preval\u00eancia e fatores de risco para lipedema no Brasil","volume":"21","author":"Amato ACM","year":"2022","journal-title":"J Vasc Bras"},{"key":"ref5","series-title":"Liposuction for the treatment of lipedema: a review of clinical effectiveness and guidelines.","author":"Peprah K","year":"2019"},{"key":"ref6","series-title":"The Delphi method: an experimental study of group opinion.","author":"Dalkey NC","year":"1969"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1177\/0890334409333679","article-title":"Do we agree? 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