{"id":"https://openalex.org/W4386656901","doi":"https://doi.org/10.1093/eurpub/ckab165.304","title":"Tumescent liposuction for lipoedema: A systematic review of clinical effectiveness and safety","display_name":"Tumescent liposuction for lipoedema: A systematic review of clinical effectiveness and safety","publication_year":2021,"publication_date":"2021-10-01","ids":{"openalex":"https://openalex.org/W4386656901","doi":"https://doi.org/10.1093/eurpub/ckab165.304"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/ckab165.304","doi":"https://doi.org/10.1093/eurpub/ckab165.304","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckab165.304","pdf_url":"https://academic.oup.com/eurpub/article-pdf/31/Supplement_3/ckab165.304/40779346/ckab165.304.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/eurpub/article-pdf/31/Supplement_3/ckab165.304/40779346/ckab165.304.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083348629","display_name":"Melanie Walter","orcid":"https://orcid.org/0000-0003-3241-522X","observed_orcids":["https://orcid.org/0000-0003-3241-522X","https://orcid.org/0009-0001-3010-0729"]},"institutions":[{"id":"https://openalex.org/I4210104219","display_name":"Austrian Institute for Health Technology Assessment GmbH","ror":"https://ror.org/00v16df20","country_code":"AT","type":"nonprofit","lineage":["https://openalex.org/I4210104219"]}],"countries":["AT"],"is_corresponding":true,"raw_author_name":"M Walter","raw_affiliation_strings":["Austrian Institute for Health Technology Assessment, Vienna, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Austrian Institute for Health Technology Assessment, Vienna, Austria","institution_ids":["https://openalex.org/I4210104219"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023042584","display_name":"Gregor Goetz","orcid":"https://orcid.org/0000-0002-9506-1230","observed_orcids":["https://orcid.org/0000-0002-9506-1230"]},"institutions":[{"id":"https://openalex.org/I4210104219","display_name":"Austrian Institute for Health Technology Assessment GmbH","ror":"https://ror.org/00v16df20","country_code":"AT","type":"nonprofit","lineage":["https://openalex.org/I4210104219"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"G Goetz","raw_affiliation_strings":["Austrian Institute for Health Technology Assessment, Vienna, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Austrian Institute for Health Technology Assessment, Vienna, Austria","institution_ids":["https://openalex.org/I4210104219"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5071576829","display_name":"Lucia Gassner","orcid":"https://orcid.org/0000-0002-7734-0682","observed_orcids":["https://orcid.org/0000-0002-7734-0682"]},"institutions":[{"id":"https://openalex.org/I4210104219","display_name":"Austrian Institute for Health Technology Assessment GmbH","ror":"https://ror.org/00v16df20","country_code":"AT","type":"nonprofit","lineage":["https://openalex.org/I4210104219"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"L Gassner","raw_affiliation_strings":["Austrian Institute for Health Technology Assessment, Vienna, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Austrian Institute for Health Technology Assessment, Vienna, Austria","institution_ids":["https://openalex.org/I4210104219"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5083348629"],"corresponding_institution_ids":["https://openalex.org/I4210104219"],"apc_list":{"value":2596,"currency":"EUR","value_usd":3173},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":"Supplement_3","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12173","display_name":"Body Contouring and Surgery","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12173","display_name":"Body Contouring and Surgery","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11469","display_name":"Lymphatic System and Diseases","score":0.0038999998942017555,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11453","display_name":"Diagnosis and Treatment of Venous Diseases","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tumescent-liposuction","display_name":"tumescent liposuction","score":0.9879999756813049},{"id":"https://openalex.org/keywords/lipedema","display_name":"lipedema","score":1.0},{"id":"https://openalex.org/keywords/surgical-treatment","display_name":"surgical treatment","score":0.48899999260902405},{"id":"https://openalex.org/keywords/pain-relief","display_name":"analgesia","score":0.8240000009536743},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8320000171661377},{"id":"https://openalex.org/keywords/limb-volume-reduction","display_name":"limb volume reduction","score":0.6959999799728394},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.722000002861023},{"id":"https://openalex.org/keywords/conservative-treatment-comparison","display_name":"conservative treatment comparison","score":0.656000018119812},{"id":"https://openalex.org/keywords/treatment-safety","display_name":"treatment safety","score":0.34299999475479126}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9444547295570374},{"id":"https://openalex.org/C2780140801","wikidata":"https://www.wikidata.org/wiki/Q825490","display_name":"Liposuction","level":2,"score":0.9373650550842285},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.6878901124000549},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6020570397377014},{"id":"https://openalex.org/C2779356329","wikidata":"https://www.wikidata.org/wiki/Q922625","display_name":"Checklist","level":2,"score":0.5207312107086182},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.4936269521713257},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.44468653202056885},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.41932931542396545},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.414225310087204},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09859302639961243},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.0},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/eurpub/ckab165.304","doi":"https://doi.org/10.1093/eurpub/ckab165.304","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckab165.304","pdf_url":"https://academic.oup.com/eurpub/article-pdf/31/Supplement_3/ckab165.304/40779346/ckab165.304.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1093/eurpub/ckab165.304","doi":"https://doi.org/10.1093/eurpub/ckab165.304","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckab165.304","pdf_url":"https://academic.oup.com/eurpub/article-pdf/31/Supplement_3/ckab165.304/40779346/ckab165.304.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4386656901.pdf","grobid_xml":"https://content.openalex.org/works/W4386656901.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1551140921","https://openalex.org/W1966937864","https://openalex.org/W7207684043","https://openalex.org/W7131218117","https://openalex.org/W4399067610","https://openalex.org/W7098457639","https://openalex.org/W4399362931","https://openalex.org/W4417307338","https://openalex.org/W2125173097","https://openalex.org/W2736970554"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Tumescent":[2],"liposuction":[3,32,139,148,234,257,279],"is":[4,228],"an":[5],"established":[6],"method":[7],"for":[8,103,119,215,244],"surgical":[9],"therapy":[10,243],"of":[11,31,50,56,61,90,101,121,144,160,210,213,252,275,290,292],"lipoedema":[12,36],"-":[13],"a":[14],"chronic,":[15],"progressive,":[16],"and":[17,29,64,73,133,158,202,264,286,306],"painful":[18],"fat":[19],"distribution":[20],"disorder.":[21],"We":[22],"aimed":[23],"to":[24,40,83,135,220,230,299],"assess":[25],"the":[26,54,84,91,97,107,249,253,266,272,288,308],"clinical":[27,122,262,284],"effectiveness":[28],"safety":[30,65,104,216],"in":[33,53,59,151,166,172],"patients":[34],"with":[35,207],"(stage":[37],"I-III)":[38],"compared":[39],"any":[41],"conservative":[42,242],"treatment,":[43],"concerning":[44],"patient-relevant":[45],"outcomes,":[46],"such":[47],"as":[48,235,237],"reduction":[49,52],"pain,":[51],"size":[55],"extremities,":[57],"improvement":[58],"quality":[60,289],"life":[62,291],"(QoL),":[63],"events.":[66,191],"Methods":[67],"A":[68],"systematic":[69],"review":[70],"was":[71,94,218],"conducted,":[72],"five":[74,188],"databases":[75],"were":[76,80,117,149,170,205],"searched.":[77],"In-/exclusion":[78],"criteria":[79],"predefined":[81],"according":[82],"PICOS":[85],"scheme.":[86],"The":[87,225,302],"internal":[88],"validity":[89],"included":[92,118,254],"studies":[93,153,297],"assessed":[95],"using":[96],"IHE":[98],"checklist;":[99],"strength":[100],"evidence":[102,214,227,251,274],"outcomes":[105,125,169,217],"by":[106],"GRADE":[108],"approach.":[109],"Results":[110],"Six":[111],"prospective":[112],"uncontrolled":[113,255,277],"trials":[114],"(467":[115],"patients)":[116],"assessment":[120],"effectiveness.":[123],"Pain":[124],"(patient-reported)":[126],"statistically":[127],"significantly":[128],"improved":[129],"at":[130],"six-months":[131],"follow-up":[132],"up":[134],"12":[136],"years":[137],"after":[138],"(six":[140],"studies).":[141],"Reduced":[142],"sizes":[143],"patients'":[145],"extremities":[146],"before-and-after":[147],"reported":[150,171,193],"three":[152],"regarding":[154],"reduced":[155],"leg":[156],"volume":[157],"circumference":[159],"lower":[161],"extremities.":[162],"Statistically":[163],"significant":[164],"improvements":[165],"lipoedema-related":[167],"QoL":[168],"four":[173],"studies.":[174],"Seventeen":[175],"post-operative":[176,199],"adverse":[177,190,195],"events":[178,196],"occurred":[179],"overall":[180],"(492":[181],"patients,":[182],"one":[183],"additional":[184],"retrospective":[185],"study),":[186],"including":[187],"serious":[189],"Other":[192],"procedure-related":[194],"comprise,":[197],"e.g.,":[198],"wound":[200],"infections":[201],"bleedings.":[203],"Studies":[204],"judged":[206,219],"moderate/high":[208],"risk":[209],"bias.":[211],"Strength":[212],"be":[221,300],"very":[222],"low.":[223],"Conclusions":[224],"current":[226],"insufficient":[229],"prove":[231],"that":[232],"tumescent":[233],"safe":[236],"und":[238],"more":[239],"effective":[240],"than":[241],"lipoedema.":[245],"However,":[246],"based":[247],"on":[248,271],"limited":[250,273],"studies,":[256,278],"may":[258,280,304],"potentially":[259,281],"reduce":[260,282],"lipoedema-associated":[261,283],"symptoms":[263,285],"improve":[265,287],"QoL.":[267],"Key":[268],"messages":[269],"Based":[270],"identified":[276],"affected":[293],"females.":[294],"High-quality":[295],"comparative":[296],"need":[298],"awaited.":[301],"results":[303],"support":[305],"influence":[307],"effect":[309],"estimates":[310],"considerably.":[311]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2023-09-13T00:00:00"}
