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European Patient Advocacy Group

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L-W-O Community is thrilled to work with The European Patient Advocacy Group ePAG's) ..  


This group of hardworking people many of whom are volunteers, work on the principal that we are Expert patients and therefore best placed to educate patients and families on the management of their diseases such as paediatric and primary lymphoedema (PPL). We can identify and recommend expert centres or other lymphatic healthcare professionals (HCPs) across the UK and the European Union.

This amazing group aim to promote and encourage a patient-centred approach in clinical care, service improvement. strategic development, decision-making, ensure the need of rare disease patients are considered and included in discussions and activities, Contribute to the development and dissemination of information to patients, from policy to good practices, care pathways and guidelines.

The group successfully published in 2020/21/22/23 manifestos with a call to action. The 2024 Manifesto co-signed by 26 Patient Associations and translated into each countries language, for World Lymphoedema Day 2024.  

Highlighting Compression

In 2021 the patient associations went further by creating a brief survey, to collect information to understand the struggles European patients and carers experience to obtain an essential treatment modality, the compression garments...

1102 patients and carers responded and based on the written comments made by 59% of the respondents, three main common denominators in their struggles were found across Europe:


  • financial reasons

  • measurement and fitting

  • The prescription processes.

Compression Garments


Many individuals with lipoedema and lymphoedema in Europe and the UK, struggle to find the right compression clothing. This was the conclusion of the above survey, conducted as part of the joint "put compression #underpressure" World Lymphedema Day (WLD) campaign on March 6th.

Eline Hoogstra a Dutch patient advocate has designed a great website 'Compression in Europe'

The 'Compression in Europe' website is a result-based project and published in 2023.

At the International Lymphoedema Conference held in June 2023, Eline presented and announced the website. This video captures her presentation.


The poster features logos from the patient associations involved in the initiative, as well as a photo of me, Gaynor Leech, and Eline Hoostgra.

Top left: Eline Hoogstra from the Netherands pressenting "Compression under Pressure" at ILF Conference June 2023. Bottom left logos of the European Patient Associations. involved. Top right photograph of Eline Hoogstra and Gaynor Leech.

Eurordis Open Academy

The goal of the Eurordis Open Academy is to offer education that empowers not only its volunteer organisations and member organisations, but also anybody else interested in learning more about rare diseases. We prioritise primary and secondary lymphoedema in the L-W-O community.

The Open Academy's training programmes are designed to strengthen patient advocates and give them the knowledge and self-assurance they need to contribute their expertise to discussions with policymakers, business leaders, and scientists about healthcare, research, and the development of new medications.

So far, I've completed four social and digital media courses with the Eurordis Digital School and earned the following certificates:

  • The Power of Community

  • Reaching the Right people: Celebrities and Influencers

  • Establishing an International Cooperation

  • Plan and Create for Social Media Success

Introducing Patient Advocates for Lymphoedema in Europe

Image logo for Patient Advocates for Lymphoedema in Europe

The L-WO Community promotes World Lymphoedema Day, March 6th, and Lymphoedema Awareness Week, which is recognised in the United Kingdom. Check out our World Lymphoedema Day page.

World Lymphoedema Day Logo
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