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Top ranked priorities for future research on lymphodema and integrative medicine

The 6th national colloquium on evidence based and integrative medicine for Lymphatic Filarisais and other chronic dermatoses held at IAD premises discussed the research questions on lymphodema at length for two days, 9th and 10th December 2013. On the final day just before the valedictory function the priorities were put into voting. 51 delegates voted on the priority. Following is the priorities decided by the colloquium participating through voting


Rank

Priority questions

How to simplify the integrative treatment of lymphedema? What is the role of each major component (ayurveda including yoga, compression therapy and washing) in producing clinical outcomes in any grade of lymphedema?

What are the cellular changes following lymphedema treatment? Can we use cellular changes to monitor the progressof integrative treatment?

How to eliminate Bacterial entry points especially intertrigo between toes in lymphedema patients of coastal region? Which are the frequently grown bacteria and fungi in the intertrigo of lymphedema? What are their antibiotic sensitivity patterns?

How to develop an appropriate clinical research models for ayurvedic concepts and treatment modalities chronic skin diseases?

What factors determine whether patients comply with the use of the bandaging techniques for long term management? Would patients consider wearing made to measure compression garments for long term management instead of bandages? Would there be an improved outcome?

What is the epidemiology of LF morbidity? What is the Relative frequency/prevalence of various morbidity due to L.F? Are all cases diagnosed clinically as lymphatic filariasis genuine cases or do other phenotypes get misdiagnosed as filariasis? What are the co-morbid conditions prevalent with filarial lymphedema patients? How do these conditions affect the management of lymphedema?

What is the economic benefit with integrative medicine for the morbidity reduction of lymphatic filariasis for disease affected populations and government?