for those curious to know how well scalp cooling works? and at what price

[Lani]

ABSTRACT: Impact of scalp cooling on chemotherapy-induced alopecia, wig use and hair growth of patients with cancer
[European Journal of Oncology Nursing]

Introduction: Cytotoxic therapy for patients with cancer frequently induces reversible, but long-lasting alopecia which might be prevented by scalp cooling. This study evaluates the effectiveness of scalp cooling with respect to the severity of chemotherapy-induced alopecia (CIA) and the purchase and use of wigs and head covers.

Materials and methods: In this observational study, scalp-cooled patients (n = 160) were compared with non scalp-cooled patients (n = 86) with several types of cancer. Patients were enrolled in 15, mostly general hospitals prior to taxane and/or anthracycline-based chemotherapy. Patients completed four questionnaires between the start and one year after the last chemotherapy.

Results: Severity of CIA, and purchasing and actually wearing wigs and head covers were significantly lower among scalp-cooled than non scalp-cooled patients. Overall, scalp cooling reduced the use of wigs and head covers by 40%. Among 84 scalp-cooled patients who purchased a wig (53%), only 52 patients actually wore it (62%), and they just wore it intensively (86% daily) for less than six months (80%). Especially young patients camouflaged CIA with a head cover instead of a wig.

Discussion: The relatively long duration of CIA, the wish of many patients to camouflage or rather prevent it and the 40% reduction for head covering by scalp cooling, makes it a worthwhile supportive intervention. However, (cost-) effectiveness can be improved. Many scalp-cooled patients purchased a wig unnecessarily.

[SusanN]

Am I understanding this as something different than the "cold cap", but worn much more often, promoting faster hair growth...interesting... as with all your posts!!
I most certainly appreciate your articles Lani...I've read quite a few...I just don't comment as I don't know what to say as there is so much to digest!!

[tricia keegan]

Susan I took it to mean the cold cap?? Thanks as always Lani.

[SusanN]

Thats what I was thinking as well...I recall thinking about in the beginning...BUT, when I got going with chemo, that would've been the least of my worries!! My hair is slowly coming back...

[tricia keegan]

They didn't have it to offer me eight years ago as it was experimental in only some hospitals but as you say it was the least of my worries!