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Lani 09-24-2013 12:17 AM

for those curious to know how well scalp cooling works? and at what price
 
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 09-24-2013 05:56 PM

Re: for those curious to know how well scalp cooling works? and at what price
 
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 09-25-2013 08:28 AM

Re: for those curious to know how well scalp cooling works? and at what price
 
Susan I took it to mean the cold cap?? Thanks as always Lani.

SusanN 09-26-2013 02:19 PM

Re: for those curious to know how well scalp cooling works? and at what price
 
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 09-26-2013 02:57 PM

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


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