Introduction:
Scalp cooling is the only available method to prevent chemotherapy-induced alopecia (CIA). Although its effectiveness varies, being satisfactory in approximately half of the patients, there are still many aspects of its success that are poorly understood. The aim of this study was to develop an up-to-date online information source to help patients make informed decisions about using scalp cooling.
Objective:
The study aimed to provide understandable and accessible information about CIA and scalp cooling by creating a website and a web-based tool to assist patients in their decision-making.
Methods:
Information gaps were identified through focus groups, interviews, and questionnaires with cancer patients. Discussions with specialist nurses were also conducted. This information was used to develop a website and a tool that combines scientific evidence with practical advice, giving patients a clear overview of CIA and scalp cooling.
Results:
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- Information Gaps: Patients highlighted a lack of information on how hair loss occurs, its impact, and options for managing it. They also expressed a need for details on the scalp cooling process and hair care.
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- Web Tool: The website includes information on CIA, the advantages and disadvantages of scalp cooling, and a tool to calculate the probability of hair preservation based on the chemotherapy regimen.
Effectiveness of Scalp Cooling:
While hair preservation is not guaranteed in all cases, the tool provides patients with a personalised estimate of the likelihood of hair loss, enabling them to better prepare for potential outcomes.
Safety of Scalp Cooling:
The safety of scalp cooling has been supported by studies showing no increase in scalp metastasis incidence. Side effects, such as headaches or a sensation of cold, were reported by fewer than 10% of patients.
Study Heterogeneity:
The success of cooling varies considerably across different chemotherapy regimens, with higher success rates in docetaxel monotherapies and lower effectiveness in combinations such as docetaxel, adriamycin, and cyclophosphamide.
Quality of Life and Psychological Outcomes:
The psychological impact of alopecia is significant, with many patients ranking it as one of the most distressing side effects. Personalised information helps to reduce CIA-related anxiety and improves satisfaction in decision-making.
Key Data:
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- Reduction in Alopecia Risk: The tool provides a personalised calculation of the likelihood of hair preservation with scalp cooling.
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- Number of Participants: 15 patients participated in focus groups, and 11 in semi-structured interviews.
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- Adverse Events: Fewer than 10% of patients reported headaches or intense cold.
Conclusion:
The study highlights the importance of providing clear and personalised information on scalp cooling and CIA. The web tool helps patients make informed decisions and enhances their ability to cope with hair loss during chemotherapy.
Document Analysis Method
In today’s digital age, artificial intelligence (AI) has transformed the way we process and understand information. Using advanced AI tools, we have summarised and analysed a key scientific document to facilitate understanding. This article provides an accessible overview of the efficacy and safety of scalp cooling to prevent chemotherapy-induced alopecia, offering valuable information for both patients and healthcare professionals.
For those interested in exploring further, the complete PDF document is available for download below. This file contains all information and analyses on the efficacy and safety of scalp cooling in the prevention of chemotherapy-induced alopecia.
