Scalp Cooling for the Prevention of Chemotherapy-Induced Alopecia: Descriptive Study

September 2022 in “ Concilium ”

Lysianne Alves, Beatriz Regina Lima de Aguiar, Isabelle Gomes, Juliana Fagundes, Eudanusia Figueiredo, Christiane Inocêncio Vasques, Paula Elaine Diniz dos Reis

scalp cooling chemotherapy-induced alopecia anthracycline protocols non-anthracycline protocols scalp pain headache cold intolerance dizziness chemotherapy-induced hair loss

TLDR Scalp cooling effectively prevents chemotherapy-induced hair loss but requires better pain management.

The study aimed to describe the effectiveness of scalp cooling in preventing chemotherapy-induced alopecia and its adverse effects. It included 199 women with an average age of 54, primarily with breast cancer. The average number of scalp cooling sessions was 8.24. Alopecia prevention was successful in 85.7% of patients on anthracycline protocols and 96.7% on non-anthracycline protocols. Adverse effects included scalp pain (26% after 10 minutes, 24% after 30 minutes), headache (11.6%), cold intolerance (23.1%), and dizziness (10.6%). The conclusion was that scalp cooling is effective in preventing chemotherapy-induced alopecia, but pain management protocols are necessary.

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