TY - JOUR
T1 - Identifying the supportive care needs of men and women affected by chemotherapy-induced alopecia? A systematic review
AU - Paterson, C.
AU - Kozlovskaia, M.
AU - Turner, Murray R.
AU - Strickland, K.
AU - Roberts, C.
AU - Ogilvie, R.
AU - Pranavan, G.
AU - Craft, P.
PY - 2021/2
Y1 - 2021/2
N2 - Purpose: To systematically evaluate evidence regarding the unmet supportive care needs of men and women affected by chemotherapy-induced alopecia (CIA) to inform clinical practice guidelines. Methods: We performed a review of CINAHL, MEDLINE, PsychINFO, Scopus, the Cochrane Library (CCRT and CDSR) controlled trial databases and clinicaltrials.gov from January 1990 to June 2019 according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Twenty-seven publications were selected for inclusion in this analysis. Results: Included reports used qualitative (ten) and quantitative (17) studies. Across these studies men and women reported the major impact that CIA had on their psychological well-being, quality of life and body image. Hair loss had a negative impact irrespective of gender, which resulted in feelings of vulnerability and visibility of being a “cancer patient”. Men and women described negative feelings, often similar, related to CIA with a range of unmet supportive care needs. Conclusions: Some patients are not well-prepared for alopecia due to a lack of information and resources to reduce the psychological burden associated with CIA. Hair loss will affect each patient and their family differently, therefore, intervention and support must be tailored at an individual level of need to optimise psychological and physical well-being and recovery. Implications for Cancer Survivors: People affected by CIA may experience a range of unmet supportive care needs, and oncology doctors and nurses are urged to use these findings in their everyday consultations to ensure effective, person-centred care and timely intervention to minimise the sequalae associated with CIA.
AB - Purpose: To systematically evaluate evidence regarding the unmet supportive care needs of men and women affected by chemotherapy-induced alopecia (CIA) to inform clinical practice guidelines. Methods: We performed a review of CINAHL, MEDLINE, PsychINFO, Scopus, the Cochrane Library (CCRT and CDSR) controlled trial databases and clinicaltrials.gov from January 1990 to June 2019 according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Twenty-seven publications were selected for inclusion in this analysis. Results: Included reports used qualitative (ten) and quantitative (17) studies. Across these studies men and women reported the major impact that CIA had on their psychological well-being, quality of life and body image. Hair loss had a negative impact irrespective of gender, which resulted in feelings of vulnerability and visibility of being a “cancer patient”. Men and women described negative feelings, often similar, related to CIA with a range of unmet supportive care needs. Conclusions: Some patients are not well-prepared for alopecia due to a lack of information and resources to reduce the psychological burden associated with CIA. Hair loss will affect each patient and their family differently, therefore, intervention and support must be tailored at an individual level of need to optimise psychological and physical well-being and recovery. Implications for Cancer Survivors: People affected by CIA may experience a range of unmet supportive care needs, and oncology doctors and nurses are urged to use these findings in their everyday consultations to ensure effective, person-centred care and timely intervention to minimise the sequalae associated with CIA.
KW - Cancer
KW - Chemotherapy
KW - Evidence synthesis
KW - Induced alopecia
KW - Supportive care
KW - Systematic review
KW - Unmet needs
UR - http://www.scopus.com/inward/record.url?scp=85088143844&partnerID=8YFLogxK
U2 - 10.1007/s11764-020-00907-6
DO - 10.1007/s11764-020-00907-6
M3 - Article
AN - SCOPUS:85088143844
SN - 1932-2259
VL - 15
SP - 14
EP - 28
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
IS - 1
ER -