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Results of 20- versus 45-min post-infusion scalp cooling time in the prevention of docetaxel-induced alopecia
by
Nortier, Johan W. R.
, Smorenburg, Carolien H.
, van der Hoeven, Jacobus J. M.
, van den Hurk, Corina J. G.
, Breed, Wim P. M.
, Komen, Manon M. C.
, van der Ploeg, Tjeerd
, Goey, S. H.
in
Adult
/ Aged
/ Aged, 80 and over
/ Alopecia
/ Alopecia - chemically induced
/ Alopecia - prevention & control
/ Antineoplastic Agents - adverse effects
/ Cancer
/ Care and treatment
/ Chemotherapy
/ Drug effects
/ Drug-Related Side Effects and Adverse Reactions - prevention & control
/ Female
/ Hair
/ Humans
/ Hypothermia, Induced - methods
/ Induced
/ Male
/ Medical treatment
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Neoplasms - drug therapy
/ Nursing
/ Nursing Research
/ Oncology
/ Original Article
/ Outcome Assessment (Health Care)
/ Pain Medicine
/ Patients
/ Prevention
/ Prospective Studies
/ Registration
/ Rehabilitation Medicine
/ Scalp
/ Side effects
/ Taxoids - adverse effects
/ Time
/ Tolerance
2016
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Results of 20- versus 45-min post-infusion scalp cooling time in the prevention of docetaxel-induced alopecia
by
Nortier, Johan W. R.
, Smorenburg, Carolien H.
, van der Hoeven, Jacobus J. M.
, van den Hurk, Corina J. G.
, Breed, Wim P. M.
, Komen, Manon M. C.
, van der Ploeg, Tjeerd
, Goey, S. H.
in
Adult
/ Aged
/ Aged, 80 and over
/ Alopecia
/ Alopecia - chemically induced
/ Alopecia - prevention & control
/ Antineoplastic Agents - adverse effects
/ Cancer
/ Care and treatment
/ Chemotherapy
/ Drug effects
/ Drug-Related Side Effects and Adverse Reactions - prevention & control
/ Female
/ Hair
/ Humans
/ Hypothermia, Induced - methods
/ Induced
/ Male
/ Medical treatment
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Neoplasms - drug therapy
/ Nursing
/ Nursing Research
/ Oncology
/ Original Article
/ Outcome Assessment (Health Care)
/ Pain Medicine
/ Patients
/ Prevention
/ Prospective Studies
/ Registration
/ Rehabilitation Medicine
/ Scalp
/ Side effects
/ Taxoids - adverse effects
/ Time
/ Tolerance
2016
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Results of 20- versus 45-min post-infusion scalp cooling time in the prevention of docetaxel-induced alopecia
by
Nortier, Johan W. R.
, Smorenburg, Carolien H.
, van der Hoeven, Jacobus J. M.
, van den Hurk, Corina J. G.
, Breed, Wim P. M.
, Komen, Manon M. C.
, van der Ploeg, Tjeerd
, Goey, S. H.
in
Adult
/ Aged
/ Aged, 80 and over
/ Alopecia
/ Alopecia - chemically induced
/ Alopecia - prevention & control
/ Antineoplastic Agents - adverse effects
/ Cancer
/ Care and treatment
/ Chemotherapy
/ Drug effects
/ Drug-Related Side Effects and Adverse Reactions - prevention & control
/ Female
/ Hair
/ Humans
/ Hypothermia, Induced - methods
/ Induced
/ Male
/ Medical treatment
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Neoplasms - drug therapy
/ Nursing
/ Nursing Research
/ Oncology
/ Original Article
/ Outcome Assessment (Health Care)
/ Pain Medicine
/ Patients
/ Prevention
/ Prospective Studies
/ Registration
/ Rehabilitation Medicine
/ Scalp
/ Side effects
/ Taxoids - adverse effects
/ Time
/ Tolerance
2016
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Results of 20- versus 45-min post-infusion scalp cooling time in the prevention of docetaxel-induced alopecia
Journal Article
Results of 20- versus 45-min post-infusion scalp cooling time in the prevention of docetaxel-induced alopecia
2016
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Overview
Purpose
For patients, chemotherapy-induced alopecia (CIA) is one of the most distressing side effects of treatment. Scalp cooling can prevent or minimise CIA; the results may depend on the duration of cooling. Since a previous study on post-infusion cooling time in patients treated with docetaxel chemotherapy found no difference between 90 and 45 min, we investigated whether hair-preserving results could be maintained with a shorter post-infusion cooling time.
Methods
In this prospective, multi-centre randomised study, 134 patients who started treatment with docetaxel 75–100 mg/m
2
in a 3-weekly schedule were randomly assigned in a 1:1 ratio to a post-infusion cooling time of 45 or 20 min. The primary end point was the need for a wig or other head covering as assessed by the patient. A visual analogue scale (VAS) with a range from 0 (not tolerable) to 10 (very tolerable) was used to measure tolerance.
Results
Scalp cooling results were similar for 45- and 20-min post-infusion cooling times. Thirty-three out of 45 patients (73 %) treated with 20 min of post-infusion cooling did not need a form of head covering, compared with 41 out of 52 patients (79 %) treated with 45 min of post-infusion cooling (
p
= 0.5). The procedure was well tolerated (mean visual analogue score 8.3). Six patients stopped due to intolerance during the first treatment cycle.
Conclusions
A 20-min post-infusion cooling time is effective and tolerable for patients treated with scalp cooling to prevent docetaxel-induced alopecia.
Trial registration
Trialregister.nl Identifier, NTR 1856.
Publisher
Springer Berlin Heidelberg,Springer,Springer Nature B.V
Subject
/ Aged
/ Alopecia
/ Alopecia - chemically induced
/ Alopecia - prevention & control
/ Antineoplastic Agents - adverse effects
/ Cancer
/ Drug-Related Side Effects and Adverse Reactions - prevention & control
/ Female
/ Hair
/ Humans
/ Hypothermia, Induced - methods
/ Induced
/ Male
/ Medicine
/ Nursing
/ Oncology
/ Outcome Assessment (Health Care)
/ Patients
/ Scalp
/ Time
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