Ethical, legal, organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy‐induced alopecia: A systematic review

Abstract Introduction Scalp cooling (SC) aims to prevent chemotherapy‐induced alopecia. The goal of this systematic review is to tackle ethical, legal, organizational and social issues related to SC. Methods A critical appraisal of the literature was carried out using a systematic review design. MED...

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Main Authors: Janet Delgado Rodríguez, Vanesa Ramos‐García, Diego Infante‐Ventura, José Carlos Suarez‐Herrera, Antonio Rueda‐Domínguez, Pedro Serrano‐Aguilar, María delMar Trujillo‐Martín
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Health Expectations
Subjects:
Online Access:https://doi.org/10.1111/hex.13679
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author Janet Delgado Rodríguez
Vanesa Ramos‐García
Diego Infante‐Ventura
José Carlos Suarez‐Herrera
Antonio Rueda‐Domínguez
Pedro Serrano‐Aguilar
María delMar Trujillo‐Martín
author_facet Janet Delgado Rodríguez
Vanesa Ramos‐García
Diego Infante‐Ventura
José Carlos Suarez‐Herrera
Antonio Rueda‐Domínguez
Pedro Serrano‐Aguilar
María delMar Trujillo‐Martín
author_sort Janet Delgado Rodríguez
collection DOAJ
description Abstract Introduction Scalp cooling (SC) aims to prevent chemotherapy‐induced alopecia. The goal of this systematic review is to tackle ethical, legal, organizational and social issues related to SC. Methods A critical appraisal of the literature was carried out using a systematic review design. MEDLINE, Embase and Web of Science databases were searched up until 2 June 2021. Studies addressing these aspects in English or Spanish were considered. Representatives of both patient associations and professional scientific societies related to the topic participated in the design of the protocol and the review of the findings. Results A total of 17 studies were included. Articles were critically appraised using the MMAT and SANRA. Findings were organized into four categories: (1) ethical aspects focused on equal access, gender equity and doctor–patient communication supported by Patient Decision Aids (PtDAs); (2) patient perspective and acceptability; (3) professional perspective and acceptability; (4) organizational aspects focused on accessibility and feasibility. Conclusion Cancer patients' expectations when using SC need to be adjusted to reduce the potential distress associated with hair loss. PtDAs could help patients clarify their values and preferences regarding SC. Equal access to technology should be guaranteed. Patient or Public Contribution In this systematic review, the representatives of the patient associations (Ms. María Luz Amador Muñoz of the Spanish Association Against Cancer [AECC] and Ms. Catiana Martinez Cánovas of the Spanish Breast Cancer Federation [FECMA]) participated in the review of the study protocol, as well as in the results, discussion and conclusions, making their contributions. In the type of design of these studies (systematic reviews), it is not usual to have the direct participation of patients, but in this one, we have done so, as it is a systematic review that is part of a report of the Spanish Network of Health Technology Assessment Agencies (ETS).
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spelling doaj.art-b2bffa7c054b4e85a681ba0dd08922b92023-03-13T12:33:24ZengWileyHealth Expectations1369-65131369-76252023-04-0126256757810.1111/hex.13679Ethical, legal, organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy‐induced alopecia: A systematic reviewJanet Delgado Rodríguez0Vanesa Ramos‐García1Diego Infante‐Ventura2José Carlos Suarez‐Herrera3Antonio Rueda‐Domínguez4Pedro Serrano‐Aguilar5María delMar Trujillo‐Martín6Department of Philosophy University of Granada Granada SpainThe Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS) Tenerife SpainThe Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS) Tenerife SpainThe Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS) Tenerife SpainMedical Oncology Intercenter Unit Regional and Virgen de la Victoria University Hospitals, IBIMA Málaga SpainThe Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS) Tenerife SpainThe Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS) Tenerife SpainAbstract Introduction Scalp cooling (SC) aims to prevent chemotherapy‐induced alopecia. The goal of this systematic review is to tackle ethical, legal, organizational and social issues related to SC. Methods A critical appraisal of the literature was carried out using a systematic review design. MEDLINE, Embase and Web of Science databases were searched up until 2 June 2021. Studies addressing these aspects in English or Spanish were considered. Representatives of both patient associations and professional scientific societies related to the topic participated in the design of the protocol and the review of the findings. Results A total of 17 studies were included. Articles were critically appraised using the MMAT and SANRA. Findings were organized into four categories: (1) ethical aspects focused on equal access, gender equity and doctor–patient communication supported by Patient Decision Aids (PtDAs); (2) patient perspective and acceptability; (3) professional perspective and acceptability; (4) organizational aspects focused on accessibility and feasibility. Conclusion Cancer patients' expectations when using SC need to be adjusted to reduce the potential distress associated with hair loss. PtDAs could help patients clarify their values and preferences regarding SC. Equal access to technology should be guaranteed. Patient or Public Contribution In this systematic review, the representatives of the patient associations (Ms. María Luz Amador Muñoz of the Spanish Association Against Cancer [AECC] and Ms. Catiana Martinez Cánovas of the Spanish Breast Cancer Federation [FECMA]) participated in the review of the study protocol, as well as in the results, discussion and conclusions, making their contributions. In the type of design of these studies (systematic reviews), it is not usual to have the direct participation of patients, but in this one, we have done so, as it is a systematic review that is part of a report of the Spanish Network of Health Technology Assessment Agencies (ETS).https://doi.org/10.1111/hex.13679chemotherapy‐induced alopeciaethical, healthcare professional perspectivelegal, organizational and social issues
spellingShingle Janet Delgado Rodríguez
Vanesa Ramos‐García
Diego Infante‐Ventura
José Carlos Suarez‐Herrera
Antonio Rueda‐Domínguez
Pedro Serrano‐Aguilar
María delMar Trujillo‐Martín
Ethical, legal, organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy‐induced alopecia: A systematic review
Health Expectations
chemotherapy‐induced alopecia
ethical, healthcare professional perspective
legal, organizational and social issues
title Ethical, legal, organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy‐induced alopecia: A systematic review
title_full Ethical, legal, organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy‐induced alopecia: A systematic review
title_fullStr Ethical, legal, organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy‐induced alopecia: A systematic review
title_full_unstemmed Ethical, legal, organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy‐induced alopecia: A systematic review
title_short Ethical, legal, organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy‐induced alopecia: A systematic review
title_sort ethical legal organizational and social issues related to the use of scalp cooling for the prevention of chemotherapy induced alopecia a systematic review
topic chemotherapy‐induced alopecia
ethical, healthcare professional perspective
legal, organizational and social issues
url https://doi.org/10.1111/hex.13679
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