title: Chemotherapy-induced alopecia and effects on quality of life among women with breast cancer: a literature review.
abstract: BACKGROUND
  Alopecia is a common side effect of chemotherapies used in the treatment of breast cancer. The aim of this review is to describe the effects of alopecia on quality of life (QOL) in this population.
  
  
  METHODS
  We conducted a literature review using Medline, Embase, Cumulative Index to Nursing and Allied Health Literature and PsycInfo databases. We searched for studies on the effects of alopecia on various aspects of QOL in breast cancer patients including anxiety and distress, body image, sexuality, self-esteem, social functioning, global QOL and return to work outcomes.
  
  
  RESULTS
  A total of 38 articles were included in the review. Hair loss consistently ranked amongst the most troublesome side effects, was described as distressing, and may affect the body image.
  
  
  CONCLUSIONS
  We found very little quantitative data on other aspects of QOL. More research is needed to determine the presence and extent of negative effects on chemotherapy-induced alopecia on various aspects of QOL.
authors.affiliation: Unité de recherche en santé des populations, Centre hospitalier affilié universitaire de Québec, Quebec, Que, Canada. julie.lemieux@uresp.ulaval.ca
authors.forename: Julie
authors.initials: J
authors.lastname: Lemieux
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Maunsell
authors.forename: Louise
authors.initials: L
authors.lastname: Provencher
mesh_terms: D000505:Alopecia / Q000139:chemically induced* / Q000523:psychology*; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D001828:Body Image; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000523:psychology; D005260:Female; D006801:Humans; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D012725:Sexual Behavior; D012803:Sick Role; D012917:Social Adjustment