Impact on Quality of Life in Patients who came with Androgenetic Alopecia for Hair Transplantion Surgery in a Clinic

Abstract

Introduction: Androgenetic alopecia, also known as as male pattern baldness, affects up to 50% of men and 10% females worldwide. Patients with baldness seem to have a great impact on quality of life including their self-esteem, confidence, relationship as well as work.
 Methods: This is a cross-sectional descriptive study on dermatology quality of life index in patients with androgenetic alopecia who came for hair transplantation surgery at Aavaran Skin Clinic Pvt Ltd, Battisputali, Kathmandu between 15th July 2017 to 15th February 2018. Ethical clearance was taken from ERB of Nepal Health Reasearch Council Reg No 113/2017. All cases enrolled for transplant surgery during the study period and meeting the inclusive criteria were included.
 Results: A total of 120 patients participated in the study. Age of the patients ranged from 19 to 49, mean age being 31.87±6.8. Maximum number of patients was in age group 25 to 34. Mean dermatology quality of life index score was 2.79. Maximum score was 14 & minimum score was 0. Maximum effect was seen in question number 2 of self-consciousness, which had impact on 58 (48.33%) patients at some level. Minimum impact on quality of life was seen in sexual activity where only 4 (3.33%) of patients were affected.
 Conclusions: Androgenetic alopecia had a small effect on quality of life of our patients, but for some it had a great psychological impact not only with their personal feelings but also with the social response towards their problems.

Health-Related Quality of Life, Depression, and Self-esteem in Patients With Androgenetic Alopecia

“…These studies were conducted in the following countries: China (n = 9), Turkey (n = 5), Italy (n = 4), the United States (n = 3), India (n = 3), Korea (n = 2), Pakistan (n = 2), Greece (n = 2), Brazil (n = 1), Spain (n = 1), Nepal (n = 1), Malaysia (n = 1), Colombia (n = 1), Canada (n = 1), Japan (n = 1), Finland (n = 1), Germany (n = 1), Australia (n = 1), and Egypt (n = 1) . Of the included studies, 6 were case-control studies, 29 were cross-sectional surveys, 2 were case series, 1 was a population-based cohort study, and 3 were randomized clinical trials . The characteristics and results of HRQOL assessment are shown in eTable 2 in the Supplement.…”

“…Of the 41 included studies, 26 (63%) were rated with unclear risk in the domain of bias from confounding . The main reason for an unclear risk of bias was that most studies did not report the exclusion criteria for the study population; however, patients with psychiatric disorders or other underlying diseases that might have affected HRQOL should be excluded.…”

“…A total of 11 different types of HRQOL assessment tools and 29 different types of psychological assessment instruments were used by the included studies. The HRQOL assessment tools included Dermatology Life Quality Index (DLQI) (n = 16), Hair-Specific Skindex-29 (n = 6), Hairdex questionnaire (n = 3), Symptom Checklist-90-Revised (n = 3), Women’s Androgenetic Alopecia Quality of Life index (n = 3), World Health Organization Quality of Life-BREF (n = 2), 12-Item Short Form Survey (n = 2), RAND 36-Item Health Survey (n = 1), Skindex-16 (n = 1), Dermatology Quality of Life instrument in Turkish (n = 1), and Modified Women’s Androgenetic Alopecia Quality of Life index (n = 1)…”

Analysis of bioprinting strategies for skin diseases and injuries through structural and temporal dynamics: historical perspectives, research hotspots, and emerging trends

“…Manual manipulation of constructs during transfer to the wound site also confines material composition and amplifies the risk of contamination and infection transmission [104,105]. Moreover, external bioreactors employed during the maturation process fall short of fully replicating the native physiological environment, potentially impeding tissue regeneration [106,107]. These considerations have motivated the development of bedside bioprinting systems capable of depositing skin substitute structures in situ (#3 in situ bioprinting).…”

Alopecia androgenética: uma revisão sobre a resolutividade do tratamento cirúrgico e sua implicação no contexto biopsicossocial do paciente

“…Além disso, nota-se preocupações sociais gerada aos homens, como as chances de atrair um par romântico, ou possibilidade de rejeição em consequência da calvície, impactando diretamente na qualidade de vida e em saúde mental destes pacientes. [40][41][42][43][44][45][46][47][48][49] Compondo essa nova abordagem a respeito do tema, observa-se a introdução do valor não somente da visão do próprio paciente, mas também de grupos sociais como familiares e amigos frente à terapêutica cirúrgica de restauração capilar. Uma observação extra que julgamos essencial é o fato de que variações culturais entre povos e nações, mesmo que no contexto do mundo globalizado, ainda influem no grau do acometimento psicossocial que a AAG representa, sendo refletida na diversidade de resultados em desfechos psíquicos disponíveis.…”