Plasma Rich Platelets Protocol for Androgenetic Alopecia: Development, Implementation and Evaluation: A Quality Improvement Project
Abstract
ABSTRACT
Abstract The purpose of this DNP project was to develop and implement a new protocol for the extraction and implementation of platelet-rich plasma (PRP) for the use in clinical practice to restore hair loss related to androgenic alopecia. Based on an extensive literature review and current practice guidelines, a gap had been identified in the treatment of alopecia in men and women. This same research was key for the development of a standardized protocol for Restorative Health Clinics (RH). Quality of life (QOL) has been hindered, according to the research, due to a lack of availability of effective treatments for hair loss. With the development and implementation of a standardized PRP protocol, patients nationwide could potentially have improved QOL with the improvement of androgenic alopecia. Evaluation was based on two surveys taken by the patients that participated in the program at every treatment assessing QOL. These were the Dermatology Quality of Life Index (DLQI) tool and the Hair Specific Skindex-29 survey. Patients were also assessed at the first treatment for hair loss. The Norwood scale for hair loss was used to assess the male patient and Ludwig and Savin tools were used to assess the two female patients. The patients QOL did not appear to improve possibly related to the short term of the study. Hair growth was noted based on photos taken at first visit and prior to fourth visit of both female patients. No hair growth was noted in male patient. This project demonstrated it is possible to produce PRP treatments that are less painful than previously administered treatments and still be effective. More studies are needed to further standardize PRP protocols. Overall, the development of the hair PRP protocol was an improvement to what RH had been doing in the past.
Abstract The purpose of this DNP project was to develop and implement a new protocol for the extraction and implementation of platelet-rich plasma (PRP) for the use in clinical practice to restore hair loss related to androgenic alopecia. Based on an extensive literature review and current practice guidelines, a gap had been identified in the treatment of alopecia in men and women. This same research was key for the development of a standardized protocol for Restorative Health Clinics (RH). Quality of life (QOL) has been hindered, according to the research, due to a lack of availability of effective treatments for hair loss. With the development and implementation of a standardized PRP protocol, patients nationwide could potentially have improved QOL with the improvement of androgenic alopecia. Evaluation was based on two surveys taken by the patients that participated in the program at every treatment assessing QOL. These were the Dermatology Quality of Life Index (DLQI) tool and the Hair Specific Skindex-29 survey. Patients were also assessed at the first treatment for hair loss. The Norwood scale for hair loss was used to assess the male patient and Ludwig and Savin tools were used to assess the two female patients. The patients QOL did not appear to improve possibly related to the short term of the study. Hair growth was noted based on photos taken at first visit and prior to fourth visit of both female patients. No hair growth was noted in male patient. This project demonstrated it is possible to produce PRP treatments that are less painful than previously administered treatments and still be effective. More studies are needed to further standardize PRP protocols. Overall, the development of the hair PRP protocol was an improvement to what RH had been doing in the past.