Why do people want to get back to the top? For the navigation/search I assume.
On a mobile device the need to get back to top could be alleviated by having the sites navigation at the bottom of the page. Luke W talks about it here: http://www.alistapart.com/articles/organizing-mobile/
You could possibly extend that to the desktop, by duplicating the navigation in a fat footer type solution.
Otherwise, yes people can use the home key, and the scroll bar.. but do most people know about the home key? It depends on your audience, the folks using UX exchange probably do. Others? I'm not so sure.
In the scrollbar versus a back to top link, You could argue that the back to top link wins on the grounds of some type of GOMS analysis.
On a large page:
USING SCROLL WHEEL
*scroll up
*scroll up
*scroll up
*scroll up
-top of page
USING SCROLL BAR
*locate bar
*click bar
*drag bar up
-top of page
USING BACK TO TOP LINK
*locate link (ideally somewhere in between end of content and scrollbar)
*click link
- top of page
USING HOME KEY
*locate home key
*press home key
-top of page
Do people use them? shrugs
You could install something like crazyegg and find out pretty quickly.