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March 28, 2023Journal of Cosmetic DermatologyOpen Access

Skin phototype of participants in laser and light treatments of cosmetic dermatologic conditions: A systematic review

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Authors

PMPriya ManjalyEXEric XiaAAAlexandra Allan

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Overview

Systematic review reveals substantial underrepresentation of darker skin phototypes in cosmetic laser trials, highlighting the need for inclusive safety and efficacy data.

Key Points

  • To evaluate the representation of participants with darker skin phototypes (types 4–6) in randomized controlled trials assessing laser and light therapies for cosmetic dermatologic conditions.
  • Systematic search of PubMed and Web of Science for randomized controlled trials (RCTs) evaluating laser or light devices for cosmetic dermatology published between January 1, 2010, and October 14, 2021.
  • Identified and reviewed 461 RCTs comprising 14,763 participants to assess reporting and inclusion rates of Fitzpatrick skin phototypes.
  • Among 345 RCTs reporting skin phototype, 81.7% (n = 282) included participants with phototypes 4–6, but only 27.5% (n = 95) included participants with phototypes 5 or 6.
  • Underrepresentation of skin phototypes 5 and 6 persisted regardless of the specific condition treated, laser modality, trial location, journal type, or funding source.

Cite This Study

Manjaly et al. (2023) studied this question.

synapsesocial.com/papers/6ab20074579b806f7af92c8ehttps://doi.org/10.1111/jocd.15739
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