Home-based devices in dermatology: a systematic review of safety and efficacy.
Alopecia
Hair removal
Home devices
Light therapy
Psoriasis
Wrinkles
Journal
Archives of dermatological research
ISSN: 1432-069X
Titre abrégé: Arch Dermatol Res
Pays: Germany
ID NLM: 8000462
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
01
02
2021
accepted:
08
04
2021
revised:
22
03
2021
pubmed:
4
5
2021
medline:
22
3
2022
entrez:
3
5
2021
Statut:
ppublish
Résumé
There is increasing demand for home-based devices for the treatment of dermatologic conditions and cosmesis. Commercially available devices include intense pulsed light, laser diodes, radiofrequency, light-emitting diodes, and ultraviolet B phototherapy. The objective of this report is to evaluate the current evidence regarding the efficacy and safety of home-based devices for the treatment of skin conditions. A systematic search of PubMed, Embase, and Cinahl was conducted on November 9, 2020 using PRISMA guidelines. Original research articles that investigated the efficacy and safety of home-based devices for dermatologic use were included. Bibliographies were screened for additional relevant articles. Strength of evidence was graded using the Oxford Centre for Evidence-Based Medicine guidelines. Clinical recommendations were then made based on the quality of the existing literature. After review, 37 clinical trials were included-19 were randomized controlled trials, 16 were case series, and 2 were non-randomized controlled trials. Ultimately, from our analysis, we recommend the home-based use of intense pulsed light for hair removal, laser diodes for androgenic alopecia, low power radiofrequency for rhytides and wrinkles, and light-emitting diodes for acne vulgaris. Trials investigating ultraviolet B phototherapy for psoriasis revealed mixed evidence for home treatments compared to clinic treatments. All devices had favorable safety profiles with few significant adverse events. Limitations to our review include a limited number of randomized controlled trials as well as a lack of data on the long-term efficacy and safety of each device.
Identifiants
pubmed: 33938981
doi: 10.1007/s00403-021-02231-0
pii: 10.1007/s00403-021-02231-0
pmc: PMC8918178
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
239-246Informations de copyright
© 2021. The Author(s).
Références
Lasers Surg Med. 2007 Jul;39(6):476-93
pubmed: 17659582
J Am Acad Dermatol. 1981 May;4(5):584-91
pubmed: 7240467
J Cosmet Laser Ther. 2014 Jun;16(3):108-13
pubmed: 24143960
J Cosmet Laser Ther. 2016 Aug;18(4):234-8
pubmed: 26963615
J Cosmet Laser Ther. 2010 Dec;12(6):276-83
pubmed: 21142737
J Eur Acad Dermatol Venereol. 2014 Feb;28(2):160-8
pubmed: 23331874
Int J Womens Dermatol. 2017 May 20;3(3):176-179
pubmed: 28831431
Indian J Dermatol. 2011 Jan;56(1):7-13
pubmed: 21572783
J Cosmet Laser Ther. 2009 Jun;11(2):98-105
pubmed: 19396717
J Cosmet Laser Ther. 2011 Apr;13(2):69-76
pubmed: 21401380
J Cutan Med Surg. 2013 Jan-Feb;17(1):6-12
pubmed: 23364144
Lasers Surg Med. 2013 Oct;45(8):487-95
pubmed: 24078483
Lasers Surg Med. 2010 Apr;42(4):287-91
pubmed: 20432276
Dermatol Surg. 2017 Jun;43(6):856-867
pubmed: 28328705
J Cosmet Dermatol. 2017 Mar;16(1):95-102
pubmed: 27910259
J Cosmet Dermatol. 2010 Dec;9(4):287-90
pubmed: 21122046
Dermatol Surg. 2013 Aug;39(8):1177-83
pubmed: 23551662
J Am Acad Dermatol. 2012 Nov;67(5):975-84
pubmed: 22386051
Am J Clin Dermatol. 2014 Apr;15(2):115-27
pubmed: 24474647
Photodermatol Photoimmunol Photomed. 2015 Mar;31(2):83-9
pubmed: 25377657
J Am Acad Dermatol. 2008 Oct;59(4):577-81
pubmed: 18619709
Lasers Med Sci. 2019 Aug;34(6):1107-1114
pubmed: 30569416
Br J Dermatol. 2002 Nov;147(5):957-65
pubmed: 12410707
J Clin Aesthet Dermatol. 2012 May;5(5):25-31
pubmed: 22808306
Br J Dermatol. 2013 May;168(5):1088-94
pubmed: 23278295
Br J Dermatol. 2015 Jan;172(1):151-9
pubmed: 25039260
JAMA Dermatol. 2013 Nov;149(11):1300-4
pubmed: 24067948
Lasers Surg Med. 2012 Sep;44(7):550-7
pubmed: 22886431
Eur J Dermatol. 2010 May-Jun;20(3):367-72
pubmed: 20395192
Lasers Med Sci. 2015 Nov;30(8):2171-7
pubmed: 26296296
J Cosmet Dermatol. 2017 Dec;16(4):438-443
pubmed: 28741866
J Drugs Dermatol. 2014 Nov;13(11):1342-7
pubmed: 25607700
J Cosmet Laser Ther. 2006 Jun;8(2):71-5
pubmed: 16766484
J Cosmet Laser Ther. 2009 Jun;11(2):106-9
pubmed: 19401905
Arch Dermatol. 1983 Feb;119(2):122-4
pubmed: 6337559
Dermatol Surg. 2009 Mar;35(3):483-9
pubmed: 19292837
J Clin Aesthet Dermatol. 2015 Jul;8(7):30-5
pubmed: 26203318
J Cosmet Laser Ther. 2016 Dec;18(8):422-427
pubmed: 27351303
Clin Dermatol. 2007 Sep-Oct;25(5):443-53
pubmed: 17870522
J Am Acad Dermatol. 2019 Sep;81(3):775-804
pubmed: 31351884
J Cosmet Laser Ther. 2011 Dec;13(6):308-14
pubmed: 22091799
BMJ. 2009 May 07;338:b1542
pubmed: 19423623
Dermatol Online J. 2019 Feb 15;25(2):
pubmed: 30865405
Clin Cosmet Investig Dermatol. 2016 Feb 04;9:29-40
pubmed: 26893574