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ArticleJournal of cosmetic dermatology2025

Practical Recommendations for Indians on Sunscreen Use-A Modified Delphi Consensus by Indian Sunscreen Forum (PRISM-ISF).

Malavika Kohli, C R Srinivas, Abir Saraswat, Anil Ganjoo, Atul Kathed, Geeta Patel, Indrashis Podder, D S Krupashankar, Maleeka Sachdev, Maya Vedamurthy and 8 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Malavika KohliBreach Candy Hospital, and Jaslok Hospital, Mumbai, Maharashtra, India.
C R SrinivasDepartment of Dermatology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Abir SaraswatIndushree Skin Clinic, Lucknow, Uttar Pradesh, India.
Anil GanjooSkinnovation Clinics, New Delhi, India.
Atul KathedDrkathed's Clinic, Care CHL Hospital, Indore, India.
Geeta PatelZahra Skin and Laser Clinic, Ahmedabad, Gujarat, India.
Indrashis PodderDepartment of Dermatology, College of Medicine and Sagore Dutta Hospital, Kolkata, West Bengal, India.ORCID https://orcid.org/0000-0002-9589-083X
D S KrupashankarMallige Hospital, Bangalore, India.
Maleeka SachdevSachdev Clinics, Chandigarh, India.
Maya VedamurthyDepartment of Dermatology, RSV Skin and Research Centre, Chennai, Tamil Nadu, India.
Rajat KandhariDr Kandhari's Skin and Dental Clinic, Veya Aesthetics, New Delhi, India.ORCID https://orcid.org/0000-0001-6270-3287
Rajetha DamisettyDr. Rajetha's Mohana Skin & Hair Clinic, Hyderabad, Telangana, India.
Renita RajanRender Skin & Hair, Chennai, India.
Sanjeev AurangabadkarAurangabadkar's Skin & Laser Clinics, Hyderabad, Telangana, India.
Dhiraj DhootDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Limited, Mumbai, Maharashtra, India.
Ashwin BalasubramanianDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Limited, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-8645-6804
Saiprasad PatilDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Limited, Mumbai, Maharashtra, India.
Hanmant BarkateDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Limited, Mumbai, Maharashtra, India.

Funding

Glenmark Pharmaceuticals
6 · The paper itself

Abstract

backgroundUltraviolet (UV) radiation is a major contributor to photoaging, pigmentary disorders, and photocarcinogenesis. While sunscreens remain central to photoprotection, clinicians in India find it challenging to choose a sunscreen due to the wide variability in skin types, dermatologic conditions, climates, and formulation preferences. Selecting a sunscreen that balances efficacy, cosmetic acceptability, affordability, and patient adherence remains a practical dilemma.

objectiveTo develop consensus-based, practical recommendations for sunscreen selection and use in Indian dermatologic practice, addressing gaps in clinical guidance and contextual challenges.

methodsA panel of 14 dermatologists from across India, forming the Indian Sunscreen Forum (ISF), was convened through an in-person scientific meeting followed by iterative virtual discussions using a modified Delphi technique. The panel reviewed relevant scientific literature, real-world clinical practices, and patient-centric factors affecting sunscreen use in India.

resultsConsensus was achieved on preferred sunscreen formulation types (physical, chemical, and hybrid), application techniques, frequency, quantity, and specific recommendations across dermatologic indications including melasma, photodermatoses, acne, and post-procedure care. The panel also addressed considerations for special populations such as children, pregnant women, and individuals with sensitive skin. Safety concerns around systemic absorption and environmental impact were also discussed.

conclusionThis consensus statement provides Indian clinicians with evidence-informed, context-specific guidance for recommending sunscreens, helping them streamline decision-making, improve patient compliance, and align photoprotection strategies with dermatologic and public health priorities in India.

Indexed as

DermatologySunscreening AgentsConsensusDelphi TechniqueFemaleHumansIndiaPractice Guidelines as TopicPregnancyUltraviolet RaysSunscreening AgentschemicalconsensusdiseaseIndiamineralskin typesunscreen

Identifiers

PMID40955142
PMCPMC12439021

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.