Evidence map›Paper›PMID 41983886›Full record

ReviewSao Paulo medical journal = Revista paulista de medicina2026

Is photobiomodulation therapy free from racial bias?: a narrative review of skin pigmentation.

Carlos Eduardo Girasol, Luciano Bachmann

Abstract readReview
In one paragraph

Review in Sao Paulo medical journal = Revista paulista de medicina, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

2 authors.

Carlos Eduardo GirasolPostdoctoral Fellow, Researcher, and Clinical Physiotherapist; Departamento de Física, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo (FFCLRP-USP), Ribeirão Preto (SP), Brazil.ORCID 0000-0002-3901-582X
Luciano BachmannProfessor, Researcher; Departamento de Física, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo (FFCLRP-USP), Ribeirão Preto (SP), Brazil.ORCID 0000-0001-6622-251X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhotobiomodulation therapy (PBMT) has been extensively researched for tissue repair, pain relief, and muscle recovery. However, melanin, a primary skin chromophore, can impede photon penetration into darker skin, potentially diminishing the efficacy of PBMT. Despite this, clinical protocols and guidelines seldom account for skin pigmentation when setting parameters, possibly exacerbating racial disparities in healthcare.

objectiveTo examine the effect of melanin on the efficacy of PBMT and highlight the necessity for personalized strategies that account for skin pigmentation. DESIGN AND

settingShort communication conducted at the Universidade de São Paulo (USP), Ribeirão Preto, São Paulo.

methodsA narrative review of PBMT mechanisms, light-tissue interactions, and the impact of melanin absorption on treatment outcomes was conducted.

resultsThe clinical outcomes of PBMT depend on the technical parameters (wavelength, energy, and dose) and skin pigmentation. Darker skin tones with higher melanin content may lead to reduced photon penetration effectiveness. However, most studies and protocols do not consider this variable. Only a few clinical trials have categorized outcomes by skin tone, exposing a notable knowledge gap.

conclusionMelanin plays a crucial role in PBMT response, and overlooking skin pigmentation in research and clinical practice could perpetuate disparities. Enhanced and tailored protocols are essential to optimize PBMT outcomes among diverse populations.

Indexed as

Low-Level Light TherapyMelaninsRacismSkin PigmentationHumansTreatment OutcomeMelanins

Identifiers

PMID41983886
PMCPMC13075973

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.