I'm not sure if this helps, but I had a recent experience with my tank and UV seems to have saved my bacon. I tried carbon dosing for the first time, maybe I screwed it up, but I ended up with a massive bacteria bloom in my DT. It persisted for 10 days even after I completely stopped dosing carbon. Nitrates and phosphates were both zero the whole 10 days as well. It just wasn't adding up to me why it persisted for so long when the organic carbon, nitrate, and phosphate were all seemingly out of my system, but it did.
I added a smallish (18 watt) UV sterilizer after trying several other things to no avail. Within 24 hours the tank was almost completely clear. Here is the thread on that little adventure.
https://www.reef2reef.com/threads/help-me-decide-if-i-let-it-be-or-take-action.229037/
I don't know the long term effects yet, like I said, this just happened. But it was immediately evident that the UV sterilizer cleared the bacteria bloom.
I don't build these things, nor am I any kind of micro-biologist, but I did do a lot of research. From what I understand of that research, UV does not actually kill anything. What it does do is damage the chromosomes of unicellular organisms (and apparently the larval or cyst stage of parasites) to the point that they can no longer reproduce. They will live out their remaining days (or actually hours in many cases) doing what they do, but they will not reproduce in any way. So it will effectively stop or prevent a population explosion of free floating micro organisms that pass through the unit. Depending on the size of the unit and the rate of flow it will only effect certain types of organisms. Parasites require the lowest flow rate/longest exposure, then comes algae, then finally bacteria which is sterilized at the highest flow rate.
So I bought one, I used it, it's mine now. I'll let it run 24x7 until I see a reason not to. Might as well, I paid for it. I can say from my personal experience with a problem, that it helped tremendously. But I can also say had I not needed to get one, I probably never would have because I've just never needed one before.
If you have one, and you own it now, you might as well use it IMHO.