In conjunction with a canister filter, yes they are better in my opinion.
You get more contact time with the water and better distribution of CO² especially with a spray bar.
Designed by Ista, this External CO2 Reactor is ideal to utilize in aquarium setups where carbon dioxide is supplemented. Reactors use agitation to thoroughly mix aquarium water with the CO2 that you are adding, to ensure the gas is evenly distributed.The reliable, sturdy design works externally...
kensfish.com
Just got to make sure you use proper size hose to avoid leaks.