Home > Clinical question: Can use of electronic cigarettes help people quit smoking?

Burch, Jane and Ciapponi, Agustín [The Cochrane Library] . (2019) Clinical question: Can use of electronic cigarettes help people quit smoking? London: Wiley. Cochrane Clinical Answers https://doi.org/10.1002/cca.2571

URL: https://www.cochranelibrary.com/cca/doi/10.1002/cc...

Although RCTs showed that more people quit smoking with electronic cigarettes (ecigs) than with placebo, the number who quit was low in both groups and the evidence was of low certainty (94 vs 41 per 1000 people; all results on average). Low‐certainty evidence suggests the most common adverse events were cough, dry mouth, shortness of breath, throat irritation, and headache, with little difference between groups, and these were mostly reduced in both groups over time. One RCT showed little difference in absolute numbers of people who quit smoking or experienced an adverse event. Cohort studies reported variable smoking cessation rates from 5% to 46%, and confirmed that cough, dry/irritated mouth/throat, and headache were commonly reported adverse effects of ecigs, but all were underpowered. Only one cohort study assessed ecig use beyond 12 months, so the safety of long‐term ecig use remains uncertain.

Item Type:Evidence resource
Drug Type:Tobacco
Intervention Type:AOD disorder drug therapy, AOD disorder treatment method, Alternative medical treatment, AOD disorder harm reduction
Source:The Cochrane Library
Date:June 2019
Place of Publication:London
Subjects:B Substances > Tobacco (cigarette smoking)
B Substances > Tobacco (cigarette smoking) > Nicotine product (e-cigarette / vaping)
HJ Treatment method > Substance disorder treatment method > Cessation of substance use

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