Evidence map›Paper›PMID 25083263›Full record

ReviewTherapeutic advances in drug safety2014

Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: a systematic review.

Konstantinos E Farsalinos, Riccardo Polosa

7 registry-linked trialsAbstract readReview
In one paragraph

Review in Therapeutic advances in drug safety, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 283 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
283citing papers in PubMed, 14 pooled it
–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.

NCT03589989 nacompletednot on this mapstarted 2018, after this paper: background citation

Efficacy, Safety and Toxicology of Electronic Nicotine Delivery Systems as an Aid for Smoking Cessation (The ESTxENDS Trial)

TypeinterventionalSponsorUniversity of BernRan2018 to 2022Enrolled1,246ConditionsSmoking CessationArmsENDS (vaporizer/e-cig) and smoking cessation counseling, Smoking cessation counseling
NCT03612544 nacompletednot on this mapstarted 2018, after this paper: background citation

Substudy of Efficacy, Safety and Toxicology of Electronic Nicotine Delivery Systems as an Aid for Smoking Cessation (ESTxENDS Trial)- the Toxins Substudy of ESTxENDS

TypeinterventionalSponsorUniversity of BernRan2018 to 2023Enrolled1,246ConditionsSmoking Cessation, ToxicityArmsENDS (Vaporizer/e-cig) and smoking cessation counseling, Smoking cessation counseling
NCT03632421 nacompletednot on this mapstarted 2018, after this paper: background citation

Substudy of Efficacy, Safety and Toxicology of Electronic Nicotine Delivery Systems as an Aid for Smoking Cessation (ESTxENDS Trial)- the Respiratory Symptoms Substudy of ESTxENDS

TypeinterventionalSponsorUniversity of BernRan2018 to 2023Enrolled1,246ConditionsSmoking Cessation, Respiratory DiseaseArmsENDS (vaporizer/e-cig) and smoking cessation counseling, Smoking cessation counseling
NCT03938298 nacompletednot on this mapstarted 2019, after this paper: background citation

Substudy of Efficacy, Safety and Toxicology of Electronic Nicotine Delivery Systems as an Aid for Smoking Cessation (ESTxENDS): Pulmonary Function Substudy (PulmENDS)

TypeinterventionalSponsorUniversity of BernRan2019 to 2022Enrolled130ConditionsSmoking Cessation, Pulmonary DiseaseArmsENDS (vaporizer/e-cig) and smoking cessation counseling, Smoking cessation counseling
NCT04231838 naunknown statusnot on this mapstarted 2021, after this paper: background citation

A Randomised Controlled International Multicentre Study Evaluating Changes in Metabolic Syndrome in Smokers With Type 2 Diabetes Mellitus After Switching From Tobacco Cigarettes to Combustion-Free Nicotine Delivery Systems: DIASMOKE Study

TypeinterventionalSponsorEclat Srl.Ran2021 to 2026Enrolled576ConditionsCardiovascular Risk Factor, Diabetes Mellitus, Type 2ArmsTOBACCO CIGARETTES, COMBUSTION-FREE NICOTINE DELIVERY SYSTEMS (C-F NDS)
NCT04236791 naactive not recruitingnot on this mapstarted 2018, after this paper: background citation

Efficacy, Safety and Toxicology of Electronic Nicotine Delivery Systems as an Aid for Smoking Cessation (The ESTxENDS Trial)- Extension of Follow-up

TypeinterventionalSponsorUniversity of BernRan2018 to 2026Enrolled1,246ConditionsSmoking CessationArmsENDS (vaporizer/e-cig) and smoking cessation counseling, Smoking cessation counseling
NCT04649645 nacompletednot on this mapstarted 2021, after this paper: background citation

International Randomized Controlled Trial Evaluating Changes in Oral Health in Smokers After Switching to Combustion-Free Nicotine Delivery Systems: SMILE Study Protocol

TypeinterventionalSponsorEclat Srl.Ran2021 to 2024Enrolled460ConditionsGingivitis, Periodontal DiseasesArmsTOBACCO CIGARETTES, COMBUSTION-FREE NICOTINE DELIVERY SYSTEMS (C-F NDS), NOT SMOKING
3 · Its place in the literature

Who cites it

283 citing papers in PubMed, 14 syntheses or guidelines pooled it.

  1. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  4. Pooled it
  5. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2024
    Pooled it
  6. Pooled it
  7. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2022
    Pooled it
  8. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2021
    Pooled it
  9. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2021
    Pooled it
  10. Pooled it
  11. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2020
    Pooled it
  12. Pooled it
  13. Pooled it
  14. Overview of Electronic Nicotine Delivery Systems: A Systematic Review.American journal of preventive medicine · 2017
    Pooled it
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

223 more citing papers are in PubMed but not listed here.

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.

Konstantinos E FarsalinosOnassis Cardiac Surgery Center, Sygrou 356, Kallithea 17674, Greece.
Riccardo PolosaCentro per la Prevenzione e Cura del Tabagismo (CPCT) and Institute of Internal Medicine, Università di Catania, Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electronic cigarettes are a recent development in tobacco harm reduction. They are marketed as less harmful alternatives to smoking. Awareness and use of these devices has grown exponentially in recent years, with millions of people currently using them. This systematic review appraises existing laboratory and clinical research on the potential risks from electronic cigarette use, compared with the well-established devastating effects of smoking tobacco cigarettes. Currently available evidence indicates that electronic cigarettes are by far a less harmful alternative to smoking and significant health benefits are expected in smokers who switch from tobacco to electronic cigarettes. Research will help make electronic cigarettes more effective as smoking substitutes and will better define and further reduce residual risks from use to as low as possible, by establishing appropriate quality control and standards.

Indexed as

electronic cigarettese-liquide-vaporharm reductionnicotinesafetytobacco

Identifiers

PMID25083263
PMCPMC4110871

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 1 more above

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.