Evidence map›Paper›PMID 25822251›Full record

SynthesisPloS one2015

E-cigarettes and smoking cessation: evidence from a systematic review and meta-analysis.

Muhammad Aziz Rahman, Nicholas Hann, Andrew Wilson, George Mnatzaganian, Linda Worrall-Carter

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 9 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.

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

121 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Smoking Prevalence among Physicians: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
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  8. Overview of Electronic Nicotine Delivery Systems: A Systematic Review.American journal of preventive medicine · 2017
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  14. A Pilot Randomized Crossover Trial of Electronic Cigarette Sampling Among Smokers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
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61 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

5 authors.

Muhammad Aziz RahmanThe Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia; St Vincent's Centre for Nursing Research (SVCNR), Australian Catholic University, Melbourne, Australia; The Cardiovascular Research Centre (CvRC), Australian Catholic University, Melbourne, Australia.
Nicholas HannThe Cardiovascular Research Centre (CvRC), Australian Catholic University, Melbourne, Australia; The University of Melbourne, Melbourne, Australia.
Andrew WilsonThe Cardiovascular Research Centre (CvRC), Australian Catholic University, Melbourne, Australia; The University of Melbourne, Melbourne, Australia; St Vincent's Hospital, Melbourne, Australia.
George MnatzaganianSchool of Allied Health, Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia.
Linda Worrall-CarterSt Vincent's Centre for Nursing Research (SVCNR), Australian Catholic University, Melbourne, Australia; The Cardiovascular Research Centre (CvRC), Australian Catholic University, Melbourne, Australia; St Vincent's Hospital, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundE-cigarettes are currently being debated regarding their possible role in smoking cessation and as they are becoming increasingly popular, the research to date requires investigation.

objectivesTo investigate whether the use of e-cigarettes is associated with smoking cessation or reduction, and whether there is any difference in efficacy of e-cigarettes with and without nicotine on smoking cessation. DATA SOURCES: A systematic review of articles with no limit on publication date was conducted by searching PubMed, Web of Knowledge and Scopus databases.

methodsPublished studies, those reported smoking abstinence or reduction in cigarette consumption after the use of e-cigarettes, were included. Studies were systematically reviewed, and meta-analyses were conducted using Mantel-Haenszel fixed-effect and random-effects models. Degree of heterogeneity among studies and quality of the selected studies were evaluated.

resultsSix studies were included involving 7,551 participants. Meta-analyses included 1,242 participants who had complete data on smoking cessation. Nicotine filled e-cigarettes were more effective for cessation than those without nicotine (pooled Risk Ratio 2.29, 95%CI 1.05-4.97). Amongst 1,242 smokers, 224 (18%) reported smoking cessation after using nicotine-enriched e-cigarettes for a minimum period of six months. Use of such e-cigarettes was positively associated with smoking cessation with a pooled Effect Size of 0.20 (95%CI 0.11-0.28). Use of e-cigarettes was also associated with a reduction in the number of cigarettes used. LIMITATIONS: Included studies were heterogeneous, due to different study designs and gender variation. Whilst we were able to comment on the efficacy of nicotine vs. non-nicotine e-cigarettes for smoking cessation, we were unable to comment on the efficacy of e-cigarettes vs. other interventions for cessation, given the lack of comparator groups in the studies included in this meta-analysis.

conclusionsUse of e-cigarettes is associated with smoking cessation and reduction. More randomised controlled trials are needed to assess effectiveness against other cessation methods.

Indexed as

Electronic Nicotine Delivery SystemsHumansNicotineOutcome Assessment, Health CareSmoking CessationNicotine

Identifiers

PMID25822251
PMCPMC4378973

What OpenQuestion holds

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Registered trials

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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.