Evidence map›Paper›PMID 26061661›Full record

Trial reportPloS one2015

Electronic Cigarettes Efficacy and Safety at 12 Months: Cohort Study.

Lamberto Manzoli, Maria Elena Flacco, Maria Fiore, Carlo La Vecchia, Carolina Marzuillo, Maria Rosaria Gualano, Giorgio Liguori, Giancarlo Cicolini, Lorenzo Capasso, Claudio D'Amario and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01785537 (Multicentric 5-year Follow-up Study to Assess the Efficacy of E-cigarettes as a Tool for Smoking Cessation and to Compare the Risk of Smoking-related Diseases Among Electronic and Traditional Cigarette Smokers, and Smokers of Both.), which is not on this map. Cited by 46 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 13 pooled it
8.5field-weighted citation impact, top 2% of its field
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.

NCT01785537 unknown statusnot on this map

Multicentric 5-year Follow-up Study to Assess the Efficacy of E-cigarettes as a Tool for Smoking Cessation and to Compare the Risk of Smoking-related Diseases Among Electronic and Traditional Cigarette Smokers, and Smokers of Both.

TypeobservationalSponsorUniversità degli Studi 'G. d'Annunzio' Chieti e PescaraRan2013 to 2019Enrolled1,050ConditionsCardiovascular Diseases, Chronic Obstructive Pulmonary Diseases, Cancer of the Lung, Cancer of the Bladder
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 13 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Pooled it
  5. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2021
    Pooled it
  6. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2021
    Pooled it
  7. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2020
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Overview of Electronic Nicotine Delivery Systems: A Systematic Review.American journal of preventive medicine · 2017
    Pooled it
  11. Pooled it
  12. Pooled it
  13. Cigarette Smoking and Electronic Cigarettes Use: A Meta-Analysis.International journal of environmental research and public health · 2016
    Pooled it
  14. Trial
  15. A Naturalistic, Randomized Pilot Trial of E-Cigarettes: Uptake, Exposure, and Behavioral Effects.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017
    Trial
  16. Identifying Latent Classes of Dual Cigarette/ENDS Users Based on Motivations for ENDS Use: Product Substitution Versus Complementary Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Vaping, Smoking and Lung Cancer Risk.Journal of oncology research and therapy · 2024
    Article
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

14 authors at 9 institutions in 1 country.

Lamberto ManzoliDepartment of Medicine and Aging Sciences, University of Chieti, via dei Vestini 5, 66013, Chieti, Italy; Local Health Unit of Pescara, Via Renato Paolini 47, 65100, Pescara, Italy; "University G. d'Annunzio" Foundation, Via Colle dell'Ara, 66013, Chieti, Italy; Regional Healthcare Agency of Abruzzo, Via Attilio Monti 9, 65127, Pescara, Italy.
Maria Elena FlaccoDepartment of Medicine and Aging Sciences, University of Chieti, via dei Vestini 5, 66013, Chieti, Italy; Local Health Unit of Pescara, Via Renato Paolini 47, 65100, Pescara, Italy.
Maria FioreDepartment "G. F. Ingrassia"- Hygiene and Public Health, University of Catania, Piazza Università 2, 95131, Catania, Italy.
Carlo La VecchiaDepartment of Clinical Sciences and Community Health, University of Milan, Via Vanzetti 5, 20133, Milan, Italy.
Carolina MarzuilloDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Viale Regina Elena 324, 00161, Roma, Italy.
Maria Rosaria GualanoDepartment of Public Health Sciences, University of Turin, Via Santena 5/bis, Turin, 10124, Italy.
Giorgio LiguoriDepartment of Movement Sciences and Wellbeing, University Parthenope of Neaples, Via Medina 40, 80133, Napoli, Italy.
Giancarlo CicoliniLocal Health Authority of Lanciano-Vasto-Chieti, Via Martiri Lancianesi, 66100, Chieti, Italy.
Lorenzo CapassoDepartment of Medicine and Aging Sciences, University of Chieti, via dei Vestini 5, 66013, Chieti, Italy; "University G. d'Annunzio" Foundation, Via Colle dell'Ara, 66013, Chieti, Italy.
Claudio D'AmarioLocal Health Unit of Pescara, Via Renato Paolini 47, 65100, Pescara, Italy.
Stefania BocciaInstitute of Public Health, Università Cattolica del Sacro Cuore, Rome, Largo Francesco Vito, 1, 00168, Roma, Italy.
Roberta SiliquiniDepartment of Public Health Sciences, University of Turin, Via Santena 5/bis, Turin, 10124, Italy.
Walter RicciardiInstitute of Public Health, Università Cattolica del Sacro Cuore, Rome, Largo Francesco Vito, 1, 00168, Roma, Italy; Italian Institute of Health, Viale Regina Elena 299, 00161, Rome, Italy.
Paolo VillariDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Viale Regina Elena 324, 00161, Roma, Italy.
Azienda USL di Pescara · ITSapienza University of Rome · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Chieti-Pescara · ITUniversity of Turin · ITBassano Bresciano Astronomical Observatory · ITParthenope University of Naples · ITUniversity of Catania · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the safety and efficacy as a tool of smoking cessation of electronic cigarettes (e-cigarettes), directly comparing users of e-cigarettes only, smokers of tobacco cigarettes only, and smokers of both.

designProspective cohort study. Final results are expected in 2019, but given the urgency of data to support policies on electronic smoking, we report the results of the 12-month follow-up. DATA SOURCES: Direct contact and structured questionnaires by phone or via internet.

methodsAdults (30-75 years) were included if they were smokers of ≥1 tobacco cigarette/day (tobacco smokers), users of any type of e-cigarettes, inhaling ≥50 puffs weekly (e-smokers), or smokers of both tobacco and e-cigarettes (dual smokers). Carbon monoxide levels were tested in a sample of those declaring tobacco smoking abstinence.

main outcome measuresSustained smoking abstinence from tobacco smoking at 12 months, reduction in the number of tobacco cigarettes smoked daily. DATA SYNTHESIS: We used linear and logistic regression, with region as cluster unit.

resultsFollow-up data were available for 236 e-smokers, 491 tobacco smokers, and 232 dual smokers (overall response rate 70.8%). All e-smokers were tobacco ex-smokers. At 12 months, 61.9% of the e-smokers were still abstinent from tobacco smoking; 20.6% of the tobacco smokers and 22.0% of the dual smokers achieved tobacco abstinence. Adjusting for potential confounders, tobacco smoking abstinence or cessation remained significantly more likely among e-smokers (adjusted OR 5.19; 95% CI: 3.35-8.02), whereas adding e-cigarettes to tobacco smoking did not enhance the likelihood of quitting tobacco and did not reduce tobacco cigarette consumption. E-smokers showed a minimal but significantly higher increase in self-rated health than other smokers. Non significant differences were found in self-reported serious adverse events (eleven overall).

conclusionsAdding e-cigarettes to tobacco smoking did not facilitate smoking cessation or reduction. If e-cigarette safety will be confirmed, however, the use of e-cigarettes alone may facilitate quitters remaining so. REGISTRATION NUMBER: NCT01785537.

Indexed as

Smoking PreventionAdultAgedCarbon MonoxideElectronic Nicotine Delivery SystemsFemaleHumansMaleMiddle AgedProspective StudiesSmokingSmoking CessationSurveys and QuestionnairesCarbon Monoxide

Identifiers

PMID26061661
PMCPMC4464650
OpenAlexW650857970

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.