Evidence map›Paper›PMID 27883949›Full record

ArticleDrug and alcohol dependence2017

Nicotine levels, withdrawal symptoms, and smoking reduction success in real world use: A comparison of cigarette smokers and dual users of both cigarettes and E-cigarettes.

Douglas E Jorenby, Stevens S Smith, Michael C Fiore, Timothy B Baker

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  12. Changes in Use Patterns Over 1 Year Among Smokers and Dual Users of Combustible and Electronic Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. The Role of Nicotine Dependence in E-Cigarettes' Potential for Smoking Reduction.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Article
  18. Article
  19. An Online Survey of New Zealand Vapers.International journal of environmental research and public health · 2018
    Article
  20. Review
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

4 authors.

Douglas E JorenbyDivision of General Internal Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Center for Tobacco Research and Intervention, 1930 Monroe St., Suite 200, Madison, WI 53711, United States. Electronic address: Dej@ctri.wisc.edu.
Stevens S SmithDivision of General Internal Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Center for Tobacco Research and Intervention, 1930 Monroe St., Suite 200, Madison, WI 53711, United States.
Michael C FioreDivision of General Internal Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Center for Tobacco Research and Intervention, 1930 Monroe St., Suite 200, Madison, WI 53711, United States.
Timothy B BakerDivision of General Internal Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Center for Tobacco Research and Intervention, 1930 Monroe St., Suite 200, Madison, WI 53711, United States.

Funding

Testing Relapse Recovery Intervention ComponentsP01CA180945 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI FIORE, MICHAEL C · 2014 to 2023
$23.0M
Methods CoreP50CA143188 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BOLT, DANIEL M · 2009 to 2013
$10.5M
NCI NIH HHS P01 CA180945NCI NIH HHS P50 CA143188
6 · The paper itself

Abstract

introductionTo evaluate how experienced dual users used cigarettes and e-cigarettes in real-world use and under different levels of cigarette availability.

methodsDual users (cigarettes+e-cigarettes; n=74) and a smoke-only group (just cigarettes; n=74) engaged in a 26-day study with two ad lib use intervals, a week of 75% cigarette reduction and three days of 100% cigarette reduction. After a week of ad lib use of products, all participants were asked to reduce smoking by 75% (dual users were free to use their e-cigarettes as they wished), followed by another week of ad lib use. All participants were then asked to reduce smoking by 100% (cessation) for three days. Primary outcomes were biological samples (carbon monoxide, urinary nicotine and cotinine). Participants also provided real-time reports of product use, craving, and withdrawal symptoms using a smartphone app.

resultsDual users did not smoke fewer cigarettes than smoke-only participants during ad lib periods, but quadrupled their use of e-cigarettes during smoking reduction periods. Dual users were significantly more likely to maintain 100% reduction (97.1% vs. 81.2%). Amongst women, dual use was associated with higher nicotine levels and withdrawal suppression. DISCUSSION: Among a group of experienced dual users, e-cigarettes helped maintain smoking reduction and reduced some withdrawal symptoms, although both withdrawal symptoms and nicotine levels varied as a function of gender.

Indexed as

Electronic Nicotine Delivery SystemsSmoking CessationTobacco ProductsAdultCravingFemaleHumansMaleMiddle AgedNicotineSmokingSubstance Withdrawal SyndromeTobacco Use DisorderYoung AdultNicotineCigarette smokingDual usee-cigarettesGender differencesNicotineNicotine dependence

Identifiers

PMID27883949
PMCPMC5183546

What OpenQuestion holds

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Registered trials

None linked

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.