Evidence map›Paper›PMID 34737999›Full record

ArticleFrontiers in pediatrics2021

E-Cigarettes as a Growing Threat for Children and Adolescents: Position Statement From the European Academy of Paediatrics.

Andrew Bush, Agnieszka Lintowska, Artur Mazur, Adamos Hadjipanayis, Zacchi Grossman, Stefano Del Torso, Pierre-André Michaud, Svitlana Doan, Ivanna Romankevych, Monique Slaats and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

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

11 citing papers in PubMed, 24 citations in OpenAlex.

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  6. Nicotinic receptors in airway disease.American journal of physiology. Lung cellular and molecular physiology · 2024
    Review
  7. Review
  8. Reply to: "Nicotine or tobacco abstinence?"European respiratory review : an official journal of the European Respiratory Society · 2022
    Article
  9. Article
  10. Article
  11. 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

14 authors at 11 institutions in 9 countries.

Andrew BushImperial College Centre for Paediatrics and Child Health, National Heart and Lung Institute, Royal Brompton Harefield NHS Foundation Trust, London, United Kingdom.
Agnieszka LintowskaDepartment of Health Promotion, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland.
Artur MazurInstitute of Medical Sciences, Medical College, University of Rzeszów, Rzeszow, Poland.
Adamos HadjipanayisEuropean Academy of Paediatric (EAP/UEMS-SP), Brussels, Belgium.
Zacchi GrossmanEuropean Academy of Paediatric (EAP/UEMS-SP), Brussels, Belgium.
Stefano Del TorsoEuropean Academy of Paediatric (EAP/UEMS-SP), Brussels, Belgium.
Pierre-André MichaudFaculté de Biologie et de Médecine, Université de Lausanne, Lausanne, Switzerland.
Svitlana DoanDepartment of Public Health and Microbiology, Kyiv Medical University, Kyiv, Ukraine.
Ivanna RomankevychShupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine.
Monique SlaatsEuropean Academy of Paediatric (EAP/UEMS-SP), Brussels, Belgium.
Algirdas UtkusDepartment of Human and Medical Genetics, Institute of Biomedical Sciences, Vilnius University Medical Faculty, Vilnius, Lithuania.
Łukasz DembińskiEuropean Academy of Paediatric (EAP/UEMS-SP), Brussels, Belgium.
Marija SlobodanacDepartment of Pediatrics, Health Centre Ðakovo, Ðakovo, Croatia.
Arunas ValiulisEuropean Academy of Paediatric (EAP/UEMS-SP), Brussels, Belgium.
European Union of Medical Specialists · BEVilnius University · LTAriel University · ILErasmus MC - Sophia Children’s Hospital · NLKyiv Medical University · UAMedical University of Warsaw · PLRoyal Brompton & Harefield NHS Foundation Trust · GBShupyk National Healthcare University of Ukraine · UAUniversity of Cyprus · CYUniversity of Lausanne · CHWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the tobacco epidemic has waned, it has been followed by the advent of electronic nicotine delivery devices (ENDS) primarily manufactured by the tobacco industry to try to recruit replacements for deceased tobacco addicts. This document sets out the ten recommendations of the European Academy of Paediatrics (EAP) with regard to e-cigarettes and children and young people (CYP). The EAP notes that nicotine is itself a drug of addiction, with toxicity to the foetus, child and adult, and were ENDS only to contain nicotine, their use to create a new generation of addicts would be rigorously opposed. However, e-cigarettes include numerous unregulated chemicals, including known carcinogens, whose acute and long term toxicities are unknown. The EAP asserts that there is incontrovertible evidence that the acute toxicity of e-cigarettes is greater than that of "traditional" tobacco smoking, and a variety of acute pulmonary toxicities, including acute lung injuries, have been recorded due to e-cigarettes usage. The chronic toxicity of e-cigarettes is unknown, but given the greater acute toxicity compared to tobacco, the EAP cannot assume that e-cigarettes are safer in the long term. The high uptake of e-cigarettes by CYP, including under-age children, is partly fuelled by deceitful marketing and internet exposure, which is also unregulated. Although proposed as aids to smoking cessation, there is no evidence that e-cigarettes add anything to standard smoking cessation strategies. In summary, the EAP regards these devices and liquids as very dangerous, and ineluctably opposed to their use, and their direct or indirect marketing.

Indexed as

adolescentschildrene-cigaretteselectronic nicotine delivery devicesEuropean academy of paediatricsheated tobacco productsstatement

Identifiers

PMID34737999
PMCPMC8562300
OpenAlexW3202460460

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.