Evidence map›Paper›PMID 37012981›Full record

ReviewDrug and alcohol dependence reports2023

The role of flavored electronic nicotine delivery systems in smoking cessation: A systematic review.

Alex C Liber, Marie Knoll, Christopher J Cadham, Mona Issabakhsh, Hayoung Oh, Steve Cook, Kenneth E Warner, Ritesh Mistry, David T Levy

Open access · goldAbstract readReview
In one paragraph

Review in Drug and alcohol dependence reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 7 pooled it
4.4field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 7 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  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. Pooled it
  4. Pooled it
  5. Pooled it
  6. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  7. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2024
    Pooled it
  8. Trial
  9. Article
  10. Toxicity and Appeal of Flavoured E-Cigarettes and Flavour Ban Outcomes: A Narrative Review.International journal of environmental research and public health · 2026
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Salivary Metabolic Pathway Alterations in Brazilian E-Cigarette Users.International journal of molecular sciences · 2024
    Article
  18. Article
  19. 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

9 authors at 2 institutions in 1 country.

Alex C LiberLombardi Comprehensive Cancer Center, Georgetown Medical University, 3800 Reservoir Rd. NW, Washington, DC 20057, United States.
Marie KnollLombardi Comprehensive Cancer Center, Georgetown Medical University, 3800 Reservoir Rd. NW, Washington, DC 20057, United States.
Christopher J CadhamDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, United States.
Mona IssabakhshLombardi Comprehensive Cancer Center, Georgetown Medical University, 3800 Reservoir Rd. NW, Washington, DC 20057, United States.
Hayoung OhLombardi Comprehensive Cancer Center, Georgetown Medical University, 3800 Reservoir Rd. NW, Washington, DC 20057, United States.
Steve CookDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI.
Kenneth E WarnerDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, United States.
Ritesh MistryDepartment of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, United States.
David T LevyLombardi Comprehensive Cancer Center, Georgetown Medical University, 3800 Reservoir Rd. NW, Washington, DC 20057, United States.
Georgetown University Medical Center · USUniversity of Michigan · US

Funding

Research Project 3: Modeling the Impact of Tobacco Control Policies on Polytobacco Use and Associated Health DisparitiesU54CA229974 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Mendez Emilien · 2018 to 2026
$39.2M
NCI NIH HHS U54 CA229974
6 · The paper itself

Abstract

Background: Electronic nicotine delivery systems (ENDS) come in numerous flavors and may aid smoking cessation. This systematic review examines evidence on the role of ENDS flavors in smoking cessation. Methods: We searched EMBASE OVID, PsychInfo, and Medline databases for studies that: 1) examined cigarette cessation outcomes for persons using ENDS (intent, attempts, and success) and 2) reported results separated by respondent's ENDS flavor used. We extracted crude and adjusted odds ratios for associations between cessation outcomes and types of ENDS flavors used (nontobacco vs. tobacco/unflavored; nontobacco and nonmenthol vs. tobacco/unflavored and menthol). We did not consider cessation outcomes among people not using ENDS. We evaluated the evidence using the GRADE approach, focusing on consistency and reliability of findings across studies. Results: 29 studies met inclusion criteria, producing 36 odds ratios (ORs) comparing cessation outcomes across ENDS flavor groups. Three ORs examined quit intent, five examined quit attempts, and 28 examined quit success. Using GRADE, we reached Low levels of certainty that there was not an association between ENDS flavor use and intention to quit smoking or making a quit attempt. There were Very Low levels of certainty that nontobacco flavored versus tobacco/unflavored ENDS use was not associated with smoking cessation success, with similar findings for nonmenthol and nontobacco compared to tobacco and menthol flavored ENDS. Conclusion: The evidence about the role of different flavored ENDS use and smoking cessation outcomes is inconclusive, reflecting highly heterogeneous study definitions and methodological limitations. More high-quality evidence, ideally from randomized controlled trials, is required.

Indexed as

Electronic nicotine delivery systemsFlavored tobaccoSmoking cessationSystematic review

Identifiers

PMID37012981
PMCPMC10066538
OpenAlexW4327609535

What OpenQuestion holds

Textmetadata
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.