Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

97 questions · 104 findings · 13 reviews · Headline outcomes only

No studies found 7 · 6.7%GRADE not reported 8 · 7.7%Very low 24 · 23.1%Low 42 · 40.4%Moderate 13 · 12.5%High 10 · 9.6%

Nicotine EC vs non‐nicotine EC

Adverse events at 1 week to 6 months Assessed via self‐report · People who smoke cigarettes

Nicotine EC showed no clear difference in adverse events at 1 week to 6 months Assessed via self‐report compared with non‐nicotine EC (moderate certainty).

1 finding from 1 review

Nicotine EC vs non‐nicotine EC

Serious adverse events at 1 week to 1 year Assessed via self‐report and medical records · People who smoke cigarettes

Nicotine EC showed no clear difference in serious adverse events at 1 week to 1 year Assessed via self‐report… compared with non‐nicotine EC (low certainty).

1 finding from 1 review

Nicotine EC vs NRT

Smoking cessation · people who smoke

Nicotine EC leads to higher smoking cessation at 6 months to 1 year compared with NRT (high certainty).

1 finding from 1 review

Nicotine EC vs NRT

Adverse events at 4 weeks to 6 months Assessed by self‐report · people who smoke

Nicotine EC showed no clear difference in adverse events at 4 weeks to 6‐9 months Assessed by self‐report compared with NRT (moderate certainty).

1 finding from 1 review

Nicotine EC vs NRT

Serious adverse events at 4 weeks to 1 year Assessed via self‐report and medical records · people who smoke

Nicotine EC showed no clear difference in serious adverse events at 4 weeks to 1 year Assessed via self‐report… compared with NRT (low certainty).

1 finding from 1 review

Nicotine EC vs behavioural support only/no support

Serious adverse events – measured by self‐report and medical records · people who smoke

It is very uncertain whether nicotine EC changes serious adverse events at 4 weeks to 8 months Assessed via… compared with behavioural support only/no support (very low certainty).

1 finding from 1 review

Transdermal or intranasal nicotine vs placebo

Sedation score (numerical rating scale of 1 to 6: 0 = anxious, agitated, or restless, 6 = asleep, no response) · patients with postoperative pain

It is very uncertain whether transdermal or intranasal nicotine changes sedation score compared with placebo (very low certainty).

1 finding from 1 review