Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

88 questions · 95 findings · 12 reviews · Tobacco Addiction · Headline outcomes only

No studies found 7 · 7.4%GRADE not reported 8 · 8.4%Very low 20 · 21.1%Low 38 · 40%Moderate 12 · 12.6%High 10 · 10.5%

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

Nicotine replacement therapy vs control

Biochemically validated smoking cessation at the latest point in pregnancy (20 weeks' gestation or more) · Pregnant women who smoke

Nicotine replacement therapy may leads to higher biochemically validated smoking cessation at the latest point in… compared with control (low certainty).

1 finding from 1 review