Cochrane · systematic review · CD010216

Electronic cigarettes for smoking cessation

Lindson, N, Butler, AR, McRobbie, H, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

Tobacco Addiction7 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 11.1%Low 4 · 44.4%Moderate 3 · 33.3%High 1 · 11.1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 7 versions

Nicotine EC compared to NRT for smoking cessation

Population: People who smoke
3 questions
OutcomeEffectEvidenceStatus / GRADE
Smoking cessation at 6 months to 1 year
Nicotine EC vs NRT
RR 1.59 [1.29, 1.93]7 studies · 2544 participantsHigh
Adverse events at 4 weeks to 6‐9 months Assessed by self‐report
Nicotine EC vs NRT
RR 1.03 [0.91, 1.17]5 studies · 2052 participantsModerate
Downgraded: imprecision
Serious adverse events at 4 weeks to 1 year Assessed via self‐report and medical records
Nicotine EC vs NRT
RR 1.2 [0.9, 1.6]6 studies · 2411 participantsLow
Downgraded: imprecision

Nicotine EC compared to non‐nicotine EC for smoking cessation

Population: People who smoke cigarettes
3 questions
OutcomeEffectEvidenceStatus / GRADE
Smoking cessation at 6‐12 months
Nicotine EC vs non‐nicotine EC
RR 1.46 [1.09, 1.96]6 studies · 1613 participantsModerate
Downgraded: risk of bias, imprecision
Adverse events at 1 week to 6 months Assessed via self‐report
Nicotine EC vs non‐nicotine EC
RR 1.01 [0.91, 1.11]5 studies · 840 participantsModerate
Downgraded: imprecision
Serious adverse events at 1 week to 1 year Assessed via self‐report and medical records
Nicotine EC vs non‐nicotine EC
RR 1 [0.56, 1.79]9 studies · 1412 participantsLow
Downgraded: imprecision

Nicotine EC compared to behavioural support only/no support for smoking cessation

Population: People who smoke
3 questions
OutcomeEffectEvidenceStatus / GRADE
Smoking cessation at 6 to 12 months Assessed using biochemical validation
Nicotine EC vs behavioural support only/no support
RR 1.88 [1.56, 2.25]9 studies · 5024 participantsLow
Downgraded: risk of bias
Adverse events at 12 weeks to 6 months Assessed via self‐report
Nicotine EC vs behavioural support only/no support
RR 1.22 [1.12, 1.32]4 studies · 765 participantsLow
Downgraded: risk of bias
Serious adverse events at 4 weeks to 8 months Assessed via self‐report and medical records
Nicotine EC vs behavioural support only/no support
RR 0.89 [0.59, 1.34]10 studies · 3263 participantsVery low
Downgraded: risk of bias, imprecision