Electronic cigarettes (e-cigs): views of af... [Int J Clin Pract. 2011] - PubMed - NCBI
And here is Dr. Rodu's reaction: Tobacco Truth
I must agree with Dr. Rodu.
I must be really dense. Given this information,
why would the authors recommend that people continue to beat their heads against the wall until the blood runs into their eyes?
The average number of quit attempts was nine. Nearly two-thirds had failed with FDA-approved medications.
So what sense does it make to recommend that people keep taking the course of action that is proven to not work well enough?
Int J Clin Pract. 2011 Aug 1. doi: 10.1111/j.1742-1241.2011.02751.x. [Epub ahead of print]
Electronic cigarettes (e-cigs): views of aficionados and clinical/public health perspectives.
Foulds J, Veldheer S, Berg A.
Source
Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Abstract
Background: Electronic cigarettes (e-cigs) have experienced a rapid growth in popularity but little is known about how they are used. Aim: The aim of this study was to identify the e-cig products used by experienced e-cig users, their pattern of e-cig use and the impact on tobacco use. Method: Face-to-face survey of 104 experienced e-cig users. Results: Of all the e-cig users, 78% had not used any tobacco in the prior 30 days. They had previously smoked an average of 25 cigarettes per day, and had tried to quit smoking an average of nine times before they started using e-cigs. Two-thirds had previously tried to quit smoking using an FDA-approved smoking cessation medication. The majority of the sample had used e-cigs daily for at least a year. Three quarters started using e-cigs with the intention of quitting smoking and almost all felt that the e-cig had helped them to succeed in quitting smoking. Two-thirds used e-cig liquid with a medium to high concentration of nicotine (13 mg +). Only 8% were using the most widely sold types of cigarette-sized e-cigs that are typically powered by a single 3.7 volt battery. Instead most used e-cigs designed to enable the atomizer to more consistently achieve a hotter more intense vapour. Conclusion: Until we have more evidence on the safety and efficacy of e-cigs for smoking cessation, smokers should be advised to use proven treatments (e.g. counselling and FDA-approved medicines). However, for those who have successfully switched to e-cigs, the priority should be staying off cigarettes, rather than quitting e-cigs.
And here is Dr. Rodu's reaction: Tobacco Truth
I must agree with Dr. Rodu.
However, they inexplicably conclude that current smokers who are interested in quitting smoking should be strongly directed towards evidence-based treatments (counseling, and approved medicines like nicotine replacement, bupropion or varenicline), rather than to e-cigs.
Foulds and colleagues write that we do not know enough about e-cigs to recommend them to patients. Still, they must know that the evidence for evidence-based treatments is not compelling. Nicotine medicines have a 93% failure rate (here), and bupropion and varenicline are fraught with potentially serious side effects (here).
I must be really dense. Given this information,
...almost 80% had not used a traditional tobacco product in the past 30 days. The average duration of smoking was 16 years, and they had smoked an average of 25 cigarettes per day. The average number of quit attempts was nine. Nearly two thirds of e-cigarette users had unsuccessfully tried FDA-approved smoking cessation medications, and three quarters had tried to quit cold turkey.
why would the authors recommend that people continue to beat their heads against the wall until the blood runs into their eyes?
The average number of quit attempts was nine. Nearly two-thirds had failed with FDA-approved medications.
So what sense does it make to recommend that people keep taking the course of action that is proven to not work well enough?
