Abstract
BackgroundThe utility of electronic cigarettes (‘e-cigarettes’) as a smoking cessation adjunct remains unclear. Similarly, it is unclear if formal tobacco treatment (pharmacotherapy and/or behavioural support) augments smoking cessation in individuals who use both cigarettes and e-cigarettes.MethodsWe performed a longitudinal cohort study of adult outpatients evaluated in our tertiary care medical centre (6/2018–6/2020). E-cigarette use, smoking status and formal tobacco treatment (deterrent pharmacotherapy and/or behavioural support) were assessed in 6-month blocks (eg, cohort 1 (C1)=6/2018–12/2018, C2=1/2019–6/2019 and so on) using our electronic health record. We assessed the relationship between e-cigarette use (either with or without formal tobacco treatment) and point prevalence of smoking cessation at 6 and 12 months.Results111 823 unique patients were included in the study. The prevalence of dual use of cigarettes and e-cigarettes increased significantly over the study period (C1=0.8%; C2=1.1%; C3=1.8%; C4=2.3%; p<0.001). The prevalence of smoking cessation at 12 months was higher among e-cigarette users (20.8%) compared with non-users (16.8%) (risk difference, 4.0% (95% CI 2.5% to 5.5%); adjusted relative risk (aRR) 1.354, 95% CI 1.252 to 1.464, p<0.0001). Further, among dual users of cigarettes and e-cigarettes, the prevalence of smoking cessation at 12 months was higher among individuals who received tobacco treatment (29.1%) compared with individuals who did not receive tobacco treatment (19.6%) (risk difference, 9.5% (95% CI, 4.6% to 14.4%); aRR 1.238, 95% CI 1.071 to 1.432, p=0.004).InterpretationThese results suggest that dual users of cigarettes and e-cigarettes benefit from formal tobacco treatment. Clinicians should consider offering formal tobacco treatment to such patients, though future trials are needed.
Funder
NIH
Foundation of Barnes Jewish Hospital Cancer Frontier Fund
Subject
Pulmonary and Respiratory Medicine
Reference33 articles.
1. National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. . The health consequences of Smoking- 50 years of progress, a report of the surgeon General. Altanta (GA) Centers for Disease Control and Prevention (US); 2014. https://pubmed.ncbi.nlm.nih.gov/24455788/
2. Assessment of duration of smoking cessation prior to surgical treatment of non-small cell lung cancer;Heiden;Ann Surg,2021
3. The impact of persistent smoking after surgery on long-term outcomes after stage I non-small cell lung cancer resection;Heiden;Chest,2022
4. United States Public Health Service Office of the Surgeon General; National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health . Smoking cessation: a report of the surgeon General. Washington (DC) US Department of Health and Human Services; 2020. https://pubmed.ncbi.nlm.nih.gov/32255575/
5. Changes in Electronic Cigarette Use Among Adults in the United States, 2014-2016
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献