PMID- 25108741 OWN - NLM STAT- MEDLINE DCOM- 20160527 LR - 20220310 IS - 1741-3850 (Electronic) IS - 1741-3842 (Linking) VI - 37 IP - 3 DP - 2015 Sep TI - Electronic cigarettes: assessing the efficacy and the adverse effects through a systematic review of published studies. PG - 488-97 LID - 10.1093/pubmed/fdu055 [doi] AB - BACKGROUND: To investigate the efficacy and the adverse effects (AEs) of the electronic cigarette, we performed a systematic review of published studies. METHODS: We selected experimental and observational studies examining the efficacy (as reduction of desire to smoke and/or number of cigarettes smoked and/or quitting or as reduction of nicotine withdrawal symptoms) and the safety of EC (AEs self-reported or clinical/laboratory). The following search engines were used: PubMed, ISI Web of Knowledge and Cochrane Controlled Trials Register. RESULTS: Finally, six experimental studies and six cohort studies were included. In the prospective 12-month, randomized controlled trial, smoking reduction was documented in 22.3 and 10.3% at Weeks 12 and 52, respectively (P < 0.001 versus baseline). Moreover, two cohort studies reported a reduction in the number of cigarette/day (from 50 to 80%) after the introduction of the EC. 'Mouth and throat irritation', 'nausea', 'headache' and 'dry cough' were the most frequently AEs reported. CONCLUSIONS: The use of the EC can reduce the number of cigarettes smoked and withdrawal symptoms, but the AEs reported are mainly related to a short period of use. Long-term studies are needed to evaluate the effects of the EC usage after a chronic exposure. CI - (c) The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Gualano, Maria Rosaria AU - Gualano MR AD - Department of Public Health Sciences, School of Medicine, University of Torino, via Santena 5/bis, Turin 10126, Italy. FAU - Passi, Stefano AU - Passi S AD - Department of Public Health Sciences, School of Medicine, University of Torino, via Santena 5/bis, Turin 10126, Italy. FAU - Bert, Fabrizio AU - Bert F AD - Department of Public Health Sciences, School of Medicine, University of Torino, via Santena 5/bis, Turin 10126, Italy. FAU - La Torre, Giuseppe AU - La Torre G AD - Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro 5, Rome 00185, Italy. FAU - Scaioli, Giacomo AU - Scaioli G AD - Department of Public Health Sciences, School of Medicine, University of Torino, via Santena 5/bis, Turin 10126, Italy. FAU - Siliquini, Roberta AU - Siliquini R AD - Department of Public Health Sciences, School of Medicine, University of Torino, via Santena 5/bis, Turin 10126, Italy. LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20140809 PL - England TA - J Public Health (Oxf) JT - Journal of public health (Oxford, England) JID - 101188638 SB - IM MH - Electronic Nicotine Delivery Systems/*adverse effects/psychology MH - Humans MH - Smoking/epidemiology/psychology OTO - NOTNLM OT - e-cigarette OT - efficacy OT - electronic device OT - safety OT - smoking OT - tobacco EDAT- 2014/08/12 06:00 MHDA- 2016/05/28 06:00 CRDT- 2014/08/11 06:00 PHST- 2014/08/11 06:00 [entrez] PHST- 2014/08/12 06:00 [pubmed] PHST- 2016/05/28 06:00 [medline] AID - fdu055 [pii] AID - 10.1093/pubmed/fdu055 [doi] PST - ppublish SO - J Public Health (Oxf). 2015 Sep;37(3):488-97. doi: 10.1093/pubmed/fdu055. Epub 2014 Aug 9.