Sylwer fod y cymhwysiad hwn dan ddatblygiad. Os ydych chi'n gweld unrhyw gamgymeriadau neu os nad yw rhywbeth yn gweithio, cysylltwch â ni yn evidence.service@wales.nhs.uk.

Electronic cigarettes for smoking cessation

Lindson N et al (2024)

Cochrane Database of Systematic Reviews - 10.1002/14651858.CD010216.pub8

Mapiau Tystiolaeth

  • Lleoliadau Gofal: Lleoliad gofal iechyd
  • Lleoliadau Gofal: Lleoliad cymunedol
  • Lleoliadau Gofal: Lleoliad Addysgol
  • Grwpiau Poblogaeth: Milwrol / cyn-filwrol
  • Grwpiau Poblogaeth: Oedolion
  • Grwpiau Poblogaeth: Chyflyrau iechyd sy'n bodoli eisoes
  • Grwpiau Poblogaeth: Beichiogrwydd / ôl-esgor
  • Ymyriadau: Systemau Dosbarthu Nicotin Electronig
  • Canlyniad: Rhoi'r gorau i ysmygu

Math o Dystiolaeth

Adolygiad Systematig

Nodau

Mae'r awduron yn datgan:

"To examine the safety, tolerability and effectiveness of using electronic cigarettes (ECs) to help people who smoke tobacco achieve long-term smoking abstinence, in comparison to non-nicotine EC, other smoking cessation treatments and no treatment."

Canfyddiadau

Mae'r awduron yn datgan:

"There is high certainty that nicotine EC increases quit rates compared to nicotine replacement therapy (NRT) (RR 1.59, 95% CI 1.29 to 1.93; I2= 0%; 7 studies, 2544 participants). In absolute terms, this might translate to an additional four quitters per 100 (95% CI 2 to 6 more).

There is moderate-certainty evidence, limited by imprecision, that nicotine EC increases quit rates compared to non-nicotine EC (RR 1.46,95% CI 1.09 to 1.96; I2 = 4%; 6 studies, 1613 participants). In absolute terms, this might lead to an additional three quitters per 100 (95% CI1 to 7 more).

Due to issues with risk of bias, there is low-certainty evidence that, compared to behavioural support only/no support, quit rates may behigher for participants randomized to nicotine EC (RR 1.88, 95% CI 1.56 to 2.25; I2 = 0%; 9 studies, 5024 participants). In absolute terms,this represents an additional four quitters per 100 (95% CI 2 to 5 more)."

Casgliadau

Mae'r awduron yn datgan:

"There is high-certainty evidence that ECs with nicotine increase quit rates compared to NRT and moderate-certainty evidence that theyincrease quit rates compared to ECs without nicotine. Evidence comparing nicotine EC with usual care/no treatment also suggests benefit,but is less certain due to risk of bias inherent in the study design."