[Vaping (electronic cigarette): how to advise smokers in 2017 ?]

Area of Science:

• Public Health
• Addiction Medicine
• Respiratory Medicine

Background:

• Electronic cigarettes, or electronic nicotine delivery systems (ENDS), are increasingly common in smoking cessation discussions.
• While ENDS are recognized as less risky than traditional smoking, long-term health effects remain uncertain.
• Evidence suggests vaping may assist individuals in quitting smoking.

Purpose of the Study:

• To provide recommendations for the use of electronic cigarettes in medical practice for smoking cessation.
• To address common clinical questions regarding vaping among smokers seeking to quit.

Main Methods:

• Literature review on ENDS and smoking cessation efficacy and safety.
• Synthesis of current evidence regarding vaping risks and benefits.
• Development of practical guidance for healthcare providers.

Main Results:

• Vaping risks are significantly lower than smoking.
• Vaping can be an effective tool for smoking cessation.
• First-line smoking cessation medications are recommended, but vaping should not be discouraged.

Conclusions:

• Healthcare providers should consider vaping as a viable option for patients aiming to stop smoking.
• Clinical recommendations should incorporate the role of ENDS in smoking cessation strategies.
• Further research is needed to fully understand the long-term health implications of vaping.