Discussion about the potential damages and benefits of steaming lasts for years. But the results of the Great Trials in Great Britain were pro-steaming for the biggest victory. They found that people trying to quit smoking are almost twice as likely to succeed over a year if they use electronic cigarettes compared to people who have been taking typical nicotine replacement therapy.
The study, published in the New England Journal of Medicine newspaper Wednesday, hired nearly 900 smokers in the UK. All smokers went to dedicated centers to help them give up. Two interventions were randomly assigned there.
One group has been given quarterly supply with standard termination treatments of their choice, such as nicotine gums, patches or pastilles. The second one was a startup kit for e-cigarettes, along with a couple of e-juice bottles, and they encouraged people to continue steaming. Both groups also had weekly monthly counseling sessions. In order to measure their progressively, the levels of carbon monoxide breathing (common toxins in the smoke of the exhausted air in the air) were monitored.
In one week and four weeks, people who received e-cigarettes were less likely to feel a strong need for smoking. They also felt less irritated or unable to focus on trying to leave the week. And most importantly, at each point of the study, these users were more likely to have completely abstained from smoking cigarettes. By the 52nd week, 18 percent of e-cigarette groups were still without cigarettes compared to 9.9 percent of the standard treatment group.
This may not seem like a huge success rate, but it is known that it is difficult to stop smoking. Even the rate of success using nicotine replacement therapy in this study is actually quite high compared to other studies that measure its effectiveness. E-cigarette users are also more likely to reduce smoking by 50 percent or more, even if they have not completely stopped smoking.
"This is a well-designed and demanding study that can have important clinical and political implications for the use of e-cigarettes as an aid to cessation of use," Scott Weaver, an epidemiologist at the Georgia State University Public Health epidemiologist who is not related to the new research, said Gizmodo .
Previous trials and research have tried to find out how well e-cigarettes can help smokers quit smoking. However, some studies (including one of Weavers) did not show any real benefit compared to other options of termination. However, according to the authors, it is their first clinical trial to test contemporary e-cigarettes in people who are actively trying to quit smoking. These devices often have more nicotine and come in a more convenient form than the first-generation steam generator.
"Something that people do not often know is how steaming products have become much better replacements for cigarettes over time. So results are not that surprising," said Gizmodo David Levy, an oncology professor at Georgetown Medical Center.
Another important reason, according to Sven-Eric Jord, an anesthesiologist, pharmacologist and biologist at Duke University who was studying the potential health risks of steaming, was how these patients were treated.
"The study was conducted under medical supervision and with the medical support of smoker behavior that tried to stop smoking," said Jordt, who is not related to the research. "It does not support unlimited availability of e-cigarettes."
Weaver added: "The results of this study show that under these conditions e-cigarettes have improved the likelihood of smoking cessation. However, especially in the United States, smokers generally do not use e-cigarettes under such conditions. "
For example, Weaver said, most of the smokers here do not grab every day, or they clench until they smoke regularly. Culture in the UK surrounding smoking and e-cigarettes is also different from the United States.
For example, the United Kingdom has already quite welcomed the idea of using e-cigarettes as a tool for cessation of use. In 2015, the government public health agency, Public Health England, approved an independent report stating that e-cigarettes are considerably less harmful than tobacco cigarettes and should be accepted as a way to give up smoking. And they are on the same path with the latest discoveries.
"These significant research suggests that switching to e-cigarettes can be one of the most effective ways to stop smoking, especially in combination with direct support," said Martin Dockrell, head of tobacco control department at Public Health England, the statement said. "All smoking services should greet smokers who want to stop using e-cigarettes."
However, Jordt noted that newer devices, such as Juul Floors, just arrived in Great Britain. These devices have up to three times the nicotine of the devices used in the clinical trial. Drinking fast popularity among teenagers in the United States – which has caused fears that this could lead to more young people getting tobacco smoking and the reversed success we saw when reducing smoking rates during teenage years – can explain the more hesitant attitude of doctors in the US. with enthusiasm to accept e-cigarettes as a cessation of application.
While some research (including Levy) has cast doubt on the idea that teen vaping will cause more smoking, agencies such as the Food and Drug Agency will push policies that will restrict e-cigarettes with flavor to be widely available in stores or on the internet. Some states, including Vermont, even have floating bills for banning the sale of taste products.
Another concern that Jordt has about e-cigarettes is that many users simply stop using it. Even in the current study, about 80 percent of people continue to crawl by the end of the year. It would be ideal for people to reject nicotine and potentially harmful toxins that provide e-cigarettes. But it could be a good price to pay.
– That's the problem. But people who switch, still have a lower risk of health, "Levy said.
Despite impressive findings, Levy and other experts discussed by Gizmodo with the University have said more research is needed in the US and elsewhere, using new devices, before physicians here can fully support shaking as help curing treatment over standard treatment (probably with regular counseling) to run).
"Caution is required," Levy said. "Especially smokers need to recognize the importance of a complete transition to e-cigarettes. Still, I think they can play an important role. "[NEJM via Queen Mary University of London]