Intercambio desde los cigarrillos convencionales a los sistemas electrónicos de administración de nicotina: revisión sistemática rápida con metaanálisis y aspectos económicos

Translated title of the contribution: Switching from cigarettes to electronic nicotine delivery system: rapid systematic review and meta-analysis and economic aspects

Agustín Ciapponi, Federico Rodríguez Cairoli, Germán Solioz, Carlos Rojas-Roque, Akram Hernández-Vásquez, Alfredo Palacios, Ariel Bardach

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES.: To assess how and in what extent the electronic nicotine delivery systems (ENDS) use substituted the consumption of traditional combustible cigarettes (c-cigarettes, c-cig). MATERIALS AND METHODS.: We performed a systematic review of the literature up to August 2019 in scientific databases. Primary outcomes were proportion of complete or partial substitution of conventional to electronic cigarettes and related economic aspects. Secondary outcomes were odds ratio of substitution and country-wise time trends. RESULTS.: We retrieved 3,628 references and included 49 studies, providing economic and epidemiological data. Economic studies of cross-price elasticity showed that combustible cigarettes are partially substitutable for electronic cigarettes. Most studies reported that electronic cigarettes consumption prevalence increased over time. Three studies reported a significant reduction of combustible cigarettes consumed per day among dual users (combustible- plus electronic- cigarettes users) versus combustible-cigarettes users. The pooled adjusted odds ratio of quitting combustible cigarettes among electronic cigarettes users versus never or past electronic cigarettes (e-cigarettes, e-cig) users was 1.19 (95% confidence interval 1.09 to 1.30; heterogeneity score 0%). Longitudinal studies showed globally a growing prevalence of electronic cigarettes use, mainly in adolescents. A negative relationship between consumption and price increase of electronic and combustible cigarettes was found. CONCLUSION.: The chance of quitting smoking combustible cigarettes among current electronic nicotine delivery systems users was increased with respect to never- or past- electronic nicotine delivery systems users. Economic studies reported that electronic cigarette is partially substitutable for combustible cigarettes.

Translated title of the contributionSwitching from cigarettes to electronic nicotine delivery system: rapid systematic review and meta-analysis and economic aspects
Original languageSpanish
Pages (from-to)537-550
Number of pages14
JournalRevista Peruana de Medicina Experimental y Salud Publica
Volume38
Issue number4
DOIs
StatePublished - 1 Oct 2021
Externally publishedYes

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