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2025 ; 83
(1
): 260
Nephropedia Template TP
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English Wikipedia
Electronic cigarette for smoking cessation: a fast-track Delphi consensus of
French-speaking experts
#MMPMID41131538
Lüthi E
; Velarde Crézé C
; Lebon L
; Jacot-Sadowski I
; Zürcher K
; Cornuz J
; Duperrex O
Arch Public Health
2025[Oct]; 83
(1
): 260
PMID41131538
show ga
BACKGROUND: The French-speaking Society for Smoking Cessation (Société
francophone de tabacologie, SFT), which promotes scientific knowledge and
training on smoking cessation, asked us to identify and quantify consensual
agreements among its members on the use of e-cigarette for smoking cessation.
METHODS: We used the fast-track Delphi process, starting with a modified version
of the Nominal Group Technique where experts generated propositions to answer the
target question: "What is the place and usefulness of vaping in the clinical care
of people who smoke?", followed by two Delphi surveys (e-questionnaires), in
which they expressed their opinion on each statement (9-point Likert-scale) and
commented. Consensual agreement is reached on a statement with a median???7 on
the 1-9 Likert-scale (agreement) and an interquartile range (IQR)???3 scale
points (consensus). RESULTS: Over 40 days in autumn 2023, 87/163 (53%) experts
reached consensual agreement on 26/33 (79%) statements, notably on the main
outcome "According to current data, the e-cigarette is effective for smoking
cessation (abstinence of 6 months or more)" (median 7, IQR 6.5-7.5). They
considered that e-cigarette very likely reduces the risks compared to smoking (8,
7-9), and "can be used in association with nicotine replacement products" (9,
8-9). No consensual agreement was reached for adverse effects and potential
benefits for subgroups (i.e. pregnancy, hospitalized). CONCLUSIONS: Participating
experts agreed that e-cigarette can help to quit smoking. Agreeing on priority
actions for smoking cessation is a base to develop clinical guidelines and
trainings, and to tackle the industry-led tobacco epidemic.