Evidence map›Paper›PMID 39135931›Full record

ArticleFrontiers in public health2024

Direct health implications of e-cigarette use: a systematic scoping review with evidence assessment.

Juan S Izquierdo-Condoy, Patricio Naranjo-Lara, Estefanía Morales-Lapo, Marlon R Hidalgo, Andrea Tello-De-la-Torre, Eduardo Vásconez-Gonzáles, Camila Salazar-Santoliva, Valentina Loaiza-Guevara, Wendy Rincón Hernández, Diego Alexander Becerra and 3 more

Abstract readScoping Review
In one paragraph

Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Exploring the Underlying Beliefs Shaping Perceptions of E-cigarette Harm Among a Convenience Sample of Adults in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  8. Human Primary Mesenchymal Stem Cells Fail to Recover Full Osteogenic Differentiation Potential Following Washout of Electronic Cigarette Aerosol Extracts.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  9. Toxicity and Appeal of Flavoured E-Cigarettes and Flavour Ban Outcomes: A Narrative Review.International journal of environmental research and public health · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Preventive medicine reports · 2025
    Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Juan S Izquierdo-CondoyOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Patricio Naranjo-LaraOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Estefanía Morales-LapoOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Marlon R HidalgoOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Andrea Tello-De-la-TorreOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Eduardo Vásconez-GonzálesOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Camila Salazar-SantolivaOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Valentina Loaiza-GuevaraFacultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia.
Wendy Rincón HernándezFundacion Universitaria San Martín, Bogota, Colombia.
Diego Alexander BecerraFacultad de Ciencias de la Salud, Universidad del Quindío, Armenia, Colombia.
María Belén Delgado GonzálezOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Andrés López-CortésCancer Research Group (CRG), Faculty of Medicine, Universidad de las Americas, Quito, Ecuador.
Esteban Ortiz-PradoOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: E-cigarettes are often marketed as a less harmful alternative to traditional tobacco cigarettes. Despite their popularity, the evidence regarding their effects on human health remains unclear and is filled with complexities. Objectives: This systematic review aims to elucidate the direct effects of electronic cigarette use on human health, carefully distinguishing between the specific characteristics of the populations studied. Methodology: Adhering to the PRISMA guidelines, we conducted a comprehensive search in PubMed/Medline, Web of Science, Scopus, and Google Scholar databases without date restrictions, including articles in both Spanish and English. This approach enabled the identification and analysis of primary studies to understand the direct effect of electronic cigarettes on human health. Results: A total of 33 studies were included that evaluated cardiovascular, pulmonary, renal, weight and fertility effects. Only five studies analyzed e-cigarettes in healthy populations and seven studies compared healthy individuals against smokers. The effects evaluated on smokers or former tobacco smokers were apparently positive, however, among healthy individuals, increased heart rate, mean arterial pressure, oxidative stress, alteration of respiratory epithelial cells and increased airflow resistance were found. Conclusion: Smokers or former smokers who switch to e-cigarettes may reduce their exposure to carcinogens and lower their risk of developing severe health issues associated with conventional smoking. However, in healthy individuals who have never smoked traditional cigarettes, the use of e-cigarettes introduces several cardiovascular and respiratory adverse effects. These findings suggest that while e-cigarettes can be a strategic harm reduction tool for smokers, they are not a safe option for non-smokers.

Indexed as

Electronic Nicotine Delivery SystemsVapingHumanschronic effects of vapingE-cigaretteshealth effectssystematic reviewtobacco harm reduction

Identifiers

PMID39135931
PMCPMC11317248

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.