Evidence map›Paper›PMID 41343367›Full record

Trial reportExperimental and clinical psychopharmacology2026

Cardiopulmonary effects of combustible cigarettes and e-cigarettes in individuals with chronic obstructive pulmonary disease.

Brian R Katz, Katherine E Menson, Norman Medina, Shannon D O'Connor, David A Kaminsky, Charles G Irvin, Sulamunn R M Coleman, Michael J DeSarno, Stephen T Higgins, Diann E Gaalema

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Experimental and clinical psychopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2026
    Pooled it
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

10 authors.

Brian R KatzVermont Center on Behavior and Health, University of Vermont.ORCID 0009-0002-0682-1494
Katherine E MensonVermont Center on Behavior and Health, University of Vermont.
Norman MedinaVermont Center on Behavior and Health, University of Vermont.
Shannon D O'ConnorVermont Center on Behavior and Health, University of Vermont.
David A KaminskyDepartment of Medicine, University of Vermont Medical Center.
Charles G IrvinDepartment of Medicine, University of Vermont Medical Center.
Sulamunn R M ColemanVermont Center on Behavior and Health, University of Vermont.
Michael J DeSarnoDepartment of Medical Biostatistics, University of Vermont.
Stephen T HigginsVermont Center on Behavior and Health, University of Vermont.ORCID 0000-0003-0910-8096
Diann E GaalemaVermont Center on Behavior and Health, University of Vermont.

Funding

University of Vermont Tobacco Center of Regulatory ScienceU54DA036114 · NIDA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2018 to 2022
$19.4M
TRAINING IN BEHAV. PHARMACOLOGY OF HUMAN DRUG DEPENDENCET32DA007242 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HEIL, SARAH H, HIGGINS, STEPHEN T · 1990 to 2025
$8.2M
Vermont Center on Behavior and HealthP30GM149331 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Stephen T Higgins · 2023 to 2026
$5.6M
National Institute of General Medical Sciences; Centers of Biomedical Research ExcellenceNational Institute on Drug Abuse/Food and Drug Administration; Tobacco Centers of Regulatory ScienceNational Institute on Drug Abuse; T32DA007242NIDA NIH HHS T32 DA007242NIDA NIH HHS U54 DA036114NIGMS NIH HHS P30 GM149331US Department of Veterans Affairs; Veterans Health Administration Office of Rural Health
6 · The paper itself

Abstract

E-cigarettes have been proposed as a harm-reduction strategy to reduce combustible cigarette use. Comparing the cardiopulmonary effects of vaping to smoking is necessary before recommending their use, especially for people at high risk from continued smoking, like those with chronic obstructive pulmonary disease (COPD). Differences in the cardiopulmonary effects of combustible cigarettes and e-cigarettes for people with COPD who smoke were examined. Twenty-one individuals ≥40 years old diagnosed with COPD who smoked (≥5 cigarettes/day for ≥1 year) underwent two consecutive randomly ordered 2-week phases: a cigarette phase (usual-brand cigarettes) and a nicotine-containing e-cigarette phase (combustible cigarette abstinence with 3% and/or 5% nicotine tobacco-flavored JUUL available). Participants earned monetary incentives during the e-cigarette phase for cigarette abstinence, which was biochemically verified with daily carbon monoxide breath testing conducted remotely via phone (readings ≤6 parts per million). Pulmonary (spirometry, oscillometry, COPD Assessment Test, Saint George's Respiratory Questionnaire for COPD) and cardiac (heart rate, blood pressure) measures were completed at baseline, daily (remotely) throughout phases (spirometry, heart rate, and blood pressure only), and after each phase. Changes across assessments were analyzed using mixed-model repeated measures analyses of variance. Diastolic blood pressure and airway resistance at 19 Hz significantly improved during the e-cigarette phase, with the latter restricted to those who substantially abstained from combustible cigarettes (≥10 negative breath carbon monoxide samples) during this phase. The lack of significant adverse cardiopulmonary outcomes following e-cigarette use is promising. However, evaluating longer durations of e-cigarette substitution is warranted to determine their safety as a replacement for combustible cigarettes in patients with COPD. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

Blood PressureCigarette SmokingElectronic Nicotine Delivery SystemsHeart RatePulmonary Disease, Chronic ObstructiveTobacco ProductsVapingAdultAgedFemaleHumansMaleMiddle AgedSmoking CessationSpirometry

Identifiers

PMID41343367
PMCPMC12805905

What Socratic holds

Textmetadata
LicenceTDM
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.