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Health promotion and public health
Are E-cigarettes more effective in supporting smoking cessation than nicotine-replacement therapy?
  1. Myriam Cadet
  1. Bronx Community College, New York City, New York, USA
  1. Correspondence to Myriam Cadet, Bronx Community College, New York city, NY 10453, USA; myriamjeancadet{at}

Statistics from

Commentary on: Hajek P, Phillips-Waller A, Przulj D, et al. A randomized trial of E-cigarettes versus nicotine-replacement therapy. N Engl J Med 2019;380:629-37. doi: 10.1056/NEJMoa1808779.

Commentary: implication for research and practice

  • Nurses need to design evidence-based research studies on the prevention of smoking using e-cigarettes or nicotine-replacement therapy to improve health.

  • Nurses should support patients’ treatment preferences and values, based on evidence-based practice guidelines for smoking cessation.


A total of 34.3 million people are smokers in the USA.1 Smoking leads to disease, disability and harms to nearly every organ of the body.1 Treating smoking addictions has received a great deal of attention in recent years, but there is limited evidence on the effectiveness of smoking cessation treatments using e-cigarettes versus nicotine-replacement therapy.2


Eight hundred and eighty-six participants underwent randomisation by assigning two groups from the UK National Health Service in three sites. Participants were …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.

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