Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-19T03:37:27.920Z Has data issue: false hasContentIssue false
  • English
  • Français

Practise Patterns and Perceptions of Chest Health Care Providers on Electronic Cigarette Use: An In-Depth Discussion and Report of Survey Results

Published online by Cambridge University Press:  09 April 2017

Stephen R. Baldassarri ,
Geoffrey L. Chupp ,
Frank T. Leone ,
Graham W. Warren  and
Benjamin A. Toll
Stephen R. Baldassarri*
Affiliation:
Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale School of Medicine, New Haven, CT
Geoffrey L. Chupp
Affiliation:
Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale School of Medicine, New Haven, CT
Frank T. Leone
Affiliation:
Division of Pulmonary, Allergy, & Critical Care, University of Pennsylvania, Philadelphia, PA Comprehensive Smoking Treatment Program, University of Pennsylvania, Philadelphia, PA
Graham W. Warren
Affiliation:
Department of Radiation Oncology, Medical University of South Carolina, Charleston, SC
Benjamin A. Toll
Affiliation:
Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC Hollings Cancer Center, Charleston, SC Department of Psychiatry, Yale School of Medicine, New Haven, CT
*
Address for correspondence: Stephen R. Baldassarri, M.D., Yale School of Medicine, Department of Internal Medicine, Section of Pulmonary, Critical Care, & Sleep Medicine, 300 Cedar Street, TAC-441 South, P.O. Box 208057, New Haven, CT 06520–8057, USA. Email: stephen.baldassarri@yale.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction: The emergence of electronic cigarettes (ECs) has become a growing phenomenon that has sharply split opinion among the public health community, physicians, and lawmakers.

Aims: We sought to determine chest physician perceptions regarding ECs.

Methods: We conducted a web-based survey of 18,000 American College of Chest Physician (CHEST) members to determine health care provider experiences with EC users and to characterise provider perceptions regarding ECs.

Results/Findings: There were 994 respondents. Eighty-eight per cent reported that patients had asked their opinion of ECs, and 31% reported EC use among at least 10% of their patients. More disagreed than agreed (41% vs. 21%) that patients could improve their health by switching from tobacco smoking to daily EC use. Respondents were split on whether ECs promote tobacco cessation (32% agree vs. 33% disagree).

Conclusions: Current perceptions of ECs are variable among providers. More than 1/3 of respondents felt that EC's could be used for smoking cessation for smokers who failed prior quit attempts with approved therapies. However, many respondents were not convinced that ECs will reduce harms from tobacco use. There is an urgent need to generate additional high quality scientific data regarding ECs to inform chest physicians, health professionals, and the general public.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 2 , June 2018 , pp. 72 - 77
Copyright
Copyright © The Author(s) 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adriaens, K., Van Gucht, D., Declerck, P., & Baeyens, F. (2014). Effectiveness of the electronic cigarette: An eight-week Flemish study with six-month follow-up on smoking reduction, craving and experienced benefits and complaints. International Journal of Environmental Research and Public Health, 11 (11), 11220–11248. doi:10.3390/ijerph111111220.Google Scholar
Avdalovic, M. V., & Murin, S. (2015). POINT: Does the risk of electronic cigarettes exceed potential benefits? Yes. Chest, 148 (3), 580–582. doi:10.1378/chest.15-0538.Google Scholar
Bekki, K., Uchiyama, S., Ohta, K., Inaba, Y., Nakagome, H., & Kunugita, N. (2014). Carbonyl compounds generated from electronic cigarettes. International Journal of Environmental Research and Public Health, 11 (11), 11192–11200. doi:10.3390/ijerph111111192.CrossRefGoogle ScholarPubMed
Brandon, T. H., Goniewicz, M. L., Hanna, N. H., Hatsukami, D. K., Herbst, R. S., Hobin, J. A. et al. (2015). Electronic nicotine delivery systems: A policy statement from the American association for cancer research and the American society of clinical oncology. Clinical Cancer Research, 21 (3), 514–525. doi:10.1158/1078-0432.ccr-14-2544.CrossRefGoogle Scholar
Britton, J., Arnott, D., McNeill, A., & Hopkinson, N. (2016). Nicotine without smoke-putting electronic cigarettes in context. BMJ (Clinical Research ED.), 353, i1745. doi:10.1136/bmj.i1745.Google Scholar
Brose, L. S., Brown, J., Hitchman, S. C., & McNeill, A. (2015). Perceived relative harm of electronic cigarettes over time and impact on subsequent use. A survey with 1-year and 2-year follow-ups. Drug And Alcohol Dependence, 157, 106–111. doi:10.1016/j.drugalcdep.2015.10.014.CrossRefGoogle ScholarPubMed
Bullen, C., Howe, C., Laugesen, M., McRobbie, H., Parag, V., Williman, J. et al. (2013). Electronic cigarettes for smoking cessation: A randomised controlled trial. Lancet, 382 (9905), 1629–1637. doi:10.1016/s0140-6736(13)61842-5.CrossRefGoogle ScholarPubMed
Caponnetto, P., Campagna, D., Cibella, F., Morjaria, J. B., Caruso, M., Russo, C. et al. (2013). EffiCiency and safety of an eLectronic cigAreTte (ECLAT) as tobacco cigarettes substitute: A prospective 12-month randomized control design study. PLoS One, 8 (6), e66317. doi:10.1371/journal.pone.0066317.Google Scholar
Drummond, M. B., & Upson, D. (2014). Electronic cigarettes. Potential harms and benefits. Annals of the American Thoracic Society, 11 (2), 236–242. doi:10.1513/AnnalsATS.201311-391FR.CrossRefGoogle ScholarPubMed
Eastwood, B., Dockrell, M. J., Arnott, D., Britton, J., Cheeseman, H., Jarvis, M. J. et al. (2015). Electronic cigarette use in young people in Great Britain 2013–2014. Public Health, 129 (9), 1150–1156. doi:10.1016/j.puhe.2015.07.009.CrossRefGoogle ScholarPubMed
Ferketich, A. K., Khan, Y., & Wewers, M. E. (2006). Are physicians asking about tobacco use and assisting with cessation? Results from the 2001–2004 national ambulatory medical care survey (NAMCS). Preventive Medicine, 43 (6), 472–476. doi:https://doi.org/10.1016/j.ypmed.2006.07.009.CrossRefGoogle ScholarPubMed
Geiss, O., Bianchi, I., & Barrero-Moreno, J. (2016). Correlation of volatile carbonyl yields emitted by e-cigarettes with the temperature of the heating coil and the perceived sensorial quality of the generated vapours. International Journal of Hygiene and Environmental Health. doi:10.1016/j.ijheh.2016.01.004.Google Scholar
Goldstein, M. G., DePue, J. D., Monroe, A. D., Lessne, C. W., Rakowski, W., Prokhorov, A. et al. (1998). A population-based survey of physician smoking cessation counseling practices. Preventive Medicine, 27 (5), 720–729. doi:https://doi.org/10.1006/pmed.1998.0350.CrossRefGoogle ScholarPubMed
Goniewicz, M. L., Knysak, J., Gawron, M., Kosmider, L., Sobczak, A., Kurek, J. et al. (2014). Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tobacco Control, 23 (2), 133–139. doi:10.1136/tobaccocontrol-2012-050859.Google Scholar
Gornall, J. (2015). Why e-cigarettes are dividing the public health community. BMJ (Clinical Research ED.), 350, h3317. doi:10.1136/bmj.h3317.Google ScholarPubMed
Health, C. f. D. C. O. o. S. a. (2015). Electronic nicotine delivery systems: Key facts. Retrieved from http://www.cdc.gov/tobacco/stateandcommunity/pdfs/ends-key-facts2015.pdf.Google Scholar
Hecht, S. S., Carmella, S. G., Kotandeniya, D., Pillsbury, M. E., Chen, M., Ransom, B. W. S. et al. (2015). Evaluation of toxicant and carcinogen metabolites in the urine of E-Cigarette users versus cigarette smokers. Nicotine & Tobacco Research, 17 (6), 704–709. doi:10.1093/ntr/ntu218.CrossRefGoogle ScholarPubMed
House bill aims for less e-cigarette regulation. (2015, June 19). CBS News. Retrieved from http://www.cbsnews.com/news/house-bill-aims-for-less-e-cigarette-regulation/.Google Scholar
Jamal, A., Dube, S. R., Malarcher, A. M., Shaw, L., Engstrom, M. C., Control, C. f. D., & Prevention. (2012). Tobacco use screening and counseling during physician office visits among adults-national ambulatory medical care survey and national health interview survey, United States, 2005–2009. MMWR Morbidity and Mortality Weekly Report, 61 (Suppl.), 38–45.Google ScholarPubMed
Jimenez-Ruiz, C. A., Masa, F., Miravitlles, M., Gabriel, R., Viejo, J. L., Villasante, C. et al. (2001). Smoking characteristics: Differences in attitudes and dependence between healthy smokers and smokers with COPD. Chest, 119 (5), 1365–1370.CrossRefGoogle ScholarPubMed
Kandra, K. L., Ranney, L. M., Lee, J. G. L., & Goldstein, A. O. (2014). Physicians’ attitudes and use of e-cigarettes as cessation devices, North Carolina, 2013. PLoS One, 9 (7), e103462. doi:10.1371/journal.pone.0103462.CrossRefGoogle ScholarPubMed
Kosmider, L., Sobczak, A., Fik, M., Knysak, J., Zaciera, M., Kurek, J. et al. (2014). Carbonyl compounds in electronic cigarette vapors: Effects of nicotine solvent and battery output voltage. Nicotine & Tobacco Research, 16 (10), 1319–1326. doi:10.1093/ntr/ntu078.Google Scholar
Leone, F. T., & Douglas, I. S. (2014). The emergence of E-Cigarettes: A triumph of wishful thinking over science. Annals of the American Thoracic Society, 11 (2), 216–219. doi:10.1513/AnnalsATS.201312-428ED.Google Scholar
Leone, F. T., Evers-Casey, S., Graden, S., & Schnoll, R. (2015). Behavioral economic insights into physician tobacco treatment decision making. Annals of the American Thoracic Society. doi:10.1513/AnnalsATS.201410-467BC.Google Scholar
Mark, K. S., Farquhar, B., Chisolm, M. S., Coleman-Cowger, V. H., & Terplan, M. (2015). Knowledge, attitudes, and practice of electronic cigarette use among pregnant women. Journal of Addiction Medicine, 9 (4), 266–272. doi:10.1097/adm.0000000000000128.CrossRefGoogle ScholarPubMed
Martinez-Sanchez, J. M., Fu, M., Martin-Sanchez, J. C., Ballbe, M., Salto, E., & Fernandez, E. (2015). Perception of electronic cigarettes in the general population: Does their usefulness outweigh their risks? BMJ Open, 5 (11), e009218. doi:10.1136/bmjopen-2015-009218.Google Scholar
Middlekauff, H. R. (2015). Counterpoint: Does the risk of electronic cigarettes exceed potential benefits? No. Chest, 148 (3), 582–584. doi:10.1378/chest.15-0540.Google Scholar
Nickels, A. S., Warner, D. O., Jenkins, S. M., Tilburt, J., & Hays, J. T. (2016). Beliefs, Practices, and Self-efficacy of US Physicians Regarding Smoking Cessation and Electronic Cigarettes: A National Survey. Nicotine & Tobacco Research. doi:10.1093/ntr/ntw194.Google Scholar
Nutt, D. J., Phillips, L. D., Balfour, D., Curran, H. V., Dockrell, M., Foulds, J. et al. (2014). Estimating the harms of nicotine-containing products using the MCDA approach. European Addiction Research, 20 (5), 218–225. doi:10.1159/000360220.Google Scholar
Organization, W. H. (2014). Electronic nicotine delivery systems. Retrieved from http://apps.who.int/gb/fctc/PDF/cop6/FCTC_COP6_10Rev1-en.pdf?ua=1.Google Scholar
Polosa, R., Caponnetto, P., Maglia, M., Morjaria, J. B., & Russo, C. (2014). Success rates with nicotine personal vaporizers: A prospective 6-month pilot study of smokers not intending to quit. BMC Public Health [Electronic Resource], 14, 1159. doi:10.1186/1471-2458-14-1159.CrossRefGoogle Scholar
Polosa, R., Caponnetto, P., Morjaria, J. B., Papale, G., Campagna, D., & Russo, C. (2011). Effect of an electronic nicotine delivery device (e-Cigarette) on smoking reduction and cessation: A prospective 6-month pilot study. BMC Public Health [Electronic Resource], 11, 786. doi:10.1186/1471-2458-11-786.Google Scholar
Schraufnagel, D. E., Blasi, F., Drummond, M. B., Lam, D. C. L., Latif, E., Rosen, M. J. et al. (2014). Electronic cigarettes. A position statement of the forum of international respiratory societies. American Journal of Respiratory and Critical Care Medicine, 190 (6), 611–618. doi:10.1164/rccm.201407-1198PP.CrossRefGoogle ScholarPubMed
Talih, S., Balhas, Z., Salman, R., Karaoghlanian, N., & Shihadeh, A. (2015). "Direct Dripping": A high-temperature, high-formaldehyde emission electronic cigarette use method. Nicotine & Tobacco Research. doi:10.1093/ntr/ntv080.Google Scholar
Torjesen, I. (2015). Stop smoking services must become “e-cigarette” friendly, says Public Health England. BMJ (Clinical Research ED.), 351, h4518. doi:10.1136/bmj.h4518.Google Scholar
Tseng, T. Y., Ostroff, J. S., Campo, A., Gerard, M., Kirchner, T., Rotrosen, J. et al. (2016). A randomized trial comparing the effect of nicotine versus placebo electronic cigarettes on smoking reduction among young adult smokers. Nicotine & Tobacco Research. doi:10.1093/ntr/ntw017.Google Scholar
Wackowski, O. A., Bover Manderski, M. T., & Delnevo, C. D. (2016). Comparison of direct and indirect measures of E-cigarette risk perceptions. Tobacco Regulatory Science, 2 (1), 38–43. doi:10.18001/trs.2.1.4.Google Scholar
Warren, G. W., Marshall, J. R., Cummings, K. M., Toll, B., Gritz, E. R., Hutson, A. et al. (2013). Practice patterns and perceptions of thoracic oncology providers on tobacco use and cessation in cancer patients. Journal of Thoracic Oncology, 8 (5), 543–548. doi:10.1097/JTO.0b013e318288dc96.Google Scholar