Physicians Can’t Agree on E-Cigarettes

authordeb By authordeb, 26th Oct 2016 | Follow this author | RSS Feed | Short URL http://nut.bz/324l5hin/
Posted in Wikinut>Health>Drugs & Medicines

Are electronic cigarettes safe? Physicians appeared to be divided.

The Study

If we look for answer on a medical question we usually consult our doctors, but what happens when you see advice from more than one doctor? You just may not get the same answer.
If you’re looking for answers concerning e-cigarettes and their safety you may be surprised to know the answer varies greatly from one doctor to another.
At least that is what a new study from Stanford University School of Medicine found.
A brief questionnaire was emailed (more than 500 CHEST physicans) to evaluate practice patterns perceptions regarding electronic cigarette use and tobacco smoking between doctors and patients.
Among 733 respondents who completed the survey only 47 percent had reported asking patients about electronic cigarette use most of the time or always.
Most CHEST physicians believe electronic cigarettes are harmful (68 percent) and using the device daily is not safe (72 percent).
However, when it came to using electronic cigarettes to promote smoking cessation not all could agree (32 percent agree/strongly agree and 32 percent disagree, strongly disagree. They were also asked if electronic cigarettes were at least as effective as FDA-approved treatments to promote smoking cessation only 13 percent agreed and 52 percent disagreed.
“Researchers have previously surveyed doctors about their knowledge and attitudes concerning e-cigarettes. In this study, we were curious about actual provider behavior — the advice doctors gave in real patient interactions,” said the study’s senior author, Judith Prochaska, PhD, MPH, associate professor of medicine at the Stanford Prevention Research Center. “Within a novel online medical forum, we were able to observe the exact advice doctors were giving patients and see how that advice varied by topic and clinician.”
These new findings have already helped to inform the development of an education portal by Dr. Prochaska and colleagues. The portals purpose is to teach physicians about what is already known about electronic cigarettes and how to communicate the benefits and risks of the device to patients. Available on-line through the Stanford Center for Continuing Medical Education, the interactive program provides clinicians with continuing medical education credits.

What the CDC Says

According to the Centers for Diseases Control and Prevention The prevalence of e-cigarette use among U.S. adults has increased in recent years, particularly among current and former conventional cigarette smokers in 2014, 3.7% of all U.S. adults, including 15.9% of current cigarette smokers, and 22.0% of former cigarette smokers, used e-cigarettes every day or some days.

National Institute on Drug Abuse

The National Institute on Drug Abuse states “although they do not produce tobacco smoke, e-cigarettes still contain nicotine and other potentially harmful chemicals.”
They also note that some testing on electronic cigarettes had found the vapor to contain toxic chemicals like formaldehyde and acetaldehyde and also contain potentially toxic metal nanoparticles from the vaporizing mechanism.

Study Information

The study was funded by the National Heart, Lung and Blood Institute (grants R01HL117736 and T32HL007034) and the State of California Tobacco-Related Disease Research Program.
The Sanford Department of Medicine also supported the work.

Sources

CDC Morbidity and Mortality Weekly Report Weekly / June 10, 2016 / 65(22);557–561
Drug Facts Electronic Cigarettes drugabutse.gov
Physician advice to patients on e-cigarettes varies, reveals knowledge gaps Sanford Medicine News Center
CHEST; CHEST Healthcare Provider Perceptions of Electronic Cigarettes http://dx.doi.org/10.1016/j.chest.2016.08.1417

Tags

Electronic Cigarettes, Physicians, Safety, Sanford University, Smoking Cessation, Vapors

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author avatar authordeb
Author of the Love and Laughter series
Alternative Medicine Practitioner
Hypnotherapist
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Works with Media companies for interviews and articles such as Howie Mandel for Afib,

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