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Nicotine e-cigarettes more effective for quitting smoking, review finds

A Cochrane review of 80 trials found vaping led to higher quit rates than nicotine replacement therapy.

AI-assisted coverage comparison, editor-supervised · How this was made

Published
Nicotine e-cigarettes more effective for quitting smoking, review finds

What this story says

  • Nicotine e-cigarettes helped more smokers quit than nicotine replacement therapy (NRT) such as patches and gum, according to a Cochrane review.
  • The review of 80 trials involving 29,861 participants found about four more quitters per 100 people using e-cigarettes compared to NRT.
  • Higher quit rates were also found when e-cigarettes were provided compared to no support or behavioural support, though this evidence was less certain.
  • Researchers found no evidence of increased serious harm from using e-cigarettes to quit, but noted that longer-term studies are needed.

Who covered it

Left 29%(4)Centre 35%(5)Right 36%(5)

Percentages are shares of the 14 outlets carrying a published leaning rating. 8 of the 22 outlets we know ran this story carry no rating and are not counted in them. Coverage measured .

Trust

60/100

Craft

55/100

Hype

45/100

22 sources · methodology

A comprehensive review of 80 randomized controlled trials has found that nicotine e-cigarettes are more effective in helping smokers quit than conventional methods like nicotine patches and gum. The review, which included data from 29,861 participants, concluded that e-cigarettes led to approximately four additional successful quitters per 100 people when compared to nicotine replacement therapy (NRT).

The analysis, part of an ongoing living systematic review, also indicated higher quit rates when people were provided with e-cigarettes compared to receiving no support or only behavioural support. However, the certainty of this evidence was lower due to potential risks of bias in study design. Researchers reported no evidence of increased serious harm associated with using e-cigarettes for smoking cessation, although they emphasized the need for longer-term studies to fully assess potential risks.

Disagreement on effectiveness compared to no support

News Medical reported high-certainty evidence that nicotine e-cigarettes led to higher quit rates than nicotine replacement therapy. It also stated that compared to no support or behavioural support, quit rates were still higher when people were also provided e-cigarettes, though this evidence is less certain. Science Alert stated that nicotine e-cigarettes may be the most effective option when compared to nicotine gums, patches, and behavioral support like counseling, according to the review. Science Daily reported consistent, high-quality evidence showing that nicotine vapes outperform traditional methods like patches, gum, and even behavioral support.

What the coverage left out

None of the left-rated digests mention the specific figure of 'about 4 more quitters per 100 people' that the Cochrane review found when comparing e-cigarettes to NRT. The right-rated digests do not mention the specific figure of 'about 4 more quitters per 100 people' or the 61% increased odds of success after six months reported by some outlets.

Still developing. We have re-checked which outlets are covering this 9 times, most recently on 26 Aug 2026, 08:00, and will add the sides that appear.

How other outlets pictured it

Which photograph to run is each newsroom’s own choice. The leaning beside a name is that outlet’s published rating, not a claim that the pictures divide along it. Every picture is shown from the outlet’s own server and links to the article it ran in.

Nicotine e-cigarettes more effective for quitting smoking, review finds
The Independent (US)Left

How each side covered it

Our own reading of the reporting listed below, written from the outlets’ articles rather than quoted from them. The reasoning is set out on our methodology page.

Left

4 rated outlets

  • Reports from the left-rated outlets focused on the effectiveness of vaping for smoking cessation. The Independent (US) highlighted that vaping boosts chances of quitting smoking by 61%, citing a Cochrane Review of 80 studies. It stated that between eight and ten people per 100 successfully stopped smoking using nicotine e-cigarettes, compared to six per 100 using conventional options. The Independent (UK) also reported that smokers are 'more likely to quit by using vapes compared to nicotine gum and patches', noting that vape use led to a 61% increased odds of success after six months. Watson's digest stated that eight to ten out of 100 subjects managed to avoid smoking cigarettes for at least six months. Zeit Online's digest mentioned the topic of non-smoking and the headline 'Switching to e-cigarettes can make smoking easier'.

Centre

5 rated outlets

  • Centre-rated reports highlighted the comparative effectiveness of nicotine e-cigarettes for quitting smoking. News Medical's full report stated that nicotine e-cigarettes are more effective than many conventional methods, resulting in about four more quitters per 100 people compared to nicotine replacement therapy. It also noted higher quit rates compared to no support or behavioural support, though this evidence was less certain. BBC News reported that nicotine vapes offer the best chance to quit smoking, working better than patches, gum, or pills according to the most up-to-date evidence. Science Alert's digest suggested nicotine e-cigarettes may be the most effective option for quitting smoking when compared to traditional therapies and behavioural support. Science Daily's digest indicated that nicotine e-cigarettes may be one of the most effective tools for quitting smoking, with consistent, high-quality evidence showing they outperform traditional methods.

Right

5 rated outlets

  • Right-rated outlets focused on the potential of e-cigarettes to aid smoking cessation, while also introducing caveats. Handelsblatt and focus.de used the headline 'Switching to E-Cigarettes Can Make Smoking Easier', with their digests stating that an overview study shows e-cigarettes help more smokers quit than other methods, but questioning if they are truly the best way to stop. Berliner Morgenpost's digest reported that one method helps more nicotine addicts quit than others, but noted it is not risk-free. N-tv's digest focused on the difficulty many people have quitting smoking and presented e-cigarettes as one method among others. ABC's digest, however, framed vaping as a 'trap to quit smoking' and a method to 'stay addicted to nicotine', stating it is not a medical treatment and may cause health problems.

Questions about this coverage

How did the left and right cover Nicotine e-cigarettes more effective for quitting smoking, review finds?
Of the 14 outlets on this story carrying a published leaning rating, 29% are rated left, 35% are rated centre, 36% are rated right. Those percentages are shares of the rated outlets, not of every outlet that ran it, which was 22. The sections above set out what each side emphasised, in its own terms.
Is Nicotine e-cigarettes more effective for quitting smoking, review finds left or right?
Neither side dominates it. Of the 14 rated outlets on this story, 29% are rated left, 35% are rated centre, 36% are rated right, and no side holds the 70% this site would want before calling a field one-sided. A story is not left or right in any case; the outlets that carried it are what carry ratings.
Is the coverage of Nicotine e-cigarettes more effective for quitting smoking, review finds biased?
Nicotine e-cigarettes more effective for quitting smoking, review finds is one event reported by 22 outlets, and this page does not rate the story as biased or unbiased. What it publishes is the spread: which outlets ran it, where named rating organisations place each of them on the spectrum, and what each side chose to lead with. A leaning rating describes an outlet's record over time, not this article, and the two should not be run together.
Which outlets covered Nicotine e-cigarettes more effective for quitting smoking, review finds?
22 that we know of, every one of them listed further up this page with a link to its own report and to what we hold on the publisher. Nothing here is a summary of somebody else's summary: the outlets are named so the original reporting can be read.
How effective are nicotine e-cigarettes for quitting smoking?
A Cochrane review of 80 trials found that nicotine e-cigarettes led to higher quit rates than nicotine replacement therapy, such as patches and gum. The review indicated about four more quitters per 100 people using e-cigarettes compared to NRT.
Are there any harms associated with using e-cigarettes to quit smoking?
Researchers found no evidence of increased serious harm from using e-cigarettes to quit smoking, according to the review. However, they noted that longer-term studies are needed to fully assess potential risks, and that findings apply specifically to regulated, nicotine-containing e-cigarettes.
What did the review compare e-cigarettes against?
The review compared nicotine e-cigarettes against nicotine replacement therapy (NRT) like patches and gum, non-nicotine cigarettes, and no support or behavioural support. The evidence for comparison against no or behavioural support was less certain.

Read it at the source

22 outlets, grouped by the leaning a published rating gives them. Every headline links to the original; an underlined outlet name opens our profile of that publisher.

Left

4

Centre

5

Right

5

Not rated

8

How did this read?

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