Table 6

GRADE evidence profile for RCTs: Electronic nicotine delivery systems (ENDS) and electronic non-nicotine delivery systems (ENNDS) for reducing cigarette smoking.

Quality assessmentSummary of findingsCertainty in estimates
No of participants
(studies)
Range follow-up time
Study event ratesAnticipated absolute effects
over 6-12 months
Risk of biasInconsistencyIndirectnessImprecisionPublication biasENNDS*ENDSRelative risk
(95% CI)
ENNDS*ENDSOR
Quality of evidence
Mortality
481
(2)
6-12 mo
No serious limitationsNo serious limitationsNo serious limitationsSerious imprecision1Undetected7/ 11243/ 3692.03
(0.94-4.38)
213 per 1000219 more per 1000
(13 fewer to 720 more)
⊕⊕OO LOW
Renal insufficiency
481
(2)
6-12 mo
Serious limitations1Serious limitationsNo serious limitationsSerious imprecision2Undetected45/ 112184/ 3690.97
(0.57-1.66)
213 per 10007 fewer per 1000
(92 fewer to 140 more)
⊕⊕OO LOW
  • *The estimated risk control was taken from the median estimated control risks of the cohort studies.

  • 195% CI for absolute effects include clinically important benefit and no benefit.