title: Practical guidelines on e-cigarettes for practitioners and others health professionals. A French 2016 expert's statement.
abstract: A group of 11 French medical experts has developed guidelines through a Delphi progressive consensus about smoking management at the e-cigarette era. The lack of scientific data about e-cigarettes led the experts to set out recommendations, mainly based on clinical practice while waiting for scientific validations. The validated smoking cessation treatments keep the first place in the prevention and the treatment of tobacco-induced damages. The e-cigarette, experimented by a large proportion of smokers, is a safer product than tobacco. The health professional must answer the patients about the e-cigarettes: (1) A smoker who questions about e-cigarettes should receive information. Even if there is a lack of data, e-cigarettes offer much lower risks than tobacco. (2) A dual user is at high risk of returning to exclusive tobacco use; he should also optimize other nicotine intakes by combining nicotine replacement therapy and/or optimizing the nicotine intake through the e-cigarette. (3) A smoker who wish to use the e-cigarette in order to quit with or without associated pharmacological treatment should be accompanied and not discouraged. (4) A vaper who is tired to continuing to vape should be accompanied to quit. Specific guidelines are also provided for adolescents, pregnant women, patients during perioperative periods and also for pulmonary, cardiac and schizophrenic patients.
authors.affiliation: Service de pneumologie et réanimation respiratoire, groupe hospitalier Pitié-Salpêtrière, 47, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: bdautz@gmail.com.
authors.forename: B
authors.initials: B
authors.lastname: Dautzenberg
authors.affiliation: Service d'addictologie, hôpital Antoine-Béclère, 157, rue de la Porte-Trivaux, 92140 Clamart, France.
authors.forename: M
authors.initials: M
authors.lastname: Adler
authors.affiliation: Consultation de médecine et tabacologie, groupe hospitalier Pitié-Salpêtrière, 47, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Garelik
authors.affiliation: 4, impasse de la Gare, 41260 La Chaussée-Saint-Victor, France.
authors.forename: J F
authors.initials: JF
authors.lastname: Loubrieu
authors.affiliation: 2 bis, rue des Forges, 42400 Saint-Chamond, France.
authors.forename: G
authors.initials: G
authors.lastname: Mathern
authors.affiliation: Consultation de tabacologie, CHR Metz-Thionville, 1, allée du Château, 57530 Metz, France.
authors.forename: G
authors.initials: G
authors.lastname: Peiffer
authors.affiliation: Dispensaire Émile-Roux, conseil départemental du Puy-de-Dôme, 11, rue Vaucanson, 63100 Clermont-Ferrand, France.
authors.forename: J
authors.initials: J
authors.lastname: Perriot
authors.affiliation: Unité de coordination d'aide au sevrage tabagique, CHU de Toulouse, 24, chemin Pouvourville, 31059 Toulouse cedex 9, France.
authors.forename: R M
authors.initials: RM
authors.lastname: Rouquet
authors.affiliation: Service de psychiatrie, CHU de Clermont-Ferrand, 58, rue Montalembert, 63000 Clermont-Ferrand, France.
authors.forename: A
authors.initials: A
authors.lastname: Schmitt
authors.affiliation: Tabacologie, centre d'investigation clinique, 2, rue de la Miléterie, 86000 Poitiers, France.
authors.forename: M
authors.initials: M
authors.lastname: Underner
authors.affiliation: Département de pneumologie, CHU d'Angers, 4, rue Larrey, 49000 Angers, France.
authors.forename: T
authors.initials: T
authors.lastname: Urban
mesh_terms: D000293:Adolescent; D000328:Adult; D003697:Delphi Technique; D066300:Electronic Nicotine Delivery Systems / Q000592:standards / Q000706:statistics & numerical data*; D005104:Expert Testimony; D005260:Female; D005602:France; D058005:General Practitioners / Q000592:standards; D006281:Health Occupations / Q000592:standards; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011247:Pregnancy; D015272:Pulmonary Medicine / Q000592:standards*; D016540:Smoking Cessation / Q000379:methods*; D014029:Tobacco Use Disorder / Q000628:therapy*
keywords: Arrêt du tabac; Cigarette électronique; Electronic cigarette; Guidelines; Product safety; Recommandations d’experts; Risk reduction; Réduction des risques; Smoking cessation; Sécurité des produits