Study: E-Cigarettes Beat Patches and Gum for Quitting Smoking

Are nicotine vapes the best quit-smoking tool available or a harmful habit swap not worth celebrating?
Study: E-Cigarettes Beat Patches and Gum for Quitting Smoking
Above: Actress Anna Mouglalis smoking an e-cigarette after the AMFIS conference in Chateauneuf-sur-Isere, France, Aug. 22. Image credit: Nicolas Guyonnet/Hans Lucas/AFP/Getty Images

The Facts

  • An updated Cochrane review of 80 randomized controlled trials involving 29,861 participants found that nicotine e-cigarettes produced higher quit rates than nicotine replacement therapy, with roughly four of every 100 people using nicotine vapes successfully quitting. The results were published Wednesday.
  • Nicotine vapes outperformed patches and gum by about four additional quitters per 100 people, and produced around two more quitters per 100 than non-nicotine e-cigarettes.
  • The review found no evidence of increased serious harm from using nicotine vapes to quit smoking, though researchers noted that longer-term studies are still needed to fully assess safety.

Sources Split


The Spin


Narrative A

Nicotine vapes are the most effective quit-smoking tool available, and the Cochrane review of 80 randomized controlled trials covering nearly 30,000 participants makes that clear. For every 100 people trying to quit, vaping produces about four more successful quitters than patches or gum. Quitting is hard, and many people try repeatedly before succeeding, so having a proven leading option can help encourage smokers to keep trying.

Narrative B

Swapping cigarettes for vapes isn't much of a health win. E-cigarette aerosols contain cancer-causing chemicals, nicotine addiction remains just as fierce and youth exposure is a real crisis. Research also links vaping in children to breathing problems, poor sleep and mental health issues, and young vapers are more likely to start smoking cigarettes. Trading one harmful habit for another slightly less harmful one is a pretty low bar to celebrate.


Metaculus Prediction


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© 2026 Improve the News Foundation.

All rights reserved.

Version 7.18.2