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Table 8 Recommendations for additions and revisions

From: Critical appraisal of the European Union Scientific Committee on Health, Environmental and Emerging Risks (SCHEER) Preliminary Opinion on electronic cigarettes

Opinion section(s)

Recommendation

6.7

Add studies on cigarette quit intentions and quit success

6.5.3

Add studies on the reduction in emissions of ENDS compared to cigarettes

6.5.4

Add biomarker studies showing ENDS exposures for users compared to cigarettes

6.5.4

Add studies on human health effects of ENDS substitution for cigarettes

None

Add studies on population health effects and economic considerations

3.2

6.5.4

6.6

Discuss alternative hypotheses to gateway for explaining youth co-use of ENDS and tobacco products

6.6

Examine studies that contradict the gateway hypothesis

6.6

6.7

Show evidence of the longitudinal decline of cigarette use in EU member states

6.5.1

Show data demonstrating the stability in the prevalence rates of ENDS use by adults

3.2

6.5.1

6.6

Avoid citing ever-use data as a proxy or indicator for prevalence

6.5.1

Avoid citing past-30-day use as a proxy or indicator for regular use

6.5.2

Cite frequency of use data where available

6.4

6.5.2

Add data on non-nicotine use

6.1

6.5.3

6.5.4

Cite available studies and reviews with conflicting appraisals of cardiovascular risk

3.2

6.5.4

6.6

Contextualize the role of flavours in youth experimentation with the primary motivation of curiosity, and other factors such as vape tricks

3.3

6.7

Substantially enlarge the discussion of ENDS for cessation