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GMJ News > GMJ Briefs > 4.5 Million Korean Adults Reveal E-Cigarette Risk: Complete Cessation Optimal for Cancer Prevention

4.5 Million Korean Adults Reveal E-Cigarette Risk: Complete Cessation Optimal for Cancer Prevention

GMJ
Last updated: 08/07/2026 16:43
By
Prof. Giorgi Pkhakadze
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1 Min Read
Medical illustration showing lung cancer risk comparison between e-cigarette use and complete smoking cessation
Major Korean study of 4.5 million adults reveals higher lung cancer risk among e-cigarette users after smoking cessation compared to complete nicotine elimination. Complete cessation showed optimal cancer prevention outcomes. — Photo by Usman Yousaf on Unsplash (Unsplash License)
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1 min read|119 words

A comprehensive analysis of 4.5 million Korean adults has quantified the health impact of different smoking cessation strategies. The study, published in Nature Medicine, found that individuals who adopted e-cigarettes after quitting traditional smoking experienced elevated lung cancer incidence and mortality compared to those who achieved complete nicotine elimination.

This nationwide retrospective cohort analysis represents one of the most extensive population-based examinations of post-cessation e-cigarette use. The data clearly demonstrates that complete cessation—avoiding all nicotine products—produces the lowest cancer risk among all cessation pathways studied. For public health professionals and clinicians designing smoking cessation programs, these findings provide evidence-based support for prioritizing complete nicotine discontinuation over transition strategies involving electronic cigarettes.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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