{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:24:53Z","timestamp":1730870693168,"version":"3.28.0"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n                  Tabakentw\u00f6hnung in Deutschland Nachdem der Tabakkonsum \u00fcber mehrere Jahre r\u00fcckl\u00e4ufig war, zeigt sich aktuell eine Stagnation bzw. ein Wiederanstieg der Rauchenden in Deutschland. Die Ursachen erscheinen vielf\u00e4ltig, wie z. B. Belastungen durch die Pandemie mit der sozialen Isolation, steigende Lebenshaltungskosten und Krieg in Europa. Bei einem weiterhin stark verbreiteten Tabakkonsum in der deutschen Bev\u00f6lkerung wird eine evidenzbasierte Tabakentw\u00f6hnung nur selten durchgef\u00fchrt.<\/jats:p><jats:p>\n                  Gesundheitsrisiken der E-Zigarette Nach neueren Studien sind E-Zigaretten an der Pathogenese von Lungenerkrankungen, Herz- und Gef\u00e4\u00dfsch\u00e4digungen beteiligt. Zudem wirken ihre Inhaltsstoffe auch karzinogen. Klinische Untersuchungen zum dauerhaften Konsum liegen aber bisher nicht vor.<\/jats:p><jats:p>\n                  Wie wirksam ist die E-Zigarette bei der Tabakentw\u00f6hnung? E-Zigaretten als Konsumentenprodukt sind den in Leitlinien empfohlenen Nikotin-Ersatzpr\u00e4paraten und suchthemmenden Medikamenten nicht \u00fcberlegen. Im therapeutischen Setting sind sie etwas besser wirksam als Nikotin-Ersatzpr\u00e4parate. Sie werden aber meistens dauerhaft konsumiert und verstetigen so die Nikotinabh\u00e4ngigkeit. Ihr Konsum erh\u00f6ht die R\u00fcckfallgefahr zum Tabakrauchen.<\/jats:p><jats:p>\n                  Evidenzbasierte Tabakentw\u00f6hnung ambulant und station\u00e4r Trotz der verschiedenen neuen Ans\u00e4tze, wie Internet-basierte Angebote, App etc., sind Gespr\u00e4che und Pharmakotherapie der Goldstandard und wirksamer als jede Therapie f\u00fcr sich allein.<\/jats:p>","DOI":"10.1055\/a-2194-5666","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T23:55:46Z","timestamp":1700610946000},"page":"107-112","source":"Crossref","is-referenced-by-count":1,"title":["Die E-Zigarette \u2013 Mittel zur Tabakentw\u00f6hnung?"],"prefix":"10.1055","volume":"103","author":[{"given":"Klaas","family":"Franzen","sequence":"additional","affiliation":[{"name":"Medizinische Klinik III (Pneumologie), UKSH am Campus 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