Estimating the harms of nicotine-containing products using the MCDA approach

David J. Nutt (Lead / Corresponding author), Lawrence D. Phillips, David Balfour, H. Valerie Curran, Martin Dockrell, Jonathan Foulds, Karl Fagerstrom, Kgosi Letlape, Anders Milton, Riccardo Polosa, John Ramsey, David Sweanor

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    Abstract

    Background: An international expert panel convened by the Independent Scientific Committee on Drugs developed a multi-criteria decision analysis model of the relative importance of different types of harm related to the use of nicotine-containing products. Method: The group defined 12 products and 14 harm criteria. Seven criteria represented harms to the user, and the other seven indicated harms to others. The group scored all the products on each criterion for their average harm worldwide using a scale with 100 defined as the most harmful product on a given criterion, and a score of zero defined as no harm. The group also assessed relative weights for all the criteria to indicate their relative importance. Findings: Weighted averages of the scores provided a single, overall score for each product. Cigarettes (overall weighted score of 100) emerged as the most harmful product, with small cigars in second place (overall weighted score of 64). After a substantial gap to the third-place product, pipes (scoring 21), all remaining products scored 15 points or less. Interpretation: Cigarettes are the nicotine product causing by far the most harm to users and others in the world today. Attempts to switch to non-combusted sources of nicotine should be encouraged as the harms from these products are much lower. © 2014 S. Karger AG, Basel
    LanguageEnglish
    Pages218-225
    Number of pages8
    JournalEuropean Addiction Research
    Volume20
    Issue number5
    DOIs
    Publication statusPublished - Sep 2014

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    Nicotine
    Tobacco Products
    nicotine
    Pharmacy and Therapeutics Committee
    Decision Support Techniques
    Weights and Measures
    Group
    model analysis
    expert
    drug
    interpretation

    Cite this

    Nutt, D. J., Phillips, L. D., Balfour, D., Curran, H. V., Dockrell, M., Foulds, J., ... Sweanor, D. (2014). Estimating the harms of nicotine-containing products using the MCDA approach. European Addiction Research, 20(5), 218-225. https://doi.org/10.1159/000360220
    Nutt, David J. ; Phillips, Lawrence D. ; Balfour, David ; Curran, H. Valerie ; Dockrell, Martin ; Foulds, Jonathan ; Fagerstrom, Karl ; Letlape, Kgosi ; Milton, Anders ; Polosa, Riccardo ; Ramsey, John ; Sweanor, David. / Estimating the harms of nicotine-containing products using the MCDA approach. In: European Addiction Research. 2014 ; Vol. 20, No. 5. pp. 218-225.
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    abstract = "Background: An international expert panel convened by the Independent Scientific Committee on Drugs developed a multi-criteria decision analysis model of the relative importance of different types of harm related to the use of nicotine-containing products. Method: The group defined 12 products and 14 harm criteria. Seven criteria represented harms to the user, and the other seven indicated harms to others. The group scored all the products on each criterion for their average harm worldwide using a scale with 100 defined as the most harmful product on a given criterion, and a score of zero defined as no harm. The group also assessed relative weights for all the criteria to indicate their relative importance. Findings: Weighted averages of the scores provided a single, overall score for each product. Cigarettes (overall weighted score of 100) emerged as the most harmful product, with small cigars in second place (overall weighted score of 64). After a substantial gap to the third-place product, pipes (scoring 21), all remaining products scored 15 points or less. Interpretation: Cigarettes are the nicotine product causing by far the most harm to users and others in the world today. Attempts to switch to non-combusted sources of nicotine should be encouraged as the harms from these products are much lower. {\circledC} 2014 S. Karger AG, Basel",
    author = "Nutt, {David J.} and Phillips, {Lawrence D.} and David Balfour and Curran, {H. Valerie} and Martin Dockrell and Jonathan Foulds and Karl Fagerstrom and Kgosi Letlape and Anders Milton and Riccardo Polosa and John Ramsey and David Sweanor",
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    Nutt, DJ, Phillips, LD, Balfour, D, Curran, HV, Dockrell, M, Foulds, J, Fagerstrom, K, Letlape, K, Milton, A, Polosa, R, Ramsey, J & Sweanor, D 2014, 'Estimating the harms of nicotine-containing products using the MCDA approach' European Addiction Research, vol. 20, no. 5, pp. 218-225. https://doi.org/10.1159/000360220

    Estimating the harms of nicotine-containing products using the MCDA approach. / Nutt, David J. (Lead / Corresponding author); Phillips, Lawrence D.; Balfour, David; Curran, H. Valerie; Dockrell, Martin; Foulds, Jonathan; Fagerstrom, Karl; Letlape, Kgosi; Milton, Anders; Polosa, Riccardo; Ramsey, John; Sweanor, David.

    In: European Addiction Research, Vol. 20, No. 5, 09.2014, p. 218-225.

    Research output: Contribution to journalArticle

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    AU - Foulds, Jonathan

    AU - Fagerstrom, Karl

    AU - Letlape, Kgosi

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    AU - Polosa, Riccardo

    AU - Ramsey, John

    AU - Sweanor, David

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    N2 - Background: An international expert panel convened by the Independent Scientific Committee on Drugs developed a multi-criteria decision analysis model of the relative importance of different types of harm related to the use of nicotine-containing products. Method: The group defined 12 products and 14 harm criteria. Seven criteria represented harms to the user, and the other seven indicated harms to others. The group scored all the products on each criterion for their average harm worldwide using a scale with 100 defined as the most harmful product on a given criterion, and a score of zero defined as no harm. The group also assessed relative weights for all the criteria to indicate their relative importance. Findings: Weighted averages of the scores provided a single, overall score for each product. Cigarettes (overall weighted score of 100) emerged as the most harmful product, with small cigars in second place (overall weighted score of 64). After a substantial gap to the third-place product, pipes (scoring 21), all remaining products scored 15 points or less. Interpretation: Cigarettes are the nicotine product causing by far the most harm to users and others in the world today. Attempts to switch to non-combusted sources of nicotine should be encouraged as the harms from these products are much lower. © 2014 S. Karger AG, Basel

    AB - Background: An international expert panel convened by the Independent Scientific Committee on Drugs developed a multi-criteria decision analysis model of the relative importance of different types of harm related to the use of nicotine-containing products. Method: The group defined 12 products and 14 harm criteria. Seven criteria represented harms to the user, and the other seven indicated harms to others. The group scored all the products on each criterion for their average harm worldwide using a scale with 100 defined as the most harmful product on a given criterion, and a score of zero defined as no harm. The group also assessed relative weights for all the criteria to indicate their relative importance. Findings: Weighted averages of the scores provided a single, overall score for each product. Cigarettes (overall weighted score of 100) emerged as the most harmful product, with small cigars in second place (overall weighted score of 64). After a substantial gap to the third-place product, pipes (scoring 21), all remaining products scored 15 points or less. Interpretation: Cigarettes are the nicotine product causing by far the most harm to users and others in the world today. Attempts to switch to non-combusted sources of nicotine should be encouraged as the harms from these products are much lower. © 2014 S. Karger AG, Basel

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    JF - European Addiction Research

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    Nutt DJ, Phillips LD, Balfour D, Curran HV, Dockrell M, Foulds J et al. Estimating the harms of nicotine-containing products using the MCDA approach. European Addiction Research. 2014 Sep;20(5):218-225. https://doi.org/10.1159/000360220