Evidence map›Paper›PMID 42430117›Full record

ArticleInfection2026

Shortening of central venous catheter time in men with hematological and oncological diseases for prevention of central venous catheter-related bloodstream infections: a target-trial-emulation study.

Oliver Kriege, Boris Böll, Nicole Brüder, Nicola Giesen, Julia Lanznaster, Susanne Mertins, Antrea Minti, Jan-Hendrik Naendrup, Martin Schmidt-Hieber, Ruth Seggewiss-Bernhardt and 6 more

Abstract read
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Article in Infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Oliver KriegeDepartment of Hematology and Medical Oncology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany. oliver.kriege@unimedizin-mainz.de.ORCID http://orcid.org/0000-0002-3274-7390
Boris BöllDepartment of Internal Medicine I, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-6432-0981
Nicole BrüderDepartment of Hematology, Hemostaseology, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0002-2880-070X
Nicola GiesenDepartment of Hematology, Oncology and Palliative Care, Robert Bosch Hospital, Stuttgart, Germany.ORCID http://orcid.org/0000-0002-9615-2564
Julia LanznasterDepartment of Internal Medicine II, Passau Hospital, Passau, Germany.ORCID http://orcid.org/0000-0002-6592-156X
Susanne MertinsDepartment of Internal Medicine II, Schwarzwald - Baar - Klinikum, Villingen-Schwenningen, Germany.
Antrea MintiDepartment of Oncology, Hematology, Hemostaseology and Stem Cell Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Jan-Hendrik NaendrupDepartment of Internal Medicine I, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-6420-7938
Martin Schmidt-HieberClinic of Hematology, Oncology, Pneumology, Nephrology and Diabetology, Medical University Lausitz - Carl Thiem (MUL-CT), Cottbus, Germany.ORCID http://orcid.org/0000-0002-3071-6945
Ruth Seggewiss-BernhardtDepartment of Hematology and Oncology, Sozialstiftung Bamberg, Bamberg, Germany.ORCID http://orcid.org/0000-0001-7488-4791
Philipp WeberDepartment of Internal Medicine I, Klinikum Mutterhaus der Borromaerinnen, Trier, Germany.ORCID http://orcid.org/0009-0006-5025-254X
Kai WilleOncology, Hemostaseology and Palliative Care, University Clinic for Hematology, University of Bochum, Minden, Germany.ORCID http://orcid.org/0000-0002-7682-8563
Jens PanseDepartment of Oncology, Hematology, Hemostaseology and Stem Cell Transplantation, University Hospital RWTH Aachen, Aachen, Germany.ORCID http://orcid.org/0000-0001-6316-3112
Marcus HentrichDepartment of Hematology and Oncology, Red Cross Hospital Munich, Munich, Germany.ORCID http://orcid.org/0000-0001-5622-348X
Enrico SchalkMedical Faculty, Department of Hematology, Oncology, Cell and Radiation Therapy, Otto von Guericke University Magdeburg, Magdeburg, Germany.ORCID http://orcid.org/0000-0003-1892-5098
SECRECY Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PurposeIn patients with hematological malignancies and central venous catheters (CVC) men have a higher risk for CVC related bloodstream infections (CRBSI) than women. Hence, preventive strategies such as earlier CVC removal may reduce the overall CRBSI (oCRBSI) rate.MethodsA randomized simulation using data from a CVC registry was performed. Data were derived from unselected patients with hematological or oncological diseases and a CVC. Patients were randomized to an experimental (EXP-G) or control group (CON-G). For the men in the EXP-G, one-day increments of an earlier CVC removal were simulated based on actual data and compared to men in the CON-G without simulation. The primary endpoint was oCRBSI rate.ResultsUnderlying diseases were mainly hematological malignancies (87.3%). In the male patients with a median CVC in situ time of 13 days, the oCRBSI rate was 7.3% (103/1408), with 7.3% (53/729) in the EXP-G and 7.4% (50/679) in the CON-G. In the EXP-G, simulated shortening of CVC time by 1 day in men resulted in an oCRBSI rate of 5.2% compared with 7.4% in the CON-G (p = 0.12). Shortening CVC time by 2 days led to an oCRBSI rate of 4% (p = 0.008); the corresponding median CVC time was 11 days. A 3-day shortening further to 10 days reduced the oCRBSI rate to 2.7% (p < 0.001). Women from the same registry showed a 3.3% (30/920) oCRBSI rate after 12 days.ConclusionIn conclusion, shortening the CVC dwell time in men by 2 or 3 days, corresponding to a CVC duration of 10-11 days, reduces the CRBSI rate in men and mitigates the higher risk, compared to women.Clinical Trial Registration: SECRECY (Study to Evaluate Central Venous Catheter-related Infections in Hematology and Oncology) was registered within the German Clinical Trial Register (DRKS; no. DRKS00006551) on 29 September 2014.

Indexed as

Central venous catheterCentral venous catheter-related bloodstream infectionMale sexPreventionRemoval

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.