Letter to the Editor “Early postoperative fever in pediatric oncology patients undergoing solid tumor resection”

jpedsurg.org

We read with great interest the recent study “Early postoperative fever in pediatric oncology patients undergoing solid tumor resection” by Lundstedt J et al. [1]. The authors conclude that postoperative fever following solid tumor resection in pediatric oncology patients is a frequent but usually non-infectious event, and that routine, extensive diagnostic workups are rarely necessary. Their dataset is indeed one of the largest cohorts in this underexplored field, However, we would like to raise a few important points for consideration before extrapolating these findings into clinical practice.

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Article · Oct 2025 · 1 min read

In brief

This letter responds to a study examining postoperative fever patterns in pediatric oncology patients after solid tumor resection. The authors acknowledge the value of the large cohort but raise concerns about extrapolating findings that routine fever workups are unnecessary, suggesting caution before changing clinical practice in this vulnerable population.

Postoperative fever after pediatric solid tumor resection is common but typically non-infectious in nature.
Routine extensive diagnostic workups for early postoperative fever may not be necessary in most pediatric oncology cases.
Caution is warranted before broadly applying these findings to clinical practice despite the large cohort size.
This represents one of the largest studies examining postoperative fever in pediatric oncology surgical patients.

Written by the GCMD Library team from the article.

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