Tumor Biology

, Volume 36, Issue 10, pp 8055–8063 | Cite as

The predicting value of postoperative body temperature on long-term survival in patients with rectal cancer

  • Huichuan Yu
  • Yanxin Luo
  • Hui Peng
  • Liang Kang
  • Meijin Huang
  • Shuangling Luo
  • Wenhao Chen
  • Zihuan Yang
  • Jianping Wang
Research Article


This study aimed to assess the association between postoperative body temperature and prognosis in patients with rectal cancer. Five hundred and seven patients with stage I to III rectal cancers were enrolled in the current study. Basal body temperature (BBT, measured at 6 am) and maximal body temperature (MBT) on each day after surgery were analyzed retrospectively. Patients were divided into two equal groups according to the median of BBT and MBT at each day. The primary end points were disease-free survival (DFS) and overall survival (OS). The univariate and multivariate analyses showed that patients with low D0-MBT (<37.4 °C) had lower 3-year DFS [adjusted hazard ratio (HR) 1.56 (95 % CI 1.08–2.24, P = 0.017)] as well as OS [adjusted HR 1.72 (95 % CI 1.05–2.82, P = 0.032)] rate as compared to those with high D0-MBT (>37.4 °C). In the subset of 318 patients with T3 stage tumor and the subgroup of 458 patients without blood transfusion as well, low D0-MBT continues to be an independent predictor of DFS/OS with an adjusted HR equal to 1.48 (95 % CI 1.02–2.24, P = 0.046)/1.68 (95 % CI 1.04–2.99, P = 0.048) and 1.45 (95 % CI 1.02–2.13, P = 0.048)/1.59 (95 % CI 1.01–2.74, P = 0.049), respectively. In addition, we found that patients have higher risk of 1-year recurrence if those were exhibiting low preoperative BBT (<36.6 °C) (17 vs. 10 %, P = 0.034). Low body temperature (D0-MBT < 37.4 °C) after surgery was an independent predictor of poor survival outcomes in patients with rectal cancer.


Rectal cancer Survival Body temperature Risk factor 



Support for present study was provided by National Key Clinical Discipline, Program of Introducing Talents of Discipline to Universities of China (B12003, JW), International Science & Technology Cooperation Program of China (2011DFA32570, JW) and National Natural Science Foundation of China (81172040 JW;81201920, YL).

Conflicts of interest


Supplementary material

13277_2015_3535_MOESM1_ESM.docx (16 kb)
Table S1 (DOCX 16 kb)
13277_2015_3535_Fig3_ESM.gif (81 kb)
Fig. S1

Kaplan–Meier curves showed moderate-range post-oeprative fever (T >/= 38.5 °C) on day 0-7 (A&B) and antipyretic administration of NSAIDs (C&D) didn’t significantly affect three-year OS or DFS. With the combination of them, we found there was no significant difference between patients without fever and patients developing fever with or without administration of NSAIDs, in terms of OS(E) and DFS(F). (GIF 81 kb)

13277_2015_3535_MOESM2_ESM.tif (1.6 mb)
High resolution image (TIFF 1650 kb)
13277_2015_3535_Fig4_ESM.gif (76 kb)
Fig. S2

Kaplan–Meier curves showed significant lower three-year OS(A) and DFS(B) rate in the low D0-MBT group as compared to those with high D0-MBT (P < 0.001) among patients without post-operative fever. (GIF 75 kb)

13277_2015_3535_MOESM3_ESM.tif (2.2 mb)
High resolution image (TIFF 2296 kb)


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Copyright information

© International Society of Oncology and BioMarkers (ISOBM) 2015

Authors and Affiliations

  • Huichuan Yu
    • 1
  • Yanxin Luo
    • 1
    • 2
  • Hui Peng
    • 1
  • Liang Kang
    • 1
  • Meijin Huang
    • 1
  • Shuangling Luo
    • 1
  • Wenhao Chen
    • 1
  • Zihuan Yang
    • 2
  • Jianping Wang
    • 1
    • 2
  1. 1.Department of Colon and Rectum Surgery, The Sixth Affiliated HospitalSun Yat-sen UniversityGuangzhouChina
  2. 2.Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated HospitalSun Yat-sen UniversityGuangzhouChina

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