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More Americans are dying from treatable emergencies like appendicitis and gallbladder disease. A new study spanning over two decades found mortality rates for common emergency surgeries have steadily climbed, with working-age adults hit hardest. Researchers are pointing to delayed surgical care, rural access gaps, and workforce shortages as likely culprits.
A troubling trend is emerging in U.S. emergency surgery: more adults are dying from conditions that should be highly survivable. A study presented at the American College of Surgeons annual meeting found that mortality from emergency surgeries for appendicitis, acute cholecystitis, and abdominal wall hernia with obstruction or gangrene has been steadily rising over the past two decades.
Researchers analyzed CDC death data from 1999 to 2024 and found nearly 20,000 deaths tied to these conditions. Men consistently fared worse than women, and mortality peaked among adults aged 55–64.
By the Numbers:
Why it matters: These aren't rare or exotic conditions — appendicitis and gallbladder disease are among the most common surgical emergencies. Rising death rates suggest systemic failures: patients may not be reaching surgical care in time, particularly in rural areas, and surgeon workforce shortages could be amplifying the problem.