{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T18:06:29Z","timestamp":1779300389496,"version":"3.51.4"},"reference-count":38,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["americanjournalofsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.amjsurg.2025.116735","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:29:48Z","timestamp":1764116988000},"page":"116735","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["U.S. mortality in abdominal surgical emergencies: Comparative analysis of obesity-associated vs overall deaths (1999\u20132020)"],"prefix":"10.1016","volume":"252","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3547-4702","authenticated-orcid":false,"given":"Haneen","family":"Kamran","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Umar","family":"Bhatti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sameen","family":"Tahira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umm E.","family":"Aimen Minhas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farah","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Ahsan","family":"Asif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azeem","family":"Khalid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juaquito","family":"Jorge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kashaf","family":"Sherafgan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjsurg.2025.116735_bib1","doi-asserted-by":"crossref","unstructured":"Achara KE, Iyayi IR, Erinne OC, Odutola OD, Ogbebor UP, Utulor SN, et al. Trends and patterns in obesity-related deaths in the US (2010\u20132020): a comprehensive analysis using centers for disease control and prevention wide-ranging online data for epidemiologic research (CDC WONDER) data. Cureus n.d.;16:e68376. https:\/\/doi.org\/10.7759\/cureus.68376.","DOI":"10.7759\/cureus.68376"},{"key":"10.1016\/j.amjsurg.2025.116735_bib2","doi-asserted-by":"crossref","first-page":"65","DOI":"10.22158\/rhs.v3n3p65","article-title":"Data talks: obesity-related influences on US mortality rates","volume":"3","author":"D'Souza","year":"2018","journal-title":"Res Health Sci"},{"key":"10.1016\/j.amjsurg.2025.116735_bib4","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s12893-022-01466-6","article-title":"The impact of obesity on surgical outcomes in patients undergoing emergency laparotomy for high-risk abdominal emergencies","volume":"22","author":"Kassahun","year":"2022","journal-title":"BMC Surg"},{"key":"10.1016\/j.amjsurg.2025.116735_bib5","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1503\/cjs.003914","article-title":"Increased health services use by severely obese patients undergoing emergency surgery: a retrospective cohort study","volume":"58","author":"K\u00fcpper","year":"2015","journal-title":"Can J Surg"},{"key":"10.1016\/j.amjsurg.2025.116735_bib6","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s44158-021-00019-2","article-title":"Emergencies in obese patients: a narrative review","volume":"1","author":"Di Giacinto","year":"2021","journal-title":"J Anesth Analg Crit Care"},{"key":"10.1016\/j.amjsurg.2025.116735_bib7","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1016\/j.mayocp.2020.05.006","article-title":"Obesity and outcomes in COVID-19: when an epidemic and pandemic collide","volume":"95","author":"Sanchis-Gomar","year":"2020","journal-title":"Mayo Clin Proc"},{"key":"10.1016\/j.amjsurg.2025.116735_bib8","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1002\/bjs.11447","article-title":"Perioperative care of the obese patient","volume":"107","author":"Carron","year":"2020","journal-title":"Br J Surg"},{"key":"10.1016\/j.amjsurg.2025.116735_bib9","unstructured":"Centers for Disease Control and Prevention (US) [Internet]. About Obesity. Atlanta (GA): CDC; 2024 Jan 23 [cited 2025 Jul 3]. Available from: https:\/\/www.cdc.gov\/obesity\/php\/about\/index.html."},{"key":"10.1016\/j.amjsurg.2025.116735_bib10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.soard.2024.10.003","article-title":"ASMBS literature review on the treatment of marginal ulcers after metabolic and bariatric surgery","volume":"21","author":"Vosburg","year":"2025","journal-title":"Surg Obes Relat Dis"},{"key":"10.1016\/j.amjsurg.2025.116735_bib11","first-page":"35","article-title":"Endoscopic management of bariatric surgery complications: what the gastroenterologist should know","volume":"81","author":"da Rocha","year":"2016","journal-title":"Rev Gastroenterol M\u00e9xico"},{"key":"10.1016\/j.amjsurg.2025.116735_bib12","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1093\/bmb\/ldx041","article-title":"Perioperative management of the obese surgical patient","volume":"124","author":"Lang","year":"2017","journal-title":"Br Med Bull"},{"issue":"7","key":"10.1016\/j.amjsurg.2025.116735_bib13","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1111\/anae.13101","article-title":"Peri-operative management of the obese surgical patient 2015","volume":"70","author":"Nightingale","year":"2015","journal-title":"Anaesthesia"},{"key":"10.1016\/j.amjsurg.2025.116735_bib14","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1097\/SLE.0b013e318270473b","article-title":"Impact of obesity and associated diseases on outcome after laparoscopic cholecystectomy","volume":"22","author":"Paajanen","year":"2012","journal-title":"Surg Laparosc Endosc Percutaneous Tech"},{"key":"10.1016\/j.amjsurg.2025.116735_bib15","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1053\/j.gastro.2008.09.025","article-title":"Obesity increases the risks of diverticulitis and diverticular bleeding","volume":"136","author":"Strate","year":"2009","journal-title":"Gastroenterology"},{"key":"10.1016\/j.amjsurg.2025.116735_bib16","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s11695-022-06332-1","article-title":"American society of metabolic and bariatric surgery (ASMBS) and international Federation for the surgery of obesity and metabolic disorders (IFSO) indications for metabolic and bariatric surgery","volume":"33","author":"Eisenberg","year":"2022","journal-title":"Obes Surg"},{"key":"10.1016\/j.amjsurg.2025.116735_bib17","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1007\/s00268-021-06394-9","article-title":"Guidelines for perioperative care in bariatric surgery: enhanced recovery after surgery (ERAS) society recommendations: a 2021 update","volume":"46","author":"Stenberg","year":"2022","journal-title":"World J Surg"},{"key":"10.1016\/j.amjsurg.2025.116735_bib18","article-title":"The obesity paradox in emergency abdominal surgery: a pilot study","volume":"3","author":"Batacchi","year":"2023","journal-title":"J Surg"},{"key":"10.1016\/j.amjsurg.2025.116735_bib19","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.gtc.2023.02.002","article-title":"Weight stigma and barriers to effective obesity care","volume":"52","author":"Puhl","year":"2023","journal-title":"Gastroenterol Clin N Am"},{"key":"10.1016\/j.amjsurg.2025.116735_bib20","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s13017-020-00341-0","article-title":"Impact of the SARS-CoV-2 pandemic on emergency surgery Services\u2014a multi-national survey among WSES members","volume":"15","author":"Reichert","year":"2020","journal-title":"World J Emerg Surg WJES"},{"key":"10.1016\/j.amjsurg.2025.116735_bib21","doi-asserted-by":"crossref","DOI":"10.1093\/bjsopen\/zrad026","article-title":"Effect of obesity on perioperative outcomes following gastrointestinal surgery: meta-analysis","volume":"7","author":"Cullinane","year":"2023","journal-title":"BJS Open"},{"key":"10.1016\/j.amjsurg.2025.116735_bib22","doi-asserted-by":"crossref","DOI":"10.3389\/fragi.2024.1442017","article-title":"Is being overweight a causal factor in better survival among the oldest old? A Mendelian randomization study","volume":"5","author":"Duan","year":"2024","journal-title":"Front Aging"},{"key":"10.1016\/j.amjsurg.2025.116735_bib23","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1007\/s00268-023-06896-8","article-title":"Sex-based differences in survival among patients with acute abdomen undergoing surgery in Malawi: a propensity weighted analysis","volume":"47","author":"Yohann","year":"2023","journal-title":"World J Surg"},{"issue":"154440","key":"10.1016\/j.amjsurg.2025.116735_bib24","article-title":"Visceral fat is associated to the severity of COVID-19","volume":"115","author":"Favre","year":"2021","journal-title":"Metab, Clin Exp"},{"key":"10.1016\/j.amjsurg.2025.116735_bib25","doi-asserted-by":"crossref","first-page":"181","DOI":"10.3390\/socsci13040181","article-title":"Understanding gender disparities in caregiving, stress, and perceptions of institutional support among faculty during the COVID-19 pandemic","volume":"13","author":"Th\u00e9baud","year":"2024","journal-title":"Soc Sci"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116735_bib26","doi-asserted-by":"crossref","first-page":"11","DOI":"10.5339\/qmj.2022.11","article-title":"Acute mesenteric ischemia in COVID-19: case report and current understanding","volume":"2022","author":"Chandrakar","year":"2022","journal-title":"Qatar Med J"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116735_bib27","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/s13293-025-00762-z","article-title":"Understanding sex and gender disparities in COVID-19 mortality: a narrative review beyond biology","volume":"16","author":"Lemarchand","year":"2025","journal-title":"Biol Sex Differ"},{"key":"10.1016\/j.amjsurg.2025.116735_bib28","series-title":"Screening and Interventions for Overweight and Obesity in Adults [Internet]","author":"McTigue","year":"2003"},{"key":"10.1016\/j.amjsurg.2025.116735_bib29","unstructured":"Public health strategies for preventing and controlling overweight and obesity in school and worksite settings <\/P><P>A report on recommendations of the task force on community preventive services n.d. https:\/\/beta.cdc.gov\/mmwr\/preview\/mmwrhtml\/rr5410a1.htm."},{"key":"10.1016\/j.amjsurg.2025.116735_bib30","doi-asserted-by":"crossref","unstructured":"Okobi OE, Beeko PKA, Nikravesh E, Beeko MAE, Ofiaeli C, Ojinna BT, et al. Trends in obesity-related mortality and racial disparities. Cureus n.d.;15:e41432. https:\/\/doi.org\/10.7759\/cureus.41432.","DOI":"10.7759\/cureus.41432"},{"key":"10.1016\/j.amjsurg.2025.116735_bib31","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1161\/CIRCULATIONAHA.124.069824","article-title":"Dietary acculturation is associated with altered Gut microbiome, circulating metabolites, and cardiovascular disease risk in US hispanics and latinos: results from HCHS\/SOL","volume":"150","author":"Wang","year":"2024","journal-title":"Circulation"},{"key":"10.1016\/j.amjsurg.2025.116735_bib32","series-title":"Hisp. Future Am.","article-title":"The health status and health behaviors of Hispanics","author":"Escarce","year":"2006"},{"key":"10.1016\/j.amjsurg.2025.116735_bib33","doi-asserted-by":"crossref","first-page":"16","DOI":"10.4103\/ijnmr.ijnmr_120_22","article-title":"Effectiveness of community-based obesity intervention for body weight, body mass index, and waist circumference: meta-Analysis","volume":"29","author":"Zeb","year":"2024","journal-title":"Iran J Nurs Midwifery Res"},{"key":"10.1016\/j.amjsurg.2025.116735_bib35","doi-asserted-by":"crossref","first-page":"2534","DOI":"10.1210\/jc.2002-021267","article-title":"Obesity, regional fat distribution, and syndrome X in obese black versus white adolescents: race differential in diabetogenic and atherogenic risk factors","volume":"88","author":"Bacha","year":"2003","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.amjsurg.2025.116735_bib36","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.gtc.2023.02.003","article-title":"Disparities in access and quality of obesity care","volume":"52","author":"Washington","year":"2023","journal-title":"Gastroenterol Clin N Am"},{"key":"10.1016\/j.amjsurg.2025.116735_bib37","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1002\/oby.21822","article-title":"Racial disparity in life expectancies and life years lost associated with multiple obesity-related chronic conditions","volume":"25","author":"Chang","year":"2017","journal-title":"Obes Silver Spring Md"},{"key":"10.1016\/j.amjsurg.2025.116735_bib38","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1377\/hlthaff.2021.01466","article-title":"Structural racism in historical and modern US health care Policy","volume":"41","author":"Yearby","year":"2022","journal-title":"Health Aff"},{"key":"10.1016\/j.amjsurg.2025.116735_bib39","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1007\/s13679-018-0301-3","article-title":"Racial disparities in obesity treatment","volume":"7","author":"Byrd","year":"2018","journal-title":"Curr Obes Rep"},{"issue":"5","key":"10.1016\/j.amjsurg.2025.116735_bib40","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.soard.2023.02.007","article-title":"Bariatric emergencies for the general surgeon","volume":"19","author":"Altieri","year":"2023","journal-title":"Surgery for Obesity and Related Diseases"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961025005586?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961025005586?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T17:25:47Z","timestamp":1779297947000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961025005586"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":38,"alternative-id":["S0002961025005586"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2025.116735","relation":{},"ISSN":["0002-9610"],"issn-type":[{"value":"0002-9610","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"U.S. mortality in abdominal surgical emergencies: Comparative analysis of obesity-associated vs overall deaths (1999\u20132020)","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2025.116735","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"116735"}}