Safety and Cost Effectiveness of Outpatient Total Shoulder Arthroplasty

A Systematic Review

Tyler E. Calkins, MD; Zachary A. Mosher, MD; Thomas W. Throckmorton, MD; Tyler J. Brolin, MD


J Am Acad Orthop Surg. 2022;30(2):e233-e241. 

In This Article


Outpatient TSA has been shown to be a safe alternative to inpatient TSA with excellent patient satisfaction and less cost. Patient selection, involving close collaboration with the anesthesia team and medical specialists, is paramount to providing safe outpatient care, which can lead to nearly 99% of patients undergoing SDD with acceptable perioperative complication profiles. The literature primarily involves national database or small retrospective studies that are not consistent regarding the site of outpatient TSA (hospital versus free-standing ASC). Large prospective cohort studies are necessary to more accurately assess for differences in the rates of adverse events between patients undergoing outpatient versus inpatient TSA.