Willenbring TJ, DeVos MJ, Kozemchak AM, et al. - As per recent studies, outpatient total shoulder arthroplasty (TSA) is cost-effective and may correlate with a low complication rate similar to inpatient TSA. However, inclusion of younger patient cohorts, who typically possess fewer medical comorbidities, has been observed in existing studies. Researchers herein compared inpatient and outpatient TSA performed in adults over the age of 65 years with respect to surgical complication rates and 90-day readmission rates. The analysis was performed including a total of 145 shoulders (138 patients; 95 male, 43 female), of which 98 received inpatient TSA and 47 received outpatient TSA. Outcomes revealed no statistically significant differences in postoperative complications and ED returns between inpatient and outpatient TSA. They indicated an increase in the odds of postoperative surgical complications by 14% with each one-year increase in age; this was observed regardless of surgical setting. For appropriately selected patients 65 years or older, outpatient TSA was identified as safe, and consideration should be given to re-evaluation of TSA as an inpatient-only procedure.